Exploring Pay for Success to Support Home Visiting

In April 2016, Washington state completed a feasibility study to determine if a Pay for Success funding or contracting model could significantly expand, strengthen and scale proven home visiting programs statewide. The Washington State Department of Early Learning (DEL), Thrive Washington (Thrive), and key partners and stakeholders are currently developing a five-year strategic plan to optimize federal, state, and private funding streams that flow through the Home Visiting Services Account (HVSA), created in 2010. This work includes analysis of the larger funding landscape beyond the HVSA, such as Medicaid waivers, private health plans, and Pay for Success (PFS) financing options.

DEL and Thrive, the two lead organizations for the HVSA, conducted the PFS feasibility study with the help of Third Sector Capital Partners, Inc. and the Institute for Child Success. The study was done in collaboration with representatives from home visiting programs, philanthropic organizations, nonprofits and business, as well as elected and government officials.

Through the feasibility study, we learned that there are many possible ways to use a PFS “approach” to deliver social services. PFS is more than just financing; it is a framework that helps government and nonprofit partners think differently about how the right mix of investments and incentives will lead to the best outcomes.

The full feasibility assessment report is available upon request. If you would like to receive the full report, have questions or would like to learn more, please contact:

Molly O’Connor
Vice President
Thrive Washington
Greg Williamson
Asst. Director for Partnerships and Collaboration
Department of Early Learning



Resources to Results: The Washington State Pay for Success SymposiumOn Nov. 18, 2015, Washington state philanthropic, nonprofit and government organizations hosted a symposium to start a conversation about the potential for Pay for Success in our region. Several organizations in Washington are exploring Pay for Success as a way to launch or scale high-quality prevention programs.

Event materials: