Teaching Case - Oklahoma's Milestones Reimbursement System:  Paying for What You Get

Oklahoma's Milestones Reimbursement System: Paying for What You Get

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  • Product Description

    Abstract:
    This human services contracting case describes an innovative system launched by the Oklahoma Department of Rehabilitative Services when faced with what it viewed as skyrocketing costs and ineffectual assistance for citizens with severe disabilities. Under fiscal pressure, the Department decided on a drastic change in its historic approach to contracting--which had reimbursed service providers for their billable hours. The new, "milestones" approach would reward vendors, instead, for specific results, on the road toward employment for the disabled. The case describes the virtues of the milestones system, as seen by the state; the fears of service providers and advocates that the new incentive system would cause a deterioration in the nature of assistance and therapy; and the early results of the program. Supported by a grant from Innovations in American Government Program; written for the Hauser Center for Nonprofit Institutions.

    Learning Objective:
    This case allows for analysis and discussion of the strengths and weaknesses of the new "Milestone" program in increasing the efficiency and effectiveness of the vendors under contract in achieving concrete results.

  • Other Details

    Publication Date: October 01, 1998
    HKS Case Number: 1477.0
    Case Author: Susan Rosegrant
    Faculty Lead: Peter Frumkin
    Pages (incl. exhibits): 18
    Setting: United States
    Language: English
    Funding Source: Innovations in American Government Program
    _year: Older than 2000
    _pages: 16-25
    _geography: US & Canada
  • Warranty Information

    /review/1477.0.EducatorCopy.pdf

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