The County is conducting a feasibility analysis on the potential to use PFS to scale the combined efforts of the Community Development Agency’s Healthy Homes Department and the Alameda County Public Health Department, Asthma START Program. The case management and home remediation interventions are collectively targeted at reducing asthma-related emergency department visits, school absences and hospitalizations among children in the County. Alameda County has one of the highest rates of pediatric asthma in California, with nearly 13% of all children consistently suffering from asthma symptoms. With the Healthy Homes Department and Asthma START’s long-standing track record of successful outcomes, the significant unmet need of children in the County with asthma, and the lack of current resources to scale this joint intervention, the County is exploring the potential to use PFS to address unmet need. This project is one of the first nationally to engage a managed care plan as a potential end payor for the intervention in a potential PFS transaction. To date, Alameda County has completed initial feasibility assessment, preliminary project design and stakeholder engagement.