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General overview

Stage of development: Implementation

Policy sector: Health

Start date of service provision: Apr 2016

Capital raised (minimum): USD 17.50m

Service users: 3k+ individuals


The intervention extends the service provider's nursing program statewide. The service provider partners first-time mothers with a personal, specially-trained nurse home visitor who guides them through pregnancy until their child's second birthday. The expectant moms benefit by getting the care and support they need to have a healthy pregnancy, while also developing a close relationship with a nurse who becomes a trusted resource they can rely on for advice in the future. Through this partnership, the nurse provides new moms with the confidence and tools they need to assure a healthy start for their babies and envision a life of stability and opportunities for both mom and child.

Target population

First-time, low-income moms at no more than twenty-eight weeks gestation with eligible/enrolled in Medicaid, with focus on ZIP codes with high concentrations of poverty.



  • United States

Service delivery locations

  • 29/46 counties in South Carolina, USA

Outcome metrics

  • Reduction in preterm births. Number of live births with a gestation period of less than 37 completed weeks relative to control group. Vital statistics birth records.
  • Reduction in child hospitalization and emergency department usage due to injury. Number of emergency visits caused by acute injury in the child's first 24 months of life relative to control group. Medicaid diagnosis and billing claims.
  • Increase in healthy spacing between births. Number of subsequent live births that mothers have within 24 months of the first recorded birth relative to control group. Vital statistics birth records.
  • Increase the number of first-time moms served in predetermined ZIP codes with high concentrations of poverty. 65% intervention enrollment from low-income zip codes (i.e. household poverty rates above 15% according to US Census Bureau data, 2012). Study enrollment survey.
  • Success threshold for fixed payments Each outcome has a lower and upper success threshold for extra fixed payments, additional payments per participants are made if either threshold is reached.

SyROCCo reports

The following articles are taken from the Systematic Review of Outcomes Contracts Collaboration (SyROCCo) Machine Learning tool.

The tool is a collaboration between the Government Outcomes Lab and machine learning experts from the University of Warwick, that allows you to navigate and explore data extracted from nearly 2000 academic and grey literature publications related to outcomes-based contracting.

Other resources

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