Here’s how behavioral science and community participation are redefining health coverage.
The Science of Community Adherence: Turning Waste into Health Coverage
School attendance is a powerful social determinant of health, responsible for 80% of a child’s health outcomes, such as infections. Yet, 1 in 3 children miss school due to the Intention-Action (IA) gap, where illness and daily stressors prevent families from following through on school commitments. As a result, much community funding fails to achieve its intended impact.
Our Solution: Participate-to - Pay Health (PPH)
At Cocoa360, we pioneered PPH—a behavioral science model that applies health coverage incentives and principles such as loss aversion and endowment effect to drive school attendance, fee payments and parental involvement (PTA). To sustain the incentives, we partnered with Yale researchers and urban farmers seeking remote participation. Travel savings drove high-retention data collection, while community participation earned health funding.
From Concept to Proven Impact
Parental participation (vs. 40% typical rates)
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%
Of health coverage funded through participation revenue
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%
Participation-based revenue unlocked
$
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k
Improved student attendance
0
%
Peer-Reviewed Science. Globally-Recognized Impact.
