Policy Design

Evidence is necessary but not sufficient to truly resolving public policy challenges.  Once you have the evidence, how do you use it?

We assist policy makers and leaders of all political stripes in using the evidence to inform their policy approaches.  We help states to craft public policy solutions that fit their unique culture and reality; and we do it with an unwavering focus on outcomes and cost effectiveness.  

Pay for Prevention (P4P) – Advancing Pay for Success in Oregon 

Pay for Success is an innovative funding model that drives government resources toward social programs that prove effective at providing results to the people who need them most.

The model gives highly effective service providers, including nonprofits and charities, access to flexible, reliable, and upfront resources to tackle critical social problems by tapping private funding to cover the up-front costs of the programs. By rigorously measuring the effectiveness of these programs over time, Pay for Success ensures increased accountability for government spending and taxpayer dollars are being spent on programs that are actually succeeding in improving people’s lives. Pay for Success initiatives presently underway range from recidivism reduction in the U.K and New York City to high quality preschool in Salt Lake City. More information about the Pay for Success field can be found here: http://payforsuccess.org/learn-out-loud/pfs-101

Since 2009 a broad-based steering committee of elected officials, health systems, charitable foundations, and child advocates has overseen the Center’s work in advancing Pay for Success approaches through the Center’s Pay for Prevention (P4P) initiative. In partnership with the State of Oregon, P4P is targeted toward preventing entry into Oregon’s child welfare and foster care systems, with a focus on services to children ages 0-6. The Center has methodically researched the factors leading to foster care, the outcomes of foster care in Oregon, and effective provider approaches from across the country. The Center is developing the research base, provider supports, implementation tools, performance measurement, policy guidance, and financing structures for P4P pilot phase implementation in 2015-2016. 

The Pay for Prevention website is now live at http://www.oregonp4p.org.

New York Medicaid Benefit Design

The Center is working with the New York State Department of Health (NYDOH) and State University of New York to support the State's Medicaid redesign efforts. The Center was commissioned to provide the State's Medicaid Redesign Team's Benefit Package Subcommittee with evidence regarding the effectiveness and harms of a list of existing benefits. This information was used by the subcommittee to identify potential benefit policy changes.In addition, the Center conducted research and is developing a report for NYDOH that describes a potential process for setting New York's Medicaid health services priorities, as well as processes for reviewing evidence for health services and new technologies to inform benefit coverage decisions.  http://www.health.ny.gov/health_care/medicaid/redesign/basic_benefit_review_work_group.htm

Alternative Payment Methodologies in Oregon: The State of Reform 

Understanding that new payment models are needed to support health system transformation, the Oregon Health Authority engaged the Center in 2014 to prepare a report on Alternative Payment Methodologies (APM) in Oregon. The report assesses the status of APM implementation in the state and provides Coordinated Care Organizations (CCOs) and others with information, tools, strategies and best practices for planning and implementing effective APMs in Oregon.