For executives of human service agencies that are outside of the "health care" system, a common question is how much those changes will affect their market and their strategy. Will human service payers want to consolidate service management for specific groups of consumers? Is there going to be competition and competitive bidding? Will value-based purchasing – in the form of risk-based contracts or pay-for-performance – really happen?

In my opinion, the short answer is "yes."

Here's an example that came across the OPEN MINDS Weekly News Wire last week. Colorado's El Paso County Department of Human . . .

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