A National Imperative: Joining Forces to Strengthen Human Services in America (Jan 2018)

TOP CHALLENGES BY CBO SIZE

RANK NORTHEAST

MIDWEST

SOUTH

WEST

1 Decreased state and local funding

Decreased state and local funding

Decreased state and local funding

Decreased state and local funding

2 Decreased federal funding

Attracting and retaining talent

Staff salaries

Staff salaries

3 Staff salaries

Staff salaries

Attracting and retaining talent

Attracting and retaining talent

4 Attracting and retaining talent

Decreased private donations

Physical infrastructure costs

Decreased funding fromMedicare/Medicaid

5 Physical infrastructure costs

Capacity-building and innovation costs

Administrative costs

Decreased federal funding

6 Costs to provide services and care

Decreased federal funding

Increased restricted donations

Capacity-building and innovation costs

7 Decreased private donations

Decreased funding fromMedicare/Medicaid Difficulty applying for and securing contracts and grants Costs to provide services and care

Costs to provide services and care

Decreased private donations

8 Decreased funding

Decreased federal funding

Outdated IT

fromMedicare/Medicaid

9 Increased adoption of managed care models

Decreased private donations

Costs to provide services and care

10 Capacity-building and innovation costs

Physical infrastructure costs

Decreased funding fromMedicare/Medicaid

Increased restricted donations

Exhibit 3. Challenges facing government agencies

FUNDING CHALLENGES

Decreased funding to arrange for services and care

Inflexible funding that cannot be reallocated based on demand

Decreased budget for administrative, overhead, and non-program related expenses

Difficulty implementing pay-for-performance contracts

Fewer CBOs providing services at a price point that is within budget

20%

40%

60%

80%

100%

0%

Appendix A - Part 6 Challenges facing the human services system \ Embargoed – Not for distribution  | 56