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U.S. Health

We envision a society where everyone lives in healthy communities and the benefit of good health is equally accessible to all.

FSG helps clients understand and adapt to the changing health care landscape. As focus and payments shift from volume to value of care, FSG can help organizations from the public, private, and social sector develop coordinated and comprehensive strategy and learning systems to enhance organization sustainability and improve community health.

FSG leverages our experience working in non-health areas, such as education and community development, to help clients address the social determinants of health to achieve their health improvement goals. We understand that factors outside the health care delivery system, such as housing, food insecurity, and neighborhood quality, contribute to persistent health disparities that have substantial human, societal, and economic costs. In order to help address this challenging national problem, we have placed health equity at the heart of our work.

FSG has extensive experience building and guiding cross-sector, collaborative, collective impact initiatives in health. Creating optimal health for communities and populations requires a systemic effort. We help clients identify opportunities to align health care efforts among a diverse array of actors, including foundations, hospitals and health systems, health insurers, public agencies, and corporations. Our combination of rigorous data analysis, skilled facilitation, comprehensive systems thinking, and deep passion for social change has helped these stakeholders jointly promote improved health for millions of people. 

U.S. Health Projects

FSG has worked across the country with a wide array of actors, including public and private foundations; health care providers; state, local, and federal public and health agencies; and public and private payers, in both urban and rural settings. This diverse experience helps us appreciate the distinct context of each client and create customized insights and recommendations. 

  • Strategic planning: Robert Wood Johnson Foundation, Blue Cross Blue Shield of Massachusetts Foundation, GE Foundation, St. David’s Foundation, Tufts Health Plan Foundation, Sutter Health, Bristol-Myers Squibb Foundation, National Council of La Raza, Conrad N. Hilton Foundation, Aetna Foundation, Eli Lilly and Company.
  • Strategic learning and evaluation: Kaiser Permanente, Robert Wood Johnson Foundation, California Endowment, Kresge Foundation,  Norlien Foundation, Ford Foundation, W.K. Kellogg Foundation, Missouri Foundation for Health, Blue Shield of California Foundation.
  • Collective impact: University of California San Francisco Benioff Children’s Hospital on preterm birth prevention in Fresno, Staten Island Foundation on infant mortality and youth substance abuse, Children’s Medical Center of Dallas on asthma and obesity, Centers for Disease Control and the Bill & Melinda Gates Foundation on child violence prevention, Methodist Healthcare Ministries on diabetes prevention.


Drawing from our team’s on-the-ground experience working with health foundations, hospital systems, insurance companies, pharmaceutical companies, and other health sector actors, we have developed expertise in the following areas.

  • Strategic planning and catalytic philanthropy.
  • Conducting evaluations and building learning and evaluation systems.
  • Collective impact.
  • Shared value.
  • Understanding of evolving health care delivery landscape and the increased emphasis on health care value over volume.
  • Deep understanding of intersection between public health and health care delivery. 
  • Deep understanding of the factors that lead to health disparities and how to achieve health equity.
  • Understanding of community benefits and how to harness innovative and integrated approaches to improve health outcomes.
  • Specific health conditions on which we have worked:
    • Child development and health, including early education and care
    • Substance abuse prevention and treatment
    • Maternal and infant health, including pre-term birth and infant mortality prevention
    • Women’s health across the lifespan, including reproductive health, rights, and justice
    • Chronic disease prevention and management, including obesity, diabetes, and asthma
    • Healthy aging
    • Healthy eating, active living

FSG staff were extremely creative and disciplined in guiding us through a strategy planning process that resulted in a simple framework to capture a very dynamic theory of change. Also, rather than developing a monitoring system that would require a whole new set of activities and tools, they helped us reframe activities and reports we were already engaged with to make them more helpful to us and, more importantly, to our grantee partners.
Lourdes Rivera, Former Senior Program Officer
Gender, Racial, and Ethnic Justice
Ford Foundation
FSG did a top-level job—looking at the big picture, identifying issues, and providing practical guidance to working out problems.
Laura Leviton, Senior Advisor for Evaluation
Robert Wood Johnson Foundation

How We Work

  • Adept at working on complex problems through multi-sector collaboration: Improving the health of communities requires an ability and willingness to work with partners from other sectors to address complex health issues and enhance their ability to learn from one another. We have experience advising leading health-focused institutions across sectors (e.g., foundations, providers, insurers, governments), both individually and collectively.
  • Fluent in health, health care, and social determinants of health: FSG has deep experience working with clients to design strategies that encompass a broad set of health and health care delivery issues.   FSG has partnered with clients seeking to improve health at the population level through understanding and addressing the complex and interrelated social and environmental conditions that influence health.
  • Facility working with clients facing a transforming health care and public health landscape: FSG has a proven ability to co-create solutions and innovate with clients. FSG teams can quickly customize and adapt content and process to meet the unique needs of individual clients. FSG can serve as a facilitative or strategy consultancy as clients’ needs change. 

Research and Tools