Given the effort necessary to implement each pay for success contract, these
projects are worth pursuing only by leadership teams willing to dedicate
their time and energy to making it work. Significant coordination between
government departments will be required, and the lead agency head needs
to be a champion for the approach. Without enthusiasm in both the budget
office and among the governor’s, mayor’s, or county executive’s top policy
advisers, it is hard to imagine a project coming to fruition.