The report discusses the Denver Housing to Health (H2H) Pay for Success project, which aims to provide supportive housing to people experiencing chronic homelessness, high arrest rates, and high-cost health services. It highlights the challenges of scaling supportive housing, such as locating participants, securing vital documents, and managing bridge housing. The project uses a Housing First approach with no additional requirements for housing beyond eligibility criteria, emphasizing the importance of stability for health care and legal outcomes. Innovative financing through pay for success contracts and private investments is used to fund supportive services and housing assistance. The report also notes the positive early outcomes, including high engagement and housing rates, and the potential for long-term cost savings in health care and reduced jail days.  Future evaluations will measure the project’s impact on housing stability, health care utilization, and costs.

https://www.urban.org/research/publication/scaling-supportive-housing-health-care-solution