Medical-Financial Partnerships: Cross-Sector Collaborations Between Medical and Financial Services to Improve Health
Financial stress is the root cause of many adverse health outcomes among poor and low-income children and their families, yet few clinical interventions have been developed to improve health by directly addressing patient and family finances. Medical-Financial Partnerships (MFPs) are novel cross-sector collaborations in which health care systems and financial service organizations work collaboratively to improve health by reducing patient financial stress, primarily in low-income communities. This paper describes the rationale for MFPs and examines eight established MFPs providing financial services.
Resources
Project reports, journey maps, and toolkit
Reports
These slide decks describe the goals and outcomes of this project.
Socialization deck: Supporting the design of a remote financial help service (Bridgeable)
Client Journey maps
These journey maps offer a visual explanation of the process used by the 3 participating community agencies offering one-on-one client support.
Family Services of Greater Vancouver
SEED Winnipeg
Thunder Bay Counselling
Toolkit
This toolkit was developed in collaboration with community partners, and shares tools for coaches and clients in the virtual one-on-one process.
Virtual service delivery tools (Toolkit)
Resources
Handouts, slides, and video time-stamps
Read the presentation slides for this webinar.
Download the handout for this webinar: Process map: Virtual Self-File model overview
Time-stamps for the video recording:
4:01 – Agenda and introductions
5:59 – Audience polls
10:27 – Project introduction (Speaker: Ana Fremont, Prosper Canada)
14:31 – Tour of TurboTax for Tax Clinics (Speaker: Guy Labelle, Intuit)
17:59 – Woodgreen project pilot (Speaker: Ansley Dawson, Woodgreen Community Services)
27:35 – EBO 2-step process (Speaker: Marc D’Orgeville, EBO)
39:26 – Woodgreen program modifications (Speaker: Ansley Dawson, Woodgreen)
46:03 – Q&A
The poverty premium: a customer perspective
Fair By Design and Turn2Us (in the United Kingdom) commissioned this research to explore recent changes in the poverty premium landscape, to understand if they are having any impact on the cost of premiums, or the number of people who pay them. Importantly, we did this through the lens of the low-income customer in order to hear first-hand how they experience these extra costs; how they see the problems with the current system; how they respond to initiatives and interventions designed to reduce poverty premiums; and the changes they feel would make the most difference to them and their household. This research report:
Human Insights Tools & Resources
Human insights are used when designing programs and improving services through understanding clients’ hidden preferences, environment factors and behaviors. The Human Insights Tools from Prosperity Now are intended to take you through the process of discovering opportunities for innovation from clients’ point of view, designing solutions to meet those needs, and testing your ideas to ensure they bring about the needed change. Tools and resources are presented for each of the discover, design, and test phases.
Youth Reconnect Program Guide: An Early Intervention Approach to Preventing Youth Homelessness
Since 2017, the Canadian Observatory on Homelessness and A Way Home Canada have been implementing and evaluating three program models that are situated across the continuum of prevention, in 10 communities and 12 sites in Ontario and Alberta. Among these is an early intervention called Youth Reconnect. This document describes the key elements of the YR program model, including program elements and objectives, case examples of YR in practice, and necessary conditions for implementation. It is intended for communities who are interested in pursuing similar early intervention strategies. The key to success, regardless of the approaches taken, lies in building and nurturing community partnerships with service providers, educators, policy professionals, and young people.
Service Design Tools
This website shares tools, tutorials, and resources on service design. The tools will help you prepare for different stages of the service design process, think through who to engage and how, and plan or improve a service. Includes templates for tools such as empathy maps, personas, service blueprints, and more.
Client Engagement and Retention—The Secret Ingredient in Successful Financial Capability Programs
Grantmakers and practitioners recognize the importance of financial security for individuals and families, and many organizations therefore offer financial capability programs aimed at strengthening the financial well-being of the people they serve. But good financial capability programs are often high-touch and costly to provide for program administrators, and time consuming for clients to participate in. To benefit fully from such programs’ offerings, clients must actively participate in the program’s coaching, counseling, or other sessions, and engage in related activities to boost their financial health. Thus, understanding what drives client engagement is critical to helping programs improve program retention and outcomes, and concurrently, helps funders maximize the value of philanthropic dollars and customers’ time. Grantmakers concerned about best practices for funding effective financial capability efforts must therefore understand the vital role of client retention and the strategies for supporting the nonprofit sector to address this challenge. The brief explains the importance of client retention and engagement for financial capability program success, describes three key barriers to effective program participation, offers strategies to overcome those barriers, and closes with recommendations for philanthropy.
Creating a Strong Foundation for Change
This guide is designed to be a resource for programs working with low income families to use when anticipating or implementing a new approach, such as coaching, to doing business. It helps you to systematically – and honestly – look at your foundational readiness for change, so that the improvements you want to make will take root and grow in fertile ground. Making time and space to look deeply into your organization can offer the opportunity to reconsider what quality service delivery looks like, help you discover how coaching (or other techniques) could be a tool, and plan efficiently on where it fits best into your existing context.
Resources
Handouts, slides, and time-stamps
Read the presentation slides for this webinar.
Handouts for this webinar:
How Savings Circles Works
Information about the Strive program
Time-stamps for the video recording:
3:35 – Agenda and introductions
6:00 – Audience polls
10:58 – Financial empowerment interventions (Speaker: Glenna Harris)
14:00 – Savings Circles program at Momentum (Speaker: Anna Jordan)
33:18 – Strive program (Speaker: Monica daPonte)
55:50 – Q&A
Removing Savings Penalties for Temporary Assistance for Needy Families
This brief discusses the savings penalties in public assistance programs in the United States, also known as asset limits, and that actions that can be taken to eliminate these limits and the barriers towards building savings for families living on low income.
Spurring Savings Innovations: Human Insight Methods for Savings Programs
This brief uses the experiences of participants in a service design process called the Savings Innovation Learning Cluster (SILC) to gather key insights into client perspectives and how it can be used to better program design. Four human insights research and design methods are explored—client interviews, client journey mapping, concept boards and prototyping—which can be used to develop more effective savings programs.
Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide
This document is a “how to” guide for planning and implementing evaluation activities. The manual, based on Centers for Disease Control and Preventions's Framework for Program Evaluation in Public Health, is intended to assist managers and staff of public, private, and community public health programs to plan, design, implement and use comprehensive evaluations in a practical way.
Resources
Handouts, slides, and time-stamps
Read the presentation slides for this webinar:
- Prosper Canada: Webinar introduction / Improving the Benefits Screening Tool
- Bridgeable: Introduction to Service Design
Bridgeable’s handouts for this webinar:
Key takeaways for Service Design
Prosper Canada’s handouts for this webinar:
Benefits Screening Tool Phase 2 report
Pathways to benefits
Client Journey Map for ODSP application
Practitioner Workflows
Time-stamps for the video recording:
3:14 – Agenda and introductions
5:51 – Audience polls
9:19 – All about service design (Speaker: Glenna Harris)
11:00 – Bridgeable: Introduction to service design (Speakers: Bonnie Tang and Minyan Wong)
35:00 – Benefits Screening tool design process (Speaker: Trisha Islam)
50:20 – Q&A
Enterprise Communities Plus: A network of financial capability services in low-income housing developments in New York City
In early 2018, Enterprise Community Partners (Enterprise) began a pilot program, Enterprise Community Plus (EC+), to provide financial capability services to residents in two neighborhoods in New York City. Enterprise is a nonprofit housing developer seeking to create opportunity for low- and moderate-income people through affordable housing in diverse, thriving communities. The pilot program seeks to develop a network of service providers dedicated to supporting the housing developments and introduce rent reporting for credit building and matched savings accounts to residents. Prosperity Now joined the implementation process in May 2018.
In this brief, we provide some initial information on the participants that currently are enrolled in the program and some lessons learned to guide other organizations in their efforts to provide financial capability services into housing programs.
Effective financial education: Five principles and how to use them
Because of the key role that financial education can play in people’s lives, the CFPB has conducted research over its first five years into what makes financial education effective for consumers. What do we mean by “effective?” It does not just mean training that helps people perform better on a test of financial facts. It means equipping consumers to understand the financial marketplace and make sound financial choices in pursuit of their life goals.
An Evaluation of Financial Empowerment Centers: Building People’s Financial Stability as a Public Service
This report is a three-year evaluation of the Financial Empowerment Center initiative’s replication in 5 cities (Denver, CO; Lansing, MI; Nashville, TN; Philadelphia, PA and San Antonio, TX). Financial Empowerment Centers (FECs) offer professional, one-on-one financial counseling as a free public service. The evaluation draws on data from 22,000 clients who participated in 57,000 counseling sessions across these first 5 city replication partners, and provides additional evidence of the program’s success.
Overview: Financial Empowerment Center Counselor Training Standards
This overview summarizes the Financial Empowerment Center (FEC) model’s Counselor Training Standards. The Standards delineate the breadth and depth of the financial content areas, counseling and coaching skills, practice and experiential learning, and socio-economic and cultural context setting necessary to serve the diverse needs and backgrounds of FEC clients. The Standards also include a Code of Ethics that promotes responsible, professional and ethical financial counseling, furthering the profession of one on-one financial counseling.
Resources
Handouts, slides, and time-stamps
Presentation slides for this webinar
Handouts for this webinar:
Brief: Matched Savings programs – webinar handout (Momentum)
Matched Savings programs chart – webinar handout (Momentum)
Budget Tracker – webinar handout (Credit Counselling Sudbury)
Monthly Budget – webinar handout (Credit Counselling Sudbury)
Time-stamps for the video-recording:
3:26 – Agenda and introduction
6:17 – Audience polls
9:41 – Reasons to save (Speaker: Glenna Harris)
12:08 – Effectiveness of Matched Savings (Speaker: Dean Estrella from Momentum)
32:10 – Savings strategies for clients on low incomes (Speaker: John Cockburn from Credit Counselling Sudbury)
47:50 – Q&A
Financial Coaching Program Design Guide: A Participant-Centred Approach
This comprehensive resource from Prosperity Now supports organizations in developing a participant-centered financial coaching program. Grounded in a field survey, over 100 interviews, expert advice and beta-testing with six new financial coaching programs, the Coaching Guide highlights the strengths and limitations of financial coaching, offers designs tools, showcases promising models and practices, and includes resources from program leaders and financial coaches.
