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Organizations addressing health drivers — food, transportation, access and more — already play a vital role in the health ecosystem. Factor Health supports this work, helping to develop it into a long-term, sustainable intervention. Chosen organizations addressing nonmedical health drivers are matched with potential short-term funders, long-term payers and other partners to create a health and funding model that impacts health and becomes the catalyst for future partnerships in the health care industry.

Factor Health is a partnership between Dell Medical School and Episcopal Health Foundation.

  • Any nonclinical organization that has addressed a health issue in Austin or Travis County for at least three years is eligible to apply. For the Houston Factor Health Platform, any organization in Houston or Harris County for at least three years is eligible to apply.
  • In rare cases, a clinical organization might be considered if it has launched independent programs to address the nonmedical drivers of health outside the clinic (e.g. homes, shops, churches).
  • Qualifying interventions will innovate and build off of their existing organization’s work to improve health.
  • Qualifying interventions would impact Travis County (or Harris County) residents, but Factor Health may look at interventions that support broader Central Texas, depending on the intervention and related long-term payer.
  • Qualifying interventions must address a specific health issue where improvements can be accomplished and measured within the two-year program period.
  • The intervention should address a specific health issue (hypertension, diabetes, maternal health, etc.) and not focus on general health topics such as wellness.
  • The target impact population includes underinsured and uninsured people; individuals at 400% of the federal poverty level or below; and people who are eligible for MAP, Medicaid or health insurance on the Marketplace.
  • Letters of interest should detail what outcomes would be measured (e.g. blood sugar levels) but do not have to include the clinical details of measurement (e.g. you would measure Hemoglobin A1C levels with blood drawn at a particular frequency). If selected to move forward, these details are required in future proposals with the help of intervention experts and teams.

If an organization meets the initial criteria, it can submit a letter of interest. At this stage, proposals can be broad ideas and innovations that will impact health. Submissions receive help throughout the process on specific proposal timelines, outcomes and impact as it moves forward.

Application & Selection Process

Each step in the application process is designed to provide feedback and value to proposals even if it is not chosen as a Factor Health program. The application process is a systematic approach to help understand which proposals are the best match with available resources and potential partners, and to make sure the program supports potential applicants along the way. Programs in each city have different application and process timelines. Please subscribe to receive updates and important dates.


After submitting a letter of interest (LOI), Factor Health reviews and discusses it with organizations as necessary. If the LOI is selected, organizations are asked to complete a request for proposal (RFP) for a more detailed look into the submission.

Selected applicants fill out the RFP with help from the program as necessary. Factor Health facilitates an online platform for the interventions to get feedback and comments from national experts, who ask pertinent questions and help guide and support RFPs.

After RFPs are refined and submitted, the program announces the most promising finalists, who receive consultation awards.

Consultation awards match the applicant’s intervention with a team of carefully selected experts and partners who complement proposals and help improve the intervention before the final selection process. The team helps address the intervention’s gaps and provides feedback on timeline, delivery, outcomes and obstacles. By bringing these expert teams in early on, interventions are more likely to impact health with measurable outcomes — a main focus for payers that will result in more financial support in the future.

After applicants convene with their team about their intervention, Factor Health selects its final intervention(s). Chosen interventions are matched with interested health care payers and are financially supported for up to two years. After a year into the program, through an explicit “fast-fail” mechanism, Factor Health reviews the intervention to see if it has potential to succeed or not. If the intervention is not succeeding, Factor Health helps the intervening organization adapt to an alternate model to wind down its participation in this program.

After the two-year program period comes to an end, successful interventions move forward as Factor Health works with the payer to place the necessary mechanisms and models to continue the innovative, intervening solution. Mechanisms also include a path toward financial sustainability. Assessment continues through a health services research framework, including health and financial outcomes.

Additional Requirements

By participating in the program, applicants agree to review and change the proposals as many times as necessary; remain flexible and open to all feedback and suggested edits; and work with program and teams collaboratively to achieve specific health targets. Factor Health works to match interventions and teams to identify and address gaps with provided resources and work to improve all proposals at each step. When applicants submit their proposal, they understand that they are joining the Factor Health program and that the selection process is an evidence-based approach that defines what can or cannot be accomplished within program teams, resources and potential payers. Applicants must be responsive, work with all teams and meet set deadlines.