The ability to reward community developers for savings in health care costs will depend on the ability to quantify such savings. It is too early to provide an explicit formula for doing this, but not too early to begin the conversation on how to do so.
Nancy E. Adler, PhD, is the vice-chair of the Department of Psychiatry, and director of the Center for Health and Community. She is also the Lisa and John Pritzker Professor of Medical Psychology in the Departments of Psychiatry and Pediatrics at the University of California, San Francisco. She received a bachelor’s degree from Wellesley College and a PhD in Psychology from Harvard University. After serving as assistant and associate professor at University of California, Santa Cruz, she came to University of California, San Francisco, to initiate a graduate program in health psychology, and now directs two postdoctoral training programs and conducts research on socioeconomic determinants of health.