The application period for this challenge has ended.

The Center for Health Care Strategies (CHCS) is connecting technology companies and health care organizations through the Digital Health for Complex Populations: Pilot Challenge. Two competitively selected host organizations, CMO, Montefiore Care Management and Commonwealth Care Alliance, and tech companies will partner for a nine-month digital health pilot, supported by a $25,000 grant from CHCS, to address challenges faced by low-income individuals with complex needs.

For more details, see this one-page summary and review the host organizations’ challenge statements:

Host organizations CMO, Montefiore Care Management and Commonwealth Care Alliance

Recent Q&A Webinar

These webinars allowed potential applicants to learn more about the Pilot Challenge. Representatives from both host organizations answered questions from participants about their challenge statements, organizations, and patient populations. View recordings of the recent June 23 and July 7 events.

Host Organizations

Host organizations participating in the Pilot Challenge are seeking to use technology to address challenges faced by low-income individuals with complex medical and social needs. To learn more about the two competitively selected host organizations, challenges they plan to address, and qualities they seek in a partner, expand the company profiles below.

CMO, Montefiore Care ManagementCMO, Montefiore Care Management 

Through this challenge, CMO, Montefiore Care Management (CMO) seeks a digital health solution that will support efforts to improve appointment attendance rates among health plan members and government program beneficiaries. The majority of CMO’s patients have complex or chronic health conditions and most face a variety of challenges that affect their ability to attend medical appointments. CMO is interested in piloting a digital health solution that will enable its care managers to more effectively communicate with their patients and help patients keep their appointments.

Read CMO's challenge statement and full profile

Challenge Statement

Through this challenge, CMO, Montefiore Care Management (CMO) seeks a digital health solution that will support efforts to improve appointment attendance rates among health plan members and government program beneficiaries for whom it has care management responsibilities. The majority of CMO’s patients have complex or chronic health conditions and most face a variety of socio-economic challenges that affect their ability to attend scheduled medical appointments. CMO estimates that approximately 50 percent of appointments are no-shows. This negatively impacts both patient health outcomes and CMO’s ability to meet quality standards. Patients who regularly miss scheduled appointments with their health care providers are at increased risk for poor health outcomes. This is especially true of patients with complex needs who have multiple barriers to keeping medical appointments.

CMO is interested in piloting a digital health solution that will enable its care managers to more effectively communicate with their patients and help patients keep their appointments.  Given the widespread use of smartphones and text-enabled cellular phones, applications using those devices will likely be most successful, but CMO is open to other approaches as long as they do not impose costs on patients.

Host Organization’s Website


Host Organization’s Mission Statement

CMO’s mission is to help patients, providers, and purchasers manage and improve the quality and continuity of care while successfully managing medical expenses and improving patient outcomes.

Description of the Host Organization

CMO is Montefiore Medical Center’s full service care management company. CMO was formed in 1996 to provide the administrative and care management infrastructure to support Montefiore’s value-based contracts with health plans and government health care programs. Over 1,000 clinicians and staff provide care management for more than 450,000 health plan members and Medicare and Medicaid beneficiaries. Most of CMO’s patients are residents of the Bronx, NY, one of the poorest and most ethnically diverse counties in the country. Approximately 49 percent of the borough’s residents are Hispanic and more than 38 percent are black. The Bronx has disproportionately high rates of chronic medical and mental health conditions—many residents have chronic medical and behavioral health conditions such as diabetes, asthma, COPD, depression, and anxiety.

CMO uses proven interventions supported by information technology to manage patient care. CMO is involved in hospital care, rehabilitation, outpatient care, professional services, ancillary support, community-based programs, and other services that help patients return to or maintain optimal health. Programs focus on the social conditions that influence health and health care costs, using interdisciplinary teams of physicians, nurses, social workers, pharmacists, and patient navigators to address these challenges. CMO also operates Montefiore’s Contact Center, which provides support for more than 30 Montefiore departments and Montefiore’s health plans and government health care contracts. The Contact Center’s services include appointment scheduling and management for primary care and specialty services, insurance verification, care transition support, patient billing inquiries, member services, and physician referrals, all available in over 100 languages.

Given the interdepartmental work of CMO, the technology partner and product identified through this challenge could fit in to one, or many, of Montefiore’s departments, depending on the nature of the technology itself. Based on the submissions it receives through this challenge, Montefiore intends to work closely with its staff to identify during the vendor selection process the best program and patient subset for the piloted technology to target.

History of Tech Collaboration

CMO has long been a leader in the field of care management, due in part to its successful use of technological solutions to record and track interventions. The organization has piloted the use of automated appointment reminder calls to reduce the number of missed preventive services and medical appointments. Other technology initiatives include a real-time automated notification system for tracking emergency department use by high-risk patients and a program that delivers comprehensive diabetes retinal imaging at primary care practices.

Preferred Partner Qualities

CMO’s desired partner will have experience working in the health care field, and be able to develop an innovative, patient-focused technological solution appropriate for an ethnically diverse, low-income, high-need population, especially those on Medicaid. The partner should be accessible to and responsive to the CMO staff who will oversee and use the product. The partner will: sign a Business Associates Agreement and a non-disclosure agreement; accept data feeds from CMO; and show program success with data.

Resources Provided

This project will be overseen at CMO by Allison Stark, MD, MBA, senior medical director, and Urvashi Patel, PhD, MPH, senior director of data analysis and reporting. Staff from CMO’s data analytics and research unit and disease and case management departments will provide support to this project.

Montefiore also is in the final stages of rolling out the Epic electronic medical records system throughout its integrated delivery system, and CMO is currently installing the Acupera population health management system. Both Epic and Acupera have been customized to meet the specific needs of Montefiore programs and users, and will be necessary components of the digital health solution chosen to address CMO’s challenge statement.

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Commonwealth Care AllianceCommonwealth Care Alliance

Through this challenge, the Commonwealth Care Alliance (CCA) is looking to partner with a technology company to co-create a mobile tool that will enable members to select, access, and coordinate transportation, personal care attendants, and home health services. This tool will allow members and caregivers to search for and schedule services, rate the quality of services received, and submit requests for services to be approved by CCA. Members will also be able to track how much of their benefits are available in a given month, and use services accordingly.

Read CCA's challenge statement and full profile

Challenge Statement

Through this challenge, the Commonwealth Care Alliance (CCA) is looking to partner with a technology company to co-create and bring to market a mobile tool that will enable members to select, access, and coordinate transportation, personal care attendants, and home health services. These services, which accounted for more than $90 million of spending for CCA members in 2015, are critical to members’ health, but are offered in uncoordinated ways that do not leverage technology to facilitate patient or caregiver ease of access. Furthermore, each service has a patient-specific utilization cap that is tied to an individual’s health needs. While some patients may have a transportation benefit of five rides per month, others who are less mobile or sicker may be able to access 10 rides per month. However, CCA members do not have a way to track their remaining allowable use for a variety of services without contacting a CCA care manager, who themselves find it difficult to access this data. Members are also limited in their ability to “shop” between service vendors, often relying on CCA staff to determine availability of a transportation option, personal care attendant, or homemaker on their behalf. The challenges associated with accessing these ancillary but critical support services often result in long wait-times, inefficiencies, and patient and provider dissatisfaction.

CCA envisions that this tool will allow members and caregivers to search for and schedule services, rate the quality of services received, and submit requests for services to be approved by CCA. Fed by CCA health plan data, members will also be able to track how much of their benefits are available in a given month, and use services accordingly.

CCA plans to pilot this tool with the 2,200 individuals who receive primary care and care management services through CCA’s complex care practice, including members in both the Senior Care Options and One Care programs.

Host Organization’s Website


Host Organization’s Mission Statement

Commonwealth Care Alliance’s mission is to provide the best possible care, tailored individually to the members we serve throughout Massachusetts – elders and people across the age spectrum with special healthcare needs. To accomplish this, CCA brings to scale proven clinical strategies that improve care and manage costs, within a team-based, consumer-directed, prepaid care delivery program.

Description of the Host Organization

CCA is a non-profit health care system created to provide the best possible care to individuals dually eligible for Medicare and Medicaid, including the elderly and people with disabilities. CCA operates a Senior Care Options (SCO) program (for dual eligible enrollees over age 65) and is the largest organization participating in the One Care Duals Demonstration in Massachusetts (for dually eligible beneficiaries aged 21-64). Since its inception, CCA has integrated behavioral health into its community-based primary care delivery model. This model uses a multidisciplinary team approach, including nurse practitioners, nurses, behavioral health professionals, social services providers, and other professionals to support the primary care clinician. Teams collaborate with members, families, legal guardians, group homes, primary care practices and other social services providers in order to develop personalized, person-centered care solutions.

History of Tech Collaboration

In 2015, CCA began a pilot program to implement MedMinder Pill Dispensers for its members at highest risk of medication error. This digital tool has helped CCA reduce post-acute care costs related to medication management as well as medication errors. The original pilot focused on frail elders, and due to its success, CCA has since expanded its use to members with substance use disorders, dementia and other memory loss disorders, as well as members in CCA’s palliative care program.

Preferred Partner Qualities

CCA is looking for a partner with strong consumer engagement capabilities, including the ability to develop easy-to-use interfaces that can easily be tailored to a highly diverse cohort of individuals including clinicians, para-professional staff, and CCA members. An ideal partner will also share a passion for developing new and innovative tools to meet the needs of complex populations, a group that has often been neglected in the development of digital health tools. Lastly, because CCA is looking to co-create and jointly bring this product to market with a partner, it is looking for a company with strong partnership development capabilities.

Resources Provided

CCA uses eClinical Works as its electronic health record, and anticipates leveraging its referral management functions for this project. Additionally, CCA will provide its partner with in-house feeds for authorized transportation, personal care attendants, and homemaking services in order to create the member-facing self-management profile. CCA will also leverage MarketProminence, which tracks enrollee demographic information and eligibility, and VisualCactus, CCA’s provider network management tool that tracks information about the clinical professionals who provide services to CCA members. CCA data will be used to populate key aspects of the tool, such as lists of preferred personal care attendants.

This project will be led by staff from CCA’s Care Delivery and Clinical Operations group and its Innovation team. Involved staff will include Dr. Toyin Ajayi, chief medical officer; Iyah Romm, vice president of clinical operations and transformation; Dr. John Loughnane, director of clinical innovations; and Brendan Livingston, project manager for innovation. Additionally, CCA has a robust IT department that will be available for this project.

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Frequently Asked Questions

This challenge is specifically designed to seed digital health piloting partnerships between established health care delivery systems and digital health startups, and, depending on the pilots’ successes, lay the groundwork for future adoption of the technology.

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1. What are the goals of this challenge?

With support from Kaiser Permanente Community Benefit, CHCS created this challenge to better understand how digital tools can help address the needs of individuals with complex medical and social needs. CHCS also aims to build interest within the tech community about designing products for low-income populations, and contribute to making a business case for doing so.

2. What are the benefits of the competition for applying companies?

Companies will get their products into the hands of real customers, providing the opportunity to test their products, collect data on how their tools are used and how effective they are, and further refine their business strategy. Additionally, the host organizations have committed to considering the permanent adoption of the product after the pilot period is complete, creating the potential for a long-term, paying customer relationship to arise from this challenge.

3. What are the benefits of the program for host organizations?

Host organizations are given the opportunity to test out a technological solution to real-life challenges they face in caring for high-need, high-cost patients. This program helps “de-risk” innovation by helping host organizations find the right pilot partner and providing funds to cover the pilot programs.

4. What are the eligibility requirements for applying to the challenge?

In order to apply, applicants must: (1) be a legally established and incorporated business; (2) have a fully functioning product at the time of application submission; (3) have the technical capacity to modify the product as may be required by the host organization for the pilot; (4) have the analytical capacity to collect and analyze data; and (5) have the organizational capacity to maintain a strong and positive working relationship with the host organization.

5. How can a company apply to the challenge?

The application period closed on July 22, 2016 at 5pm ET.

6. How will company and host organization matches be made?

Host organizations will review the submitted applications, and conduct phone or video interviews with the companies with which they are interested in partnering. Based on the results of these interviews, host organizations will select the applicant that they would like to work with. Together, the host organization and selected company will then create a joint project plan for the pilot, to be reviewed and approved by CHCS and a small group of external experts. Once the plans are approved, the challenge prize money will be dispersed and the pilots will begin.

7. Are applicants guaranteed to meet with the host organizations?

Host organizations will select the companies they would like to interview, and there is no guarantee that all applicants will move to this phase of the competition. To maximize its chances of gaining an interview, CHCS recommends that companies tailor their applications and video submissions to address the specific needs and challenges put forward in the host organizations’ problem statements, and clearly articulate why the company is well-positioned to address these issues and the needs of this patient population.

8. Do companies need to be US-based in order to apply?

There are no geographic restrictions on who can apply. However, host organizations will be taking proximity and accessibility, as well as their own internal guidelines about business relationships, into consideration as they select applicants.

9. How will companies be informed of the host organizations’ selection?

CHCS estimates that beginning in August, it will notify all applicants of whether or not they have been selected to move into the interview round, which will commence shortly thereafter. Applicants who move into the interview round will be informed of whether or not they have been selected as the host organization’s piloting partner after the interviews have concluded (currently estimated to be the second half of August, 2016.)

10. If a company submits an application and does not win, will there be other opportunities to participate in future challenges?

Even if a company is not selected, it is encouraged to keep in touch with CHCS by signing up for CHCS e-alerts and following CHCS on Twitter. CHCS intends to host additional challenges and events in the future, and encourages the tech community to stay involved.

11. If a company finds a host organization on its own, can it apply for funding?

No. This challenge is exclusive to partnerships with the participating host organizations.

12. Are applicants required to partner exclusively with the listed host organization? What if the applicant has other pilots or business relationships planned or already running?

Participation in this pilot program does not preclude an applicant from participation in other, unrelated pilots or commercial relationships. However, Challenge funding may only be used for the jointly proposed pilot program with the host organization.

13. What if a company wants to do a pilot with both of the host organizations?

Applicants can apply to pilot with both host organizations, but will only be allowed to partner with one. In the event that one applicant is selected by both host organizations to be the piloting partner, the applicant will have to choose which one they would like to work with in this competition.

14. How are the pilots developed and administered?

Teams will describe their plans to roll out and oversee their pilot programs in their joint project plans (see questions 15 and 16 below). Upon the plans’ approval, CHCS will disburse funding and collect project deliverables such as mid-term and final reports. The selected companies and host organizations will collaboratively design, run, and measure outcomes of their specific pilot programs, as well as develop and execute any internal contractual relationships that are needed to facilitate them.

15. What is the joint project plan and why is it needed?

Once host organizations have selected the companies they would like to partner with, the teams will create and submit joint project plans to CHCS for review. The plan will articulate the teams’ concrete plans for the pilot, including a project timeline, key milestones, and evaluation and project management plans. It will also indicate how the entities intend to split the prize money among each other, once it is disbursed. These proposals will help ensure that the pilots are well-thought out and viable.

16. How are joint project plans evaluated?

Joint project plans will be evaluated by external experts and CHCS staff to ensure that the plan and piloting approach is appropriate, feasible, and impactful. If necessary, CHCS will work with teams to strengthen or adjust portions of the joint proposal.

17. How will the prize money be allocated and distributed?

The host organization and selected company will determine among themselves how to distribute the $25,000 prize money. The allocation plans will be indicated in the teams’ joint project plans. Once it has approved the plan, CHCS will disburse the funds to the host organization, which will disburse funds to the selected company in accordance with their agreement.

18. Does the selected company have be on-site at the host organization?

There is no requirement for applicants to be on-site for the duration of the pilot. However, applicants should expect to collaborate closely with the host organization, and this may require in-person meetings and periodic travel. These specific details should be worked out by the teams as part of their joint pilot proposal.

19. How long will the pilots run?

The pilots will run for nine months.

20. What happens when the pilot period is complete?

Once the pilot is complete, teams will submit a written report to CHCS detailing the projects’ results, successes, challenges, and considerations for further study. Host organizations have committed to consider expanding or adopting the pilot intervention depending on the outcome of the pilot. By participating in this challenge, both host organizations and winning applicants commit to participating in a CHCS-sponsored Digital Health Showcase (date TBD), as well as various promotional activities including, but not limited to, national webinars and podcast interviews.

21. How can companies ask questions about the Challenge and host organizations before the applications are due?

The application period closed on July 22, 2016 at 5pm ET.

22. Who can an applicant contact if they have more questions?

All questions related to this challenge can be directed to PilotChallenge@chcs.org.



Who are complex populations?

The term “complex populations” is frequently used in health care to refer to individuals who have particularly complicated medical, behavioral health, and social needs, and who may interact with the health care system at a disproportionately high rate compared to the general population. This group is sometimes also referred to as “high-need, high-cost,” reflecting that the frequency with which they utilize health care services often leads to them incur high health care costs.

As highlighted in Malcolm Gladwell’s New Yorker article, “Million Dollar Murray,” complex populations may experience one or more of the following:

  • Frequent visits to the emergency department for preventable conditions, often resulting in inpatient hospital admissions;
  • Fragmented care from a variety of providers;
  • Multiple chronic health conditions;
  • High rates of mental health diagnoses and substance use disorders;
  • Homelessness or housing instability;
  • A history of physical, emotional, or sexual trauma;
  • Social and financial instability;
  • Involvement with the criminal justice system; and/or
  • Interactions with a variety of social safety net agencies and organizations (e.g., supportive housing or shelter services, adult and/or child protective services, food assistance, etc.).

This population’s needs represent an opportunity to improve quality of care and reduce avoidable health care expenditures.

Why tailor a technology solution for high-need, high-cost patients?

There are several reasons why technology is increasingly seen as an important tool for supporting individuals with complex needs:

  • Health care reform has created new incentives focused on value. As a result of the Affordable Care Act and other delivery system reform efforts, there are new financial incentives to keep patients healthy. Rather than the current fee-for-service system’s focus on payment based purely on the number of services provided, these new incentives are driving providers to demonstrate value in terms of improved outcomes and reduced costs.
  • Low-income populations have increasing access to technology and smartphones. A 2015 study found that 50 percent of individuals with an annual household income under $30,000 had smartphones. Through a series of focus groups conducted in 2013 with Medicaid enrollees with complex needs, CHCS found that 95 percent of participants owned a cell phone, 58 percent owned a smartphone, and 35 percent were comfortable using mobile applications. As with the general population, low-income individuals often turn to the internet or mobile applications to seek health information. The tech industry is taking notice of this growing market, and entities such as StartUp Health and Significance Labs are helping to build resources for companies interested in creating products for low-income patients.
  • Technology may be uniquely suited to support this population. Providers and care teams often struggle to maintain contact with individuals with complex needs due to their social instability. Because of this, technology, and mobile technology in particular, offers a promising approach for care teams to stay in touch with patients. Similarly, digital tools provide an opportunity to get real-time health information about the health of patients, enabling them and their health care providers to proactively, rather than reactively, address health needs. This is one of the keys to preventing emergency department and expensive inpatient admissions.

What are the social determinants of health? Why are they important?

The social determinants of health — e.g., economic stability, education, community context— are non-medical factors that directly impact individuals’ health and wellbeing. Variations in these social determinants of health, such as living in an safe versus unsafe neighborhood, finishing high school versus dropping out, or earning a high income versus living below the poverty line, can account for as much as 40 percent of individual health outcomes, particularly among low-income populations. As such, health care delivery and Medicaid financing efforts are beginning to incorporate strategies to address these factors. Addressing the social determinants of health is increasingly recognized as an opportunity to improve health outcomes and reduce the cost of care for patients with complex needs.

What is the Center for Health Care Strategies?

The Center for Health Care Strategies (CHCS) is a nonprofit policy center dedicated to improving the health of low-income Americans. It works with state and federal agencies, health plans, providers, and consumer groups to develop innovative programs that better serve people with complex and high-cost health care needs.

What is the Digital Health Initiative?

With support from Kaiser Permanente Community Benefit, CHCS is seeking to bring the potential benefits of digital health tools to high-need, high-cost individuals through a variety of activities, including a series of three Developer Challenge competitions. The first challenge, hosted in 2015, tasked start-ups, entrepreneurs, and developers with designing digital health tools that could meet the unique needs of this population. This second competition, the Pilot Challenge, will create matches between tech companies and health care host sites for a nine-month partnership.

Official Rules

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Challenge Name: Digital Health for Complex Populations: Pilot Challenge (the “Challenge”)
Challenge Website:  www.chcs.org/pilotchallenge (the “Challenge Website”)


Challenge Submission Period: June 6, 2016 – July 22, 2016 (5:00 pm ET) (the “Challenge Submission Period”)
Applicant Selection Period (estimated): August 1, 2016 – August 19, 2016 (the “Matchmaking Period”)
Joint Project Plan Period (estimated): August 22, 2016 – September 30, 2016 (the “Joint Project Plan Period”)
Launch Date for Pilots (estimated): October 10, 2016
The Center for Health Care Strategies (CHCS) will administer, coordinate, and serve as the official timekeeper for the Challenge.


A. The Challenge IS open to legally established organizations that have:
  • A fully functioning product that can be tailored and deployed at scale at the time of the match;
  • The technical capacity to modify the product, within reason, as may be required for the pilot project;
  • The analytical capacity to collect, analyze, and share data; and
  • The organizational capacity to maintain a consistent working relationship with the host organization throughout the course of the pilot.
The above are collectively called “Applicants.”
B. The Challenge IS NOT open to: 
  • Organizations involved with the design, production, paid promotion, execution, or distribution of the Challenge, including CHCS (“Promotion Entities”);
  • Employees, representatives and agents** of such organizations, and all members of their immediate family or household*;
  • Any other individual involved with the design, production, promotion, execution, or distribution of the Challenge, and each member of their immediate family or household*;
  • Any Judge (defined below), or company or individual that employs a Judge***;
  • Any other individual or organization whose participation in the Challenge would create, in the sole discretion of the Poster, a real or apparent conflict of interest; or
  • Previous winners of the CHCS Super-Utilizer Health Innovation Challenge.
*The members of an individual’s immediate family include the individual’s spouse, children and stepchildren, parents and stepparents, and siblings and stepsiblings. The members of an individual’s household include any other person that shares the same residence as the individual for at least three (3) months out of the year.
**Agents include individuals or organizations that in creating an application (“ Submission”) to the Challenge, are acting on behalf of, and at the direction of, a Promotion Entity through a contractual or similar relationship.
*** Judges are outside experts, selected by CHCS, to review Submissions and other Challenge-related materials.


Applicants must do the following to participate in the Challenge:
  • Create a working software application (“Product”) that addresses one or more of the challenges presented by the participating health care delivery systems featured on the Challenge website (the “Host Organization”)
  • Complete and enter all of the required fields on the “Apply” page of the Challenge Website during the Challenge Submission Period, and follow the requirements below.
  • Create a video that includes footage that clearly explains the product’s features and functionality through a comprehensive demonstration tailored to address the Host Organization’s needs.
A. Language Requirements 
All Submission materials must be in English or, if not in English, the Applicant must provide an English translation of the demonstration video, text description, and testing instructions as well as all other materials submitted.
B. Submission Requirements
(i) What to Create: Applicants must create a working Product that addresses one or more of the challenges presented by the Host Organization.
(ii) Functionality: The Product must be capable of being successfully installed and running consistently on the platform for which it is intended, and must function as depicted in the video and/or expressed in the text description. If adaptations or additions to the Product are required to partner with one of the host organizations, the Applicant must clearly demonstrate in the Submission and video what existing capabilities it intends to build on for the challenge, and outline how the modifications or additions would change the existing Product’s design and functionality.
(iii) Platforms: The Product must run on at least one of the following:
  • Android device (such as a smartphone, tablet, Google Glass, etc.);
  • iOS device (such as a smartphone, tablet, etc.);
  • Windows Phone device (such as a smartphone, tablet, etc.);
  • Blackberry device;
  • Web or mobile web;
  • Windows desktop computer;
  • Mac desktop computer;
  • Kindle; and/or
  • Other hardware (including, but not limited to, wearable technology and open source hardware).
(iv) New & Existing: Products may be either newly created by the Applicant or may have existed prior to the Challenge Submission Period.
(v) Private & Public Distribution: The Applicant must make their submitted Product available to CHCS and the Host Organizations for review and testing. If the Product includes software that runs on third-party hardware that is not widely available to the public, including software running on devices or wearable technology other than smartphones, tablets, or desktop computers, CHCS reserves the right, at its sole discretion, to require the Applicants to provide physical access to the Product hardware upon request. The Applicant may make the Product available to the public via a website or online store, but is not required to do so.
(vi) Intellectual Property: Submissions from Applicants must: (a) be the Applicant’s original work product; (b) be solely owned by the Applicant with no other person or entity having any right or interest in it; and (c) not violate the intellectual property rights or other rights including but not limited to copyright, trademark, patent, contract, and/or privacy rights, of any other person or entity. An Applicant may contract with a third-party for technical assistance to create the Submission provided the Submission components are solely the Applicant’s work product and the result of the Applicant’s ideas and creativity, and the Applicant owns all rights to them. An Applicant may submit a Product that includes the use of open source software or hardware, provided the Applicant complies with applicable open source licenses and, as part of the Product, creates software that enhances and builds upon the features and functionality included in the underlying open source product. By entering the Challenge the Applicant represents, warrants, and agrees that the Product meets these requirements. Should the Applicant need to access or utilize intellectual property such as proprietary business information, tools, processes or methods wholly owned by the Host Organization (“Host Organization IP”) in the course of completing this Challenge, access to such IP shall be at the sole discretion of the Host Organization. The Host Organization and Applicant may agree through this Challenge to jointly develop a new product; in this circumstance, an agreement regarding the Intellectual Property rights must be reached between the two entities prior to commencing the pilot program. In no way shall agreement to participate in this Challenge be construed as surrendering prior held Intellectual Property rights by either entity.
(vii) Financial or Preferential Support: Submitted Products must not have been developed or derived from software developed with financial or preferential support from CHCS. Such software include, but are not limited to, those that received funding or investment for their development, were developed under contract, or received a commercial license, from CHCS any time prior to the end of Challenge Submission Period. CHCS, at its sole discretion, may disqualify an Applicant, if awarding a prize to the Applicant would create a real or apparent conflict of interest.
C. Text Description and Video Requirements 
(i) Text Description: The text description should explain the features and functionality of the Product.
(ii) Video: The video portion of the Submission:
a. Must be five (5) minutes or less;
b. Must include footage that clearly explains the Product’s features and functionality through a comprehensive demonstration;
c. Must be uploaded to YouTube or Vimeo and a link to the video must be provided in the Submission; and
d. Must not include third-party trademarks, copyrighted music, or other material unless the Applicant has permission to use such material.


A. Applicant Rights: Subject to the licenses described below, any applicable intellectual property rights to a Submission will remain with the Applicant.
B. By entering the Challenge, you grant CHCS, and any other third parties acting on CHCS’ behalf, a royalty-free, non-exclusive, worldwide perpetual license to display publicly and use for promotional purposes the Submission, in perpetuity. This license includes, but is not limited to, posting or linking to the Submission on CHCS’ and partners’ websites, including the Challenge Website, and display and promotion of the Submission in any other media, worldwide.
C. Submission Display: The following Submission components may be displayed to the public: name, description, images, video URL, website, URL, team members, the Submission category and platform, and submitter type. Other Submission materials may be viewed by CHCS, Judges, and Host Organizations for screening and evaluation.
D. Developers represent and warrant that CHCS and Challenge partners are free to use Applicants’ Submissions in the manner described above, as provided or as modified by CHCS, without obtaining permission or license from any third-party and without any compensation to Developers.


A. Screening of Submissions: CHCS will conduct a preliminary screen of all Submissions to determine that they are in compliance with the Challenge Rules, and relevant to the Host Organizations’ challenge statement. CHCS reserves the right to exclude any Applicants if they do not meet these requirements. The Host Organizations will then screen the remaining Submissions and determine, each at their discretion, which Applicants they will each interview. CHCS will coordinate the interview process and notify all Applicants of the status of their submission.
B. Applicant Interviews: Communication with Applicants regarding interviews, including scheduling and the interviews themselves, will be via the contact email provided in the Submission. Host Organizations will determine the medium through which to conduct the interviews, including, but not limited to, telephone or video conference.
C. Applicant Selection: Following the interviews, Host Organizations will determine, each at their discretion, which of the interviewed Applicants they will extend an offer to partner with.
D. Applicant Notification: All Applicants will be notified via email by CHCS of the status of their Submission once the Host Organization selection process is completed.
E. Pilot Approval Process: Once the selected Applicant has agreed to partner with the Host Organization, the two entities will create and submit a joint project plan to CHCS, detailing the specifics of the partnership and pilot program. The pilot will commence upon CHCS’ review and approval of this joint project plan.


A. Pilot Program: Applicants who are selected to partner with Host Organizations will participate in a nine-month pilot program with the Host Organization (the “Pilot”).
B. Pilot Funding: The Applicant/Host Organization pair will receive $25,000 in funding to go towards the Pilot. The Applicant and Host Organization are responsible for determining in the joint project plan how the Pilot funding will be split, allotted, or otherwise disbursed between them. Following CHCS’ approval of the joint project plan, CHCS will disburse the $25,000 to the Host Organization, who will be responsible for providing funds to Applicant as per the terms of their joint project plan.


A. Authority to Make Final Determination of Winners: The final decision to designate a winner shall be made by CHCS.
B. Required Forms: Potential winners will be notified using the email address included in the Submission. To receive funding, the Host Organization must sign a subcontract agreement with CHCS. The subcontract agreement will be provided once the winning Host Organization/Applicant pair have submitted their joint project plan, scope of work, and budgets, and those documents have been approved by CHCS. Upon receiving funding, Host Organizations will disburse funding to the Applicant per the stated agreement in the joint project plan. Host Organizations may require the Applicant to complete additional forms specific to their organizations to disburse funding to them.


A. By entering the Challenge, Applicants agree to the following: 
(i) The relationship between the Applicant and CHCS is not a confidential, fiduciary, or other special relationship.
(ii) Applicants will be bound by and comply with these Official Rules and the decisions of CHCS and/or the Challenge Judges which are binding and final in all matters relating to the Challenge.
(iii) Applicants release, indemnify, defend, and hold harmless CHCS, Host Organizations, Promotion Entities, and their respective parent, subsidiary, and affiliated companies, and any other organizations responsible for sponsoring, fulfilling, administering, advertising or promoting the Challenge, and all of their respective past and present officers, directors, employees, agents and representatives (hereafter the “Released Parties”) from and against any and all claims, expenses, and liabilities (including reasonable attorneys’ fees), including, but not limited to, negligence and damages of any kind to persons and property; defamation; slander; libel; violation of right of publicity; infringement of trademark, copyright, or other intellectual property rights; property damage; or death or personal injury arising out of or relating to an Applicant’s entry, creation of Submission or entry of a Submission, participation in the Challenge, acceptance or use or misuse of the Pilot (including any travel or activity related thereto) and/or the broadcast, transmission, performance, exploitation or use of the Submission as authorized or licensed by these Official Rules.
B. Without limiting the foregoing, the Released Parties shall have no liability in connection with:
(i) Any incorrect or inaccurate information, whether caused by electronic or printing error, or by any of the equipment or programming associated with or utilized in the Challenge;
(ii) Technical failures of any kind, including, but not limited to: malfunctions, interruptions, or disconnections in phone lines, internet connectivity, or electronic transmissions; failure of network hardware or software; or failure of the Challenge Website;
(iii) Unauthorized human intervention in any part of the entry process or the Challenge;
(iv) Technical or human error which may occur in the administration of the Challenge or the processing of Submissions; or
(v) Any injury or damage to persons or property which may be caused, directly or indirectly, in whole or in part, from the Applicant’s participation in the Challenge or receipt, use, or misuse of any Pilot.
The Released Parties are not responsible for incomplete, late, misdirected, damaged, lost, illegible, or incomprehensible Submissions or for address or email address changes of the Applicants. Proof of sending or submitting will not be deemed to be proof of receipt by the CHCS.
If for any reason, any Applicant’s Submission is determined to have not been received or been erroneously deleted, lost, or otherwise destroyed or corrupted, the Applicant’s sole remedy is to request the opportunity to resubmit its Submission. Such request must be made promptly after the Applicant knows or should have known there was a problem, and will be determined at the sole discretion of CHCS.


By participating in the Challenge you consent to the use of personal information about you, if you are a winner, by CHCS and third parties acting on their behalf. Such personal information includes, but is not limited to, your name, likeness, photograph, voice, opinions, comments, and hometown and country of residence. It may be used in any existing or newly created media, worldwide without further payment or consideration or right of review, unless prohibited by law. Authorized use includes advertising and promotional purposes.
The duration of your consent is for a period of three years following the conclusion of the Challenge. This consent applies, as applicable, to all members of an Applicant’s team or Organization that participated in the winning Submission.


A. CHCS reserves the right, in its sole discretion, to cancel, suspend and/or modify the Challenge, or any part of it, in the event of a technical failure, fraud, or any other factor or event that was not anticipated or is not within their control.
B. CHCS reserves the right in its sole discretion to disqualify any Applicant it finds to be actually or presenting the appearance of tampering with the entry process or the operation of the Challenge or to be acting in violation of these Official Rules or in a manner that is inappropriate, unsportsmanlike, not in the best interests of this Challenge, or a violation of any applicable law or regulation.
C. Any attempt by any person to undermine the proper conduct of the Challenge may be a violation of criminal and civil law. Should CHCS suspect that such an attempt has been made or is threatened, it reserves the right to take appropriate action including but not limited to requiring an Applicant to cooperate with an investigation and referral to criminal and civil law enforcement authorities.
D. If there is any discrepancy or inconsistency between the terms and conditions of the Official Rules and disclosures or other statements contained in any Challenge materials, including but not limited to the Challenge Submission form, Challenge Website, advertising (including but not limited to television, print, radio or online ads), the terms and conditions of the Official Rules shall prevail.
E. The terms and conditions of the Official Rules are subject to change at any time, including the rights or obligations of the Applicant and CHCS. CHCS will post the terms and conditions of the amended Official Rules on the Challenge Website. To the fullest extent permitted by law, any amendment will become effective at the time specified in the posting of the amended Official Rules or, if no time is specified, the time of posting.
F. If at any time prior to the deadline, an Applicant or prospective Applicant believes that any Official Rule is or may be unclear or ambiguous, they must submit a written request for clarification.
G. CHCS’ failure to enforce any term of these Official Rules shall not constitute a waiver of that provision. Should any provision of these Official Rules be or become illegal or unenforceable in any jurisdiction whose laws or regulations may apply to an Applicant, such illegality or unenforceability shall leave the remainder of these Official Rules, including the Rule affected, to the fullest extent permitted by law, unaffected and valid. The illegal or unenforceable provision shall be replaced by a valid and enforceable provision that comes closest and best reflects CHCS’ intention in a legal and enforceable manner with respect to the invalid or unenforceable provision.
H. Excluding Submissions, all intellectual property related to this Challenge, including but not limited to copyrighted material, trademarks, trade-names, logos, designs, promotional materials, web pages, source codes, drawings, illustrations, slogans and representations are owned or used under license by the CHCS. All rights are reserved. Unauthorized copying or use of any copyrighted material or intellectual property without the express written consent of its owners is strictly prohibited. Any use in a Submission of CHCS intellectual property shall be solely to the extent provided for in these Official Rules.


By entering, all Applicants (including all participating members) agree to be bound by the Official Rules and hereby release the Released Parties from any and all liability in connection with the Pilots or Applicant’s participation in the Challenge, provided, however, that any liability limitation regarding gross negligence or intentional acts, or events of death or body injury shall not be applicable in jurisdictions where such limitation is not legal.


A. Applicants agree that, to the fullest extent permitted by law:
(i) Any and all disputes, claims, and causes of action arising out of or connected with this Challenge, or any Pilots awarded, other than those concerning the administration of the Challenge or the determination of winners, shall be resolved individually, without resort to any form of class action;
(ii) Any and all disputes, claims, and causes of action arising out of or connected with this Challenge or any Pilots awarded, shall be resolved exclusively by the United States District Court of New Jersey or the appropriate New Jersey State Court and Applicants consent to the exclusive jurisdiction and venue of such courts; and
(iii) Under no circumstances will Applicants be entitled to, and Applicants hereby waive all rights to claim, any punitive, incidental, and consequential damages and any and all rights to have damages multiplied or otherwise increased.
B. All issues and questions concerning the construction, validity, interpretation and enforceability of these Official Rules, or the rights and obligations of the Applicant’s and CHCS’ connection with the Challenge, shall be governed by, and construed in accordance with, the laws of the State of New Jersey, without giving effect to any choice of law or conflict of law rules (whether of the State of New Jersey or any other jurisdiction), which would cause the application of the laws of any jurisdiction other than the State of New Jersey.


If you have any questions or comment, or wish to send us any notice regarding this Challenge, please email us at PilotChallenge@chcs.org.


With support from Kaiser Permanente Community Benefit, the Center for Health Care Strategies (CHCS) is seeking to bring the potential benefits of digital health tools to high-need, high-cost individuals through a series of Developer Challenge competitions. In the second of three competitions, the Digital Health for Complex Populations: Pilot Challenge will support nine-month pilots between the host organizations, CMO, Montefiore Care Management and Commonwealth Care Alliance, and one tech company each (see Host Organizations for more information).

The application period ended on July 22, 2016 at 5 pm ET.

Piloting Partnerships

Beginning on June 6, 2016, digital health and technology companies are invited to submit applications to this challenge. Applications are due on July 22, 2016 at 5pm EST. Once the application period has closed, the host organizations will review the submissions, interview those companies that meet their criteria, and ultimately select one to enter into a piloting partnership with. Together, the host organization and the selected company (the challenge teams) will then develop a joint project plan. These proposals will be reviewed by CHCS and a small group of experts to ensure that the plan is appropriate, feasible, and impactful. Upon approval from CHCS, the pilot project will kick off and continue for nine months.

Grant Amount: Each of the two challenge teams will be awarded $25,000

Use of Funds: Challenge teams will determine amongst themselves how the funds will be allocated between host organizations and their selected partners, and indicate this agreement in their joint project plans. CHCS will disburse the full amount of funding to the host organizations after the joint project plan has been approved, who will then disburse funding to their selected partner per the joint project plan agreement. (see Rules for further guidance.)

Eligibility Criteria

In order to apply, entities must:

  • Be a legally established and incorporated business;
  • Have a fully functioning product that can either be deployed at scale at the time of the match, or that can be readily adapted for the purposes of this challenge;
  • Have the technical capacity to modify the product as may be required by the pilot program;
  • Have the analytical capacity to collect and analyze data; and
  • Demonstrate the organizational capacity to maintain a strong and positive working relationship with the host organization.

How to Apply

The application period ended on July 22, 2016 at 5 pm ET.

Estimated Project Timeline* 

  • June 6 – July 22, 2016: Application period for tech companies
  • July 25 – August 12, 2016:  Interview period
  • Week of August 15, 2016: Applicants notified of selection
  • September 23, 2016: Joint host organization/digital health company project plan due
  • October 3, 2016: Pilot partnerships begin
  • July 1, 2017: Pilots conclude
*Subject to change.