Adapting Pay for Success Methods to Managed Care Incentives

South Carolina Department of Health and Human Services

Request for Information (RFI)

Adapting Pay-for-Success (PFS) Methods to Managed Care Incentives

to Improve Health and Social Outcomes for Medicaid Beneficiaries

December 9, 2016

PURPOSE

The South Carolina Department of Health and Human Services (SCDHHS) seeks input on the design and focus of a new incentive payment program for managed care organizations (MCOs) that would reward demonstrated improvement in health and social outcomes for beneficiaries. The program would support innovative solutions that use preventive and population-based approaches to improve beneficiary outcomes, expand care coordination, and address social determinants of health, and is intended to provide a financing opportunity for effective interventions that may not have previously been reimbursable.

The full Request for Information, including questions requiring a response, may be found at https://www.scdhhs.gov/sites/default/files/SCDHHS%20Incentive%20Program_RFI_12.9.16.pdf.

AREAS OF INTEREST

SCDHHS requests responses to this RFI no later than 5 p.m. EST on Friday, January 6, 2017. Responses should be submitted electronically in Word or PDF format via email to fbo@scdhhs.gov. Any questions regarding this RFI may be sent to the same address.

For all submissions, please provide the following organization information: name of organization, contact information by email and phone, and entity type (i.e., government, non-profit, private company).