This simulation presents the challenge of integrating regional health system payments in a context where parties each operate independently and the social determinants of health are incompletely addressed. Set in New Hampshire, responding to a federal initiative, the simulation features five roles, each essential to the integration challenge. This case provides students with an experiential view on the challenge of breaking down silos in social impact service delivery.

The Heller Social Impact Case Collection is available for purchase here. Instructors may request the Teaching Notes for the book.