Pay for Success

The innovative Pay for Success partnership — a unique blend of $29 million in public and private investment — enabled the Nurse-Family Partnership to reach nearly 4,000 additional first-time mothers across South Carolina. 

The Nurse-Family Partnership Pay for Success Project Overview 

Pay for Success is a public-private partnership that changes the way that the government does business by holding programs accountable to achieving pre-specified outcomes. In this specific Pay for Success project, the upfront cost to scale the Nurse-Family Partnership’s services to nearly 4,000 pregnant women across South Carolina was covered by philanthropic investments and a Medicaid 1915(b) waiver that allows NFP to draw down federal and state Medicaid funding. If the contract-specified targets are met, South Carolina Department of Health and Human Services will make success payments — all of which would be reinvested in the Nurse-Family Partnership’s programming in South Carolina — based on the achievement of four outcomes selected with the Nurse-Family Partnership. 

How Pay for Success Works in the South Carolina Nurse-Family Partnership Study 

This project brings together partners across public, private, philanthropic, and academic organizations in order to scale up nurse home visiting services and rigorously evaluate the program’s impact on the lives of mothers and children in South Carolina. 

South Carolina Nurse-Family Partnership Pay for Success Project Flow Chart

Sign up for updates about the project and study here.