Articles

Outcomes-Led Contracting in HCBS: Choosing Measures, Setting Baselines, and Building Audit-Ready Data Integrity
Outcomes-led contracts collapse when measures are vague, baselines are unstable, and performance cannot be reconciled to real service records. This article explains how to define outcomes, set defensible baselines, and build verification routines that prevent disputes and gaming. Read more...
Value-Based Payment for HCBS: How to Design Incentives That Improve Delivery Without Reducing Access
Value-based payment in HCBS can either strengthen delivery discipline or quietly push risk onto providers and people who need care most. This article explains how to design incentives, guardrails, and verification so outcomes improve without creating avoidance, under-service, or “paper performance.” Read more...