Effective health interventions can generate significant short- and long-term benefits, including increased quality of life and reduced costs associated with healthcare, special education, child abuse and neglect, and criminal justice.
There a number of potential applications for Pay for Success in the health sector. Social Finance has done significant work on maternal and child health and asthma management, and we are actively pursuing additional opportunities to improve health outcomes through Pay for Success.
Improving Maternal and Child Health
A large and growing body of research on maternal and child health underscores the critical role of the prenatal period and first years of life in future maternal and child health and development outcomes. The majority of a child’s cognitive, language and sensory development will have already taken place by the age of two. Low income and vulnerable populations often lack access to information and traditional support systems during this critical period. As a result, these populations are more likely to suffer from adverse pregnancy, peri-natal, and post-natal outcomes, such as premature birth, infant mortality and child injury. These short term outcomes in turn often have detrimental effects on longer term family health and economic self-sufficiency.
Lowering Rates of Asthma
Over 25 million Americans are currently estimated to have asthma, including 7 million children Nationwide, direct costs associated with asthma exceed $50 billion annually, driven by millions of emergency room visits and nearly 500,000 hospitalizations. Asthma is the leading cause of school absenteeism for children, resulting in 10.5 million missed school days. Asthma disproportionally affects children from low income and minority families.
Effective asthma management interventions can create meaningful and lasting social benefits, including improvements in school readiness and achievement, parental labor productivity, and quality of life for families.
South Carolina Nurse-Family Partnership
The South Carolina Nurse-Family Partnership Pay for Success project expands Nurse-Family Partnership’s evidence-based program to an additional 3,200 first-time, low-income mothers and their babies across South Carolina, with the goals of supporting these mothers in having healthy pregnancies, becoming knowledgeable and responsible parents, and giving their babies the best possible start in life. The project, launched in February 2016, deploys $30 million over 4 years to expand Nurse-Family Partnership’s services.
National Partnership with Nurse-Family Partnership
Social Finance and Nurse-Family Partnership’s National Service Office work together to expand Nurse-Family Partnership’s home visiting services for low income, first-time mothers. Currently, the two organizations are developing and exploring Pay for Success projects in multiple jurisdictions throughout the United States.
Reducing Pediatric Asthma in Baltimore
In partnership with the Green and Healthy Homes Initiative, Social Finance is developing a Pay for Success project to improve asthma management for low-income children in Baltimore City and County.
Asthma Impact Model for Fresno
Social Finance is implementing a demonstration project in Fresno, CA to collect evidence on the social and economic value of asthma management for low-income children.
Improving Maternal and Child Health Outcomes in Cincinnati
In partnership with the Every Child Capital (ECC) Venture Fund, Social Finance is exploring innovative performance-based contracting options to build the bridge between tested programs improving maternal and child health and sustainable government funding streams in Cincinnati, Ohio.
Extending Diabetes Prevention with the Humana Foundation
Social Finance assisted the Humana Foundation in assessing the feasibility of scaling diabetes prevention programs through Pay for Success to improve health outcomes in Bexar County, TX.