| Notes |
The Final Rule “allows for value-based purchasing agreements
that leverage a combination of outcomes-based payments with
Pay for Success financing, so long as the approved value-based
purchasing agreement is included in the contracts between the
respective state and their managed care providers, ensuring
Federal Payment Participation (FPP) at existing levels.”54 So we
turn to our third question: do those regulatory changes make
social-impact investment financing more attractive to MCOs,
especially when it comes to scaling SDOH programs
commensurate with unmet population needs? If so, how does
the investment model stack up against self-funding that some
MCOs can pursue on their own? |