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Innovative Financing and Pay for Success

GHHI advances cross-sector, outcomes-based models

to address the social determinants of health

through evidence-based interventions.

Social Innovation Financing and Pay for Success

GHHI provides technical assistance and project management services to government, healthcare, and community-based service provider partners interested in innovative models that improve outcomes in low-income communities through addressing the social determinants of health.

While GHHI assists partners in exploring and building a variety of financing and contracting structures, the majority of our social innovation projects in development focus on Pay for Success. Pay for Success (PFS) financing models are cross-sector partnerships in which funders pay upfront for a social service and then a government, healthcare, or other back-end payer repays the investment if, and only if, predetermined outcomes are met.

Our Work

GHHI is advancing high quality evidence-based interventions that efficiently connect funding to meaningful health, economic, and social outcomes in order to foster health equity for people in low-income communities. Our goal is to prove the effectiveness of these interventions at scale and shift public policy to enable sustainable funding for services that improve outcomes through addressing the social determinants of health.

GHHI currently provides technical assistance and project management services for over a dozen Pay for Success and other social innovation projects in development with government, healthcare, and community-based service provider partners across the country. The majority of these projects focus on improving asthma outcomes through comprehensive interventions that include removal of asthma triggers in homes. GHHI is also expanding development of social innovation projects that focus on improving outcomes related to lead hazard reduction, energy efficiency, and aging in place for older adults, among others. Having completed over 10 Pay for Success feasibility studies, GHHI is now raising capital and structuring transactions for several of these projects, with the first ones planned to launch in 2018.

Projects in Development

Baltimore, MD: Johns Hopkins Medicine

Buffalo, NY: Community Foundation for Greater Buffalo

Chicago, IL: Presence Health and Elevate Energy

Cincinnati, OH: Talbert House, CareSource, and Academy Health

Grand Rapids, MI: Spectrum Health, Health Net of West Michigan, the Asthma Network of West Michigan and Healthy Homes Coalition of West Michigan

Houston, TX: UnitedHealthcare, Baylor College of Medicine, Northwest Assistance Ministries, City of Houston Dept. of Housing and Community Development

Houston, TX: Community Health Choice, Episcopal Health Foundation

Memphis, TN: Le Bonheur Children’s Hospital, Habitat for Humanity of Greater Memphis, and Memphis CHiLD

Minneapolis, MN: 

New York, NY: Affinity Health Plan, a.i.r. nyc, Better Living Now, Association for Energy Affordability, NYC Dept. of Health and Mental Hygiene

Philadelphia, PA: Health Partners Plans, St. Christopher Hospital, and Philadelphia Department of Public Health

Rhode Island: The State of Rhode Island and Rhode Island Housing

Salt Lake City, UT: University of Utah Health Plans and Salt Lake County Division of Housing and Community Development

Springfield, MA: Baystate Health, Partners for a Healthier Communities, Revitalize CDC, and Springfield Office of Housing

Learn More

  • Click here to access GHHI’s Pay for Success resources, including informational materials and tools for practitioners
  • Click here to access all of GHHI’s publications on Pay for Success
  • Press release (1/10/17): Green & Healthy Homes Initiative receives grant to advance Salt Lake asthma Pay for Success project
  • Press release (11/15/16): Green & Healthy Homes Initiative receives federal grant to build Pay for Success field
  • Press release (12/23/15): Green & Healthy Homes Initiative receives $1.8M foundation grant to expand effective “Pay for Success” program
  • Press release (10/1/14): Green & Healthy Homes Initiative receives $1.011M federal investment to support Pay for Success

If you would like to learn more about GHHI’s social innovation financing and Pay for Success work, please contact us at pfs@ghhi.org.

Learn more about the funders of GHHI’s PFS work:

HOW PAY FOR SUCCESS WORKS

Learn more about how PFS works in communities across the country.

PAY FOR SUCCESS RESOURCES

View GHHI’s PFS tools and informational materials.

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