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Understanding PbR in Drug Recovery: Insights and Challenges

This article explores the interconnection between Payment by Results (PbR) and drug recovery initiatives, emphasizing the limited evidence base that exists around PbR in this context. It outlines the potential risks, such as the vulnerability to gaming and the difficulties in defining and measuring recovery outcomes. The "10 Commandments of PbR" provide guiding principles for effective commissioning, focusing on simplicity, innovation, and the avoidance of unnecessary milestones. Ultimately, the article seeks to illuminate the complexities of implementing PbR successfully in drug recovery programs.

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Understanding PbR in Drug Recovery: Insights and Challenges

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Presentation Transcript

  1. Drug recovery and PbR go together like… Russell Webster

  2. What do we know about PbR? Limited evidence base Does put focus on outcomes Vulnerable to gaming Don’t know what good commissioning/contracts look like yet?

  3. The 10 Commandments of PbR Thou shalt commission for a single purpose Thy outcomes shall be few Thy metrics shall be simple Thou shall not covet milestones Thou shall not pay for deadweight

  4. The 10 Commandments of PbR Profit shall not be thy God Thou shall promote innovation Thou shall share the fruits of thy labours Thou shall join up commissioning Thou shall not implement in haste

  5. PbR problems for recovery Recovery is hard to define Recovery is hard to measure Too many outcomes Complexity is enemy of PbR Milestones/Interim Measures Fear of gaming = LASARs

  6. The Hippocratic Oath

  7. PbR & Recovery go together like…

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