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Adding Value? Reflections on payment by results for people with multiple and complex needs

4 February 15

The use of payment by results (PbR) models has been growing across the public sector. This briefing paper raises a number of challenges in applying PbR to services for people facing multiple and complex needs, and reflects on the experience of existing schemes to identify 18 key considerations for commissioners and policymakers seeking a more outcome-based approach.

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