8. Organizational Structure

The organizational structure reflects the relationship between the entities that will own, oversee and operate the PBS. This is a subset of the institutional structure, which is where the PBS fits within a governing body’s structure. No one specific organizational structure is ideal — a successful one is rather a function of the financial design of the system, its goals, and the legal environment within which the PBS operates. All of the operational structures discussed below have found both success and challenges in the past, illustrating how a successful organizational structure is more a function of the model matching the specific system, rather than one specific structure being best in all situations.

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