The Wrong Pocket Problem:

A situation in which the entity that bears the cost of implementing a practice or program does not receive the primary benefit.

The Solution?

S4A researchers at the University of Minnesota propose a financial innovation — a social drivers of health (SDH) bond — to increase investments in SDH interventions.

Issued by multiple managed care organizations in a Medicaid coverage region, the bond would raise immediate funds for SDH interventions that are coordinated across the organizations and delivered to all enrollees of the region.

Join S4A investigators on Wednesday, April 19 at 10am to learn more about this innovation in healthcare funding.


Systems for Action (S4A) is a signature research program of the Robert Wood Johnson Foundation that is housed in the Department of Health Systems, Management and Policy. S4A research builds a Culture of Health by rigorously testing new ways of connecting the nation’s fragmented medical, social, and public health systems.


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