Abstract
Abstract While welfare reform altered entitlements, introduced time-limited benefits, and capped reimbursements for administrative costs, little was done to control service utilization by those who remain on welfare, or to realign the financial incentives and administrative infrastructure for the delivery of social services. This essay explores the advent of the Social Service Maintenance Organization and discusses the steps that social service agencies need to take to ready themselves for this altered system of service delivery. Without a thorough understanding of the way in which managed care delivery systems operate, as well as the sophisticated information systems and the financial resources necessary to assume risk, social service agencies will find themselves increasingly ill-equipped to meet the challenges of this new environment.
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