Health Stakeholder Support

a unique opportunity to finally bend the curve down on health costs, while improving the lives of millions

You may be a health plan or provider, employer or political leader—wondering how we are ever going to get a handle on ever-earlier and more widespread chronic health conditions. And on related sky-high, ever-increasing health care costs?

And now that housing & other prices and interest rates have blasted off, too, just when wages were finally starting to rise…How much more financial pressure can families take?

And if you are a senior executive in the health sector: 

  • How long until all of this comes back to haunt health organizations?
  • How much longer will you be able to pass costs on to someone else?
  • How much more pressure can health care professionals endure?
  • And what becomes of the quality of care—and of the health of us all

There is increasing recognition that the status quo, with occasional so-called reforms that never move the needle, cannot continue much longer… (Yes, we have “kicked the can down the road” for 50+ years—but each new kick is getting more painful, isn’t it?)

Healthy Future US partners with you & others to have impact at a very large scale. We measure success in the millions of lives—and ask to be held accountable for empowering millions of children to improve their health.

We achieve this through an unprecedented combination of state- and eventually nation-wide policy, program, & self-funding systems change.

The benefits for health organizations are unique & compelling.

Yet we lead much of the political heavy-lifting.

10x ROI/Impact for Stakeholders

For health-related funders, our systemic, evidence-based approaches provide 10x or more Payback/ROI, from prevention-based health cost savings. (And up to ½ of that ROI happens quite rapidly.)

But to help very large numbers of people, practically & cost-effectively, and to maximize impact for the most people—we need investments in large-scale, cross-sector, multi-level systems change.

And we expect all health-related funders to continue investing at least some of their savings to help sustain the impact.

Philanthropic impact graphic

Continual Accountability for Results

Success at each step is demonstrated:

  • first, by measuring on-going student physical activity, nutrition, mental wellness and other health-related metrics, which can be cost-effectively monitored throughout the school year at schools.
  • and then by calculating estimated aggregated (individual privacy & confidentiality-protected) child & parent medical cost savings and employee productivity & GDP improvements annually.


Rapid Payback: High ROI for Health & Other Stakeholders

We have completed ROI analyses by stakeholder group—including the legislature/state budget; private health insurers & major self-insured employers; AHCCCS/Medicaid; and the broader public—including families, businesses & the economy.

These show that each group should expect at least a 10x ROI for its expected investment, assuming a roughly 1/3-1/3-1/3 “matching” co-investment. This investment ramps up over time to approximately $200-300M/yr per stakeholder group. And approximately half of the ROI happens in childhood and young adulthood, with full payback within approximately 10-15 years.

Annual Savings graphic

Potential health cost savings are based on actual savings from increased physical activity, fitness, and healthier nutrition per peer-reviewed literature, utilizing government data, and with gaps estimated by Healthy Future US.  [More details are available on how these savings are estimated, including in our slide deck.]

Imagine how much lower private health plan costs would be, if chronic condition prevalence was 20% lower? This is our target for Healthy Students Healthy State. And we have compelling evidence that we can get there.

Cumulative growth graphic

We are asking both self-insured major employers and third-party privately insured other employers and their employees to support paying a small amount more each year for whole-population prevention: into the Healthy Students Healthy State K-12 Prevention Fund.

And you only provide about 1/3 of the total—the rest is matched by the legislature and Medicaid.

And 1000x ROI/Impact from HFUS Capacity-building

Healthy Future US is currently building toward an organizational budget of $1.5M/year.

We estimate that this will allow us, over 5-7 years, to develop $500M-$1B/year in new sustainable money from major stakeholder groups into schools, for preventive health & wellness education—in our first state. This is more than a 300x ROI.

(Voter initiative campaigns would be in addition to this, but would only be needed one-time, and would be solicited separately—once ready.)

We also estimate that implementing our school-based strategies will save $5B/year in medical costs and increase economic productivity & family disposable income by $5-10B/year in a state of 7-8 million people. (You can use that same ROI ratio for almost any state, with the total investment needed and savings expected scaling up or down based on that state’s population.)

So $500M-$1B/year in investment in Healthy Students Healthy State then results in $5B-$10B in annual savings & GDP growth.

This brings the total ROI on capacity-building investment into the 3000-7000x range [$1.5M/yr → $5-10B/yr].

Mutual Commitment

“Conditional commitment” is not a legal obligation—more importantly, it is a moral one. And it requires that Healthy Future US makes significant progress, in order to expect you to continue investing in us.

You hold us accountable, and you decide if we have made enough progress to justify an additional donation-investment. But as long as we are making adequate progress, we can count on you for a certain minimum amount of money to help sustain our work.

Frankly, if we don’t have a long-term commitment by our co-founding donor-investors, we won’t have the cash on our balance sheet to be able to hire and retain the people we need to make this happen.

Next Steps

If you think that is a lot to ask, let’s talk about it. If you have gotten this far in reviewing our work, we are clearly striking a chord with you. So let’s discuss how we can partner to make major sustainable improvements in our country together.

"Let's Talk"