Our Programs

Green & Healthy Homes Initiative

Grantee Information

Federal Award:  $1,011,298 over 3 years
Focus Area:  Healthy Futures
Geographic Focus:  Nationwide
Target Beneficiaries:  Low-income children with asthma
Funding Partners:  The JPB Foundation

Asthma is a chronic condition with a high burden in terms of cost and societal impact; over 25 million Americans suffer from asthma, including 7 million children (1 in 11). According to the Robert Wood Johnson Foundation, 40% of all incidents of asthma are attributable to home-based environmental health hazards, but currently no federal healthcare programs provide resources to address them, making it an ideal opportunity for transformational impact through Pay For Success (PFS). 

The program is assessing the feasibility of five jurisdictions constructing asthma-related PFS projects and providing technical assistance to healthcare organizations (including integrated delivery networks, medical centers, and Medicaid managed care organizations) and nonprofit service providers. One health care entity, acting as a private payor, and one service provider have been selected per site, for a total of ten project subrecipients. This program is based on the existing asthma-focused PFS project in Baltimore, MD, implemented by a partnership between GHHI and Johns Hopkins Hospital and Healthcare System.


Entities Receiving Social Innovation Fund Awards from Green and Healthy Homes Initiative

Massachusetts: Baystate Health
Massachusetts: Partners for a Healthier Communiy, Inc., in partnership with Revitalize CDC, Springfield Partners for Commuity Action, and HAP Housing
Michigan: Spectrum Health Systems
Michigan: Health Net of West Michigan, in partnership with Asthma Network of West Michigan and Health Homes Coalition of West Michigan
New York: Monroe Plan for Medical Care
New York: Heart of the City Neighborhoods, Inc., in partnership with the Community Foundation for Greater Buffalo
Tennessee: Le Bonheur Children's Hospital
Tennessee: Habitat for Humanity of Greater Memphis
Utah: University of Utah Health Plans
Utah: Salt Lake County Office of Regional Development

MASSACHUSETTS


Baystate Health

Springfield, MA

For more than 130 years, Baystate Health, a not-for-profit health care provider, has been a keystone of the western Massachusetts community. It has a breadth of assets—strong and extensive physician relationships through Baycare Health Partners (BHP), a physician hospital organization and accountable care organization that represents more than 1,400 physicians including Baystate’s physicians and non-affiliated independent community physicians; Health New England, a managed care organization and subsidiary of Baystate; Pioneer Valley Accountable Care a subsidiary of BHP; and four independently-led Neighborhood Community Health Centers (one of which is a pediatric practice) totaling 144,000 visits per year.

The GHHI Team will provide Baystate Health with technical assistance in nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations, and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.


Partners for a Healthier Community, Inc. in partnership with Revitalize CDC, Springfield Partners for Community Action, and HAP Housing
Springfield, MA
 
Partners for a Healthier Communities’ (PHC) Pioneer Valley Asthma Coalition (PVAC) was formed to implement strategies to address asthma involving reducing environmental triggers at home, in school, and in the community, as well as improving medical and self-management of asthma. Among other programs, PVAC has implemented Reducing Asthma Triggers for Older Adults with Asthma. Revitalize CDC performs home repairs and modifications. Springfield Partners for Community Action (SPCA) will conduct weatherization services. HAP Housing provides education to landlords and tenants and rehabilitation of multifamily dwellings. PVAC’s older adult asthma project is already tracking outcomes, and conducts activities in coordination with Baystate Health, the healthcare entity awardee for Pay for Success (PFS). PVAC has also conducted numerous studies on reducing asthma-related medical utilization, including the Reducing Ethnic and Racial Asthma Disparities in Youth (READY) asthma home visiting research study.
 
The GHHI Team will provide PHC, PVAC, SPCA, and HAP Housing with technical assistance to assess the feasibility of a PFS project involving Baystate Health through completing nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations, and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.

 

MICHIGAN


Spectrum Health Systems

Grand Rapids, MI 

Spectrum Health Systems (SHS) is a west Michigan integrated delivery system composed of an 1150 physician multispecialty medical group (Spectrum Health Medical Group), 11 hospitals, including Helen DeVos Children’s Hospital, a community services organization (Healthier Communities) as well as other healthcare services. The insurance division of SHS, Priority Health, serves nearly 600,000 members including over 100,000 Medicaid beneficiaries. Since 1996, Priority Health has collaborated with physicians and hospital organizations for on pay for outcomes initiative for reducing ED visits and hospitalizations.

The GHHI Team will provide Spectrum Health Systems with technical assistance in nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.


Health Net of West Michigan in partnership with Asthma Network of West Michigan and Healthy Homes Coalition of West Michigan
Grand Rapids, MI 
 
Health Net of West Michigan (Health Net) is providing the overall coordination, referral, and data gathering to establish a Pay for Success (PFS) project with Spectrum Health System. Health Net serves as the hub to connect low income families in Kent County to needed primary care and community services. In partnership with Health Net, the Asthma Network of West Michigan (Asthma Network) is providing its intensive in-home asthma education and case management model that has been operating since 1996. Out of 500 programs, the Asthma Network is one of six to be named “National Model Asthma Program.” Healthy Homes Coalition of West Michigan (Healthy Homes Coalition) is providing environmental home assessments and health education. The Healthy Homes Coalition has an eight-year history of conducting healthy homes remediation services focusing on asthma and lead. Three organizations have collaborated on past projects with Spectrum Health, the healthcare awardee for the PFS project.
 
The GHHI Team will provide Health Net, Asthma Network, and the Healthy Homes Coalition with technical assistance to assess the feasibility of a PFS project involving Spectrum Health Systems through completing nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations, and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.

 

NEW YORK


Monroe Plan for Medical Care

Pittsford, NY

Monroe Plan for Medical Care is a not-for-profit entity founded in Rochester, NY, as a risk-bearing Independent Practice Association (IPA). Monroe Plan has been meeting the healthcare needs of low-income individuals for more than 40 years and manages the health care of more than 200,000 enrollees of Medicaid managed care plans in upstate New York. With a long history of initiatives to improve asthma care for its members while aligning financial incentives for stakeholders, Monroe Plan would like to extend its work to a PFS project in the Buffalo area, with the possibility of expanding this project to the Rochester area in the future.

The GHHI Team will provide Monroe Plan for Medical Care with technical assistance in nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.


Heart of the City Neighborhoods, Inc. in partnership with the Community Foundation for Greater Buffalo 
Buffalo, NY
 
Heart of the City Neighborhoods, Inc. (HOCN) and the Community Foundation for Greater Buffalo (CFGB) are leading service providers efficiently coordinating weatherization, home health, and safety interventions. Their partnership utilizes comprehensive assessments and a well-established referral system to provide clients with the maximum amount of services to address home environmental conditions. HOCN and the Community Foundation, in partnership with other regional service providers, have already provided comprehensive services to almost 400 families in recent years. 
 
The GHHI Team will provide HOCN, CFGB and their partners with technical assistance to assess the feasibility of a Pay for Success (PFS) project involving Monroe Plan for Medical Care through completing nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations, and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.

 

TENNESSEE


Le Bonheur Children’s Hospital

Memphis, TN 

As the premier pediatric hospital serving the Mid-South region of Tennessee, Le Bonheur has a 25-year history of providing community prevention services to ensure the health of children and avoid unnecessary medical costs. Le Bonheur Community Health and Well-Being, the community-based programs nonprofit branch of Le Bonheur Children’s Hospital, is the coordinating entity and administrator for the PFS project. Additional partners include Le Bonheur’s CHAMP (Changing High-Risk Asthma in Memphis through Partnership) and Memphis CHILD, a newly established medical legal partnership. Realizing the connection between substandard housing and the health of children, in 2013 Le Bonheur helped convene and co-found a multi-agency coalition called the Healthy Homes Partnership.

The GHHI Team will provide Le Bonheur with technical assistance in nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations, and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services. 


Habitat for Humanity of Greater Memphis
Memphis, TN
 
The mission of Habitat for Humanity of Greater Memphis (Memphis Habitat)—to eliminate substandard housing from the city of Memphis and surrounding areas, while making decent housing for all people a matter of conscience and action—is closely aligned with the goals and objectives of this Pay for Success (PFS) project.
 
The GHHI Team will provide Memphis Habitat and its service provider partners including Memphis CHiLD, a medical legal partnership, with technical assistance to assess the feasibility of a PFS project involving Le Bonheur Children’s Hospital through completing nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations, and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.

 

UTAH


University of Utah Health Plans

Murray, UT 

University of Utah Health Plans (UUHP) was formed as a strategic initiative of the University of Utah Medical Group (UUMG) and University of Utah Health Care (UUHC). UUHP is a separate business unit of UUHC. Since 1998, UUHP has grown to serve more than 140,000 members, with more than 100 staff members in the Salt Lake City area. UUHP administers fully at risk Medicaid and commercial products and is strategically aligned with academia and government programs to effectively manage cost and quality of health care and meet all regulatory requirements. University of Utah Health Plans (UUHP) is focused on population management. UUHP identifies member risk levels and provides the most appropriate intervention, from supporting healthy lifestyle decisions to advanced care management, for patients with complex conditions.

The GHHI Team will provide University of Utah Health Plans with technical assistance in nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.


Salt Lake County Office of Regional Development
Salt Lake City, UT
 
Salt Lake County Office or Regional Development is a leader in the field of healthy housing-based asthma prevention, carrying out the philosophy that it takes a community to support a family’s health needs. The Salt Lake County Office of Regional Development uses a “whole-house” approach to eliminate the adverse effects of unhealthy housing on children to produces sustainable green, health, and safe homes. The partnership provides home assessment, education, and direct remediation of environmental health hazards. The Salt Lake County Office of Regional Development has an ongoing partnership with University of Utah Health Plans (UUHP), the healthcare Pay for Success (PFS) organization, and has shown reduction in UUHP costs for patients that have received asthma prevention and weatherization services. The partnership has the support of state and local agencies and the David Eccles School of Business’ Sorenson Global Impact Investing Center.
 
The GHHI Team will provide Salt Lake County Office of Regional Development and its partners with technical assistance to assess the feasibility of a PFS project involving University of Utah Health Plans through completing nine distinct work streams, including help with designing and managing of a PFS feasibility work plan; evaluating project need; conducting payor risk assessment; modeling the financial transaction; documenting the service delivery process and costs; conducting an inventory of potential investors; customizing an evaluation model; engaging stakeholders; and informing partners about the structure transaction process. The measurable outcomes of the PFS project include reduction of medical utilization and costs for asthma by reducing emergency room visits, hospitalizations, and other clinical services due to poorly controlled asthma. This project will address underlying housing conditions that impact health outcomes including the root cause remediation of environmental health hazards responsible for preventable asthma episodes. Comprehensive home based interventions can be very effective and have significant returns on investment, but currently there are no federal programs that regularly pay for these services.
 
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