Health impacts everything. It’s a fifth of the economy; the largest share of the federal budget; the largest line item in every state’s budget. And it starts well before the clinic. Social determinants of health—from good jobs to good housing, safe water to safe streets—matter at least as much as what happens in the doctor’s office. Smart, effective prevention efforts can have enormous downstream benefits, but too often they’re overlooked in a legacy system built on crisis intervention.

At Social Finance, we have a growing perspective on which programs are most likely to achieve meaningful progress against key health goals—things like nurse home-visiting to reduce child injury; group prenatal care to reduce preterm births; home remediation and education to lower pediatric asthma rates; transitional care management to prevent re-hospitalization rates among seniors following surgery. We’re excited to harness—and to accelerate—the forces of value-based care that are reshaping the sector.

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 face inequitable access to effective support systems during this critical period. As a result, these populations are more likely to suffer from adverse perinatal 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.

Our Work

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.