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Success?
Pay for Success (PFS) models are crosssector partnerships in which private
investors pay upfront for a social
service and then government or
healthcare payors repay the
investment if and only if agreedupon outcomes are met.
If outcomes are not met, investors lose
money
www.ghhi.org
Graphic: Pay for Success (PFS) Financing, Social Finance. Found in Pay for Success: A Primer for Social Innovators
, Social Innovation Fund
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
Graphic: Pay for Success (PFS) Financing, Social Finance. Found in Pay for Success: A Primer for Social Innovators
, Social Innovation Fund
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
Graphic: Pay for Success (PFS) Financing, Social Finance. Found in Pay for Success: A Primer for Social Innovators
, Social Innovation Fund
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
Graphic: Pay for Success (PFS) Financing, Social Finance. Found in Pay for Success: A Primer for Social Innovators
, Social Innovation Fund
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
Graphic: Pay for Success (PFS) Financing, Social Finance. Found in Pay for Success: A Primer for Social Innovators
, Social Innovation Fund
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
Outcomes not
achieved
Graphic: Pay for Success (PFS) Financing, Social Finance. Found in Pay for Success: A Primer for Social Innovators
, Social Innovation Fund
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
Criminal
justice/recidivis
m
Early Childhood
Education
Maternal/Child
Health
Homelessness
10
Active
1
Inactive
www.ghhi.org
Benefits of PFS
Progress towards systemic change
Bridges timing gap between service
provision and cost savings
Pay for what works
Stable, flexible funding to service
providers
Shifts focus from remediation to
prevention
Rigorous program evaluation
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
PFS Challenges
Lengthy feasibility and transaction
structuring
Cost savings can be difficult to
ascertain
Limited supply of appropriate
interventions
High transaction costs
Bureaucracies and silos
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
Optimal PFS
Interventions
Evidence-based
Providers structured for evaluation
Generate cashable savings
Cost-effective (compared to savings)
Not currently well-funded or not
funded by proper source
Scalable and/or replicable
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
SOCIAL
IMPACT
6.8M kids with asthma in U.S. (18.7M
adults)
www.ghhi.org
Treatme
nt/
Inhaler
Asthma
Episode
Hospital
Visit
2015 Green & Healthy Homes Initiative. All rights
www.ghhi.org
VOCs
Cockroaches
Tobacco Smoke
Pests
Animal
Allergens
Mold
Smoke/Gas
www.ghhi.org
Healing a Fractured
Delivery System
www.ghhi.org
Lead Hazard
Reduction
Asthma Trigger
Control
Fall/Injury
Prevention
Energy Efficiency
www.ghhi.org
Weatherization
Impact: Building a
Business
Case
Green & Healthy Homes Initiative: Improving
Health, Economic and Social Outcomes Through
Integrated
Housing
66% reduction
inIntervention
asthma-related client
hospitalizations
28% reduction in asthma ED visits
50% increase in participants never having
to visit the doctors office due to asthma
episodes
62% increase in participants reporting
asthma-related perfect attendance for their
child (0 school absences due to asthma
episodes)
Peer-reviewed and published in Environmental
Justice journal
www.ghhi.org
88% increase in participants reporting
[2009-10
2015 Greendata]
& Healthy Homes Initiative. All rights
le
Saving
s
www.ghhi.org
Service Providers
Home
remediation and
education
Asthma High
Utilizers
7
Intermedia
ry
Collective Goal:
IMPROVE HEALTH
AND SOCIAL
OUTCOMES
Evaluate
outcomes
Flow of funds
& Evaluation
Graphic
from:
Pay for Success
Financing,
Social Finance, in
2015altered
Green
& Healthy
Homes(PFS)
Initiative.
All by
rights
Pay for Success: A Primer for Social Innovators, Social Innovation Fund
Make success
payments from cost
savings
Healthcare Payor
Independent
Evaluator
Services
www.ghhi.org
& other
investors
Investment pays
for cost of
intervention
Draw down
funds to pay for
intervention
Home
remediation and
education
6
Collective Goal:
IMPROVE HEALTH
AND SOCIAL
OUTCOMES
Asthma High
Utilizers
Make success
payments from
cost savings
Evaluate
outcomes
Flow of funds
Services & Evaluation
Graphic altered from: Pay for Success (PFS) Financing, by Social Finance, in
Pay
for Success:
Primer
for Social
Innovators,
Social
2015
GreenA &
Healthy
Homes
Initiative.
AllInnovation
rights Fund
www.ghhi.org
University of
Utah Health
Plans
Salt Lake
County
Blue: Healthcare
organizations
Green: Service Providers
Spectrum
Health
Health Net,
Healthy
Homes
Coalition, &
Asthma
Network of W.
Michigan
Plan
Community
Foundation
for Greater
Buffalo
Le Bonheur
Childrens
Hospital
Habitat for
Humanity of
Greater
Memphis &
Memphis CHiLD
Baystate
Health
Partners for
a Healthier
Community,
Springfield
Partners for
Community
Action,
Revitalize
CDC, & HAP
Housing
www.ghhi.org
TA
Services
1
Project Plan
Data
Request
Payment
Mechanism
Assess SP
Capacity
Financial
Model
Finalize
Intervention
Evaluation
Model
Jun
201
5
Jul
201
5
Aug
201
5
t
201
5
Roles &
responsibili
ties
Define target population.
Pull cost data.
Nov
201
5
Dec
201
5
Link savings
projections to
success payments.
PFS budget.
Process flow and
scaling
expectations.
Evaluation
Stakeholder
Engagement
10 Transaction
Prep
2015 Green & Healthy Homes Initiative. All rights
Feb
201
6
Mar
201
6
Apr
201
6
May
201
6
Jun
201
6
Share learnings
and make
connections
Assess current
capacity and
identify needs.
Survey
Investors
Jan
201
6
Cohort model:
Determine source of
success payments.
8
9
Oct
201
5
Cross-site
webinars
All-site
convening in
November
method
Inventory
national &
local
investors
Final
feasibility
reports &
transaction
decision
www.ghhi.org
www.ghhi.org
Questions?
Michael McKnight
Vice President of Policy and Innovation
mmcknight@ghhi.org
www.ghhi.org
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