Strategies for Avoiding the Pitfalls of Performance Contracting

Behn, Robert D.; Kant, Peter A.

doi:10.2307/3380931

Cited by 126 publications

(93 citation statements)

References 12 publications

(2 reference statements)

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“…Block et al (2002) explain that fee-for-service funding can have the unintended effect of encouraging inefficiencies by rewarding service providers for the provision of additional services rather than outcomes achieved, in other words, accountability is focused on service provision rather than outcomes. While studies do point to better vocational outcomes with outcome-based funding (McGrew et al 2005) some critics have expressed concern about the unintended consequences and incentives that accompany this funding model as well, claiming that it can discourage service providers from working with harder-to-serve individuals who experience more complex issues (Behn and Kant 1999;Corden and Thornton 2003;Frumkin 2001;O'Brien and Revell 2005;Rapp 2002), because service providers are not guaranteed that funding will be provided unless they achieve the agreed upon client outcomes (McGrew et al 2007;O'Brien and Revell 2005).…”

Section: Discussionmentioning

confidence: 96%

Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review

Kirsh

2016

Community Ment Health J

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Supported employment is an evidence-based practice with a well-established research base. Most studies track such outcomes as employment rates, time to employment and wages earned. Few studies address client and contextual factors that impact outcomes or consider program elements beyond those that comprise the individual placement and support model. This paper reviews existing literature to shed light on the following questions: (1) What impact do labour market trends have on the effectiveness of SE? (2) How lasting are the effects of SE and what factors influence longevity of SE effects? (3) What levels and types of employment are targeted by SE? (4) What are the characteristics of people who benefit from SE? (5) What is the role of peer support in SE? and (6) What are the barriers to effective SE implementation? Research findings are synthesized and suggestions for service enhancements are offered so that the model can continue to evolve.

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Section: Discussionmentioning

confidence: 96%

Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review

Kirsh

2016

Community Ment Health J

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“…Schemes for triggering financial incentives include the milestones method used in Oklahoma, Alabama, and New York (Gates et al, 2004); outcome-based incentive financing used in New Hampshire and Colorado (Rapp, 2002;Rapp, Huff, & Hansen, 2003), or performance contracting (Behn & Kant, 1999). Ohio doubled the rate of employment by providing financial incentives tied directly to employment (Hogan, 1999).…”

Section: Task 5: Create Incentives and Disincentivesmentioning

confidence: 99%

The Role of State Mental Health Authorities in Promoting Improved Client Outcomes through Evidence-Based Practice

Rapp

Bond

Becker

et al. 2005

Community Ment Health J

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“…CTC is argued to create a need for investing in contract-management capacity (Brown and Potoski, 2003a). For services of low measurability, contracting challenges are more probable (Behn and Kant, 1999), and the need for contract-management capacity will be especially prominent. It is argued that the more measureable services are the most likely to be successfully organized through contracting Graddy, 1986, 1991).…”

Section: Improving Public Services Through Competition: Theoretical Amentioning

confidence: 99%

How does competitive tendering and contracting affect satisfaction with municipal health and care services?

Holum¹

2016

International Review of Administrative Sciences

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In this paper an investigation is made into the relationship between competitive tendering and contracting (CTC) and satisfaction with health and care services in Norwegian municipalities. There is an ongoing public debate concerning privatization and contracting as a way of providing municipal services. Several studies suggest improved productivity as well as service quality as a result. Based on public choice and property rights theories, public organizations are argued to be inefficient. Thus far, we have little knowledge about the effects of CTC on citizens' evaluations of the services exposed to CTC. To explore this, data from the Norwegian Citizen Study, covering over 35,000 individuals is employed. The findings show that citizens and users are more satisfied with health and care services that are subject to CTC compared to those provided solely by the public sector. 2 Points for practitionersThe findings of this paper encourage competitive tendering and contracting of health and care services. A positive relationship is found between CTC and satisfaction with these services. Findings provide support for arguments made in Scandinavian evaluations; the introduction of competition and contracting is argued to increase municipal focus on service quality, increased service-oriented care and is suggested as representing an improvement in attention to 'secondary needs' of residents. This is especially important for public managers in social democratic countries where the use of CTC is still a controversial topic.

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Strategies for Avoiding the Pitfalls of Performance Contracting

Cited by 126 publications

References 12 publications

Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review

Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review

The Role of State Mental Health Authorities in Promoting Improved Client Outcomes through Evidence-Based Practice

How does competitive tendering and contracting affect satisfaction with municipal health and care services?

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