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You are here: Home / Archives for Janet Viveiros

Building Cross Sector Partnership from the Ground Up: Lessons on Aligning Medicaid and Early Childhood Initiatives

November 3, 2020 by Janet Viveiros

Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


We are pleased to announce the release of Nemours’ brief, “Building Cross Sector Partnership from the Ground Up: Lessons on Aligning Medicaid and Early Childhood Initiatives.”

The brief highlights lessons learned from Nemours’ work with small groups of leaders from the health care and early childhood sectors in Florida, Georgia, and Washington, D.C. to pilot small-scale projects, or create a practical resource, to address a particular child health need through cross-sector collaboration. The goals were to foster alignment across Medicaid and ECE, uncover barriers to collaboration and identify solutions, and lift up learnings to enable other states to pursue cross-sector upstream prevention initiatives.

This work builds on previous Nemours’ efforts to test approaches to financing upstream prevention and addressing the social determinants of health and was supported by grants from the Alliance for Early Success to the Georgia Early Education Alliance for Ready Students (GEEARS), the Florida Association of Healthy Start Coalitions (FAHSC), and DC Action for Children.

The brief explores cross-cutting themes that emerged from this work around:

  • Building an effective cross-sector team
  • Generating support for the initiative across the health and early childhood sectors
  • Strategies for implementing the initiative
Please feel free to contact Janet Viveiros at [email protected] if you would like more information.

Filed Under: Uncategorized

New Nemours Brief: Using Pay for Success Financing to Improve Maternal and Infant Outcomes in Medicaid

February 25, 2020 by Janet Viveiros

Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


Nemours is excited to release its new “Washington State’s Effort to Improve Maternal and Infant Outcomes in Medicaid Using Pay for Success Financing” brief.

The Washington Health Care Authority, the agency that oversees the state’s Medicaid program, has been exploring using pay for success financing, an impact investment strategy, to make a decision about whether to expand services in Medicaid that would improve maternal and infant outcomes. This case study highlights the key accelerators and barriers that Washington has confronted as it determines whether it should move forward with pay for success financing to pilot and determine the return on investment of group prenatal care services for its Medicaid recipients.

If you have questions, please feel free to contact Janet Viveiros, Program and Policy Associate at Nemours, at [email protected].

Filed Under: Uncategorized

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