How a DIY Healthcare Delivery System Can Solve the American Health Crisis

Orchid Health Winner Pic_500pxl

Each year at the Elevating Impact Summit in Portland, a group of promising social entrepreneurs pitch their new ideas to an audience of hundreds. The audience selects their favorite to receive a cash prize and legal support, and in 2014 they chose Orchid Health.

The Orchid Health idea is to avoid the requirement of health insurance for primary and preventative care by having patients pay a monthly fee of around $50 for unlimited clinic visits. There is a flat-rate deal for small businesses and discounts for families and individuals who pay in advance. By working with clinics in Medically Underserved Areas, Orchid Health can profitably serve those on Medicaid and Medicare.

When Orchid Health stood up to pitch at the Summit, they were already having a momentous year. In 2014 alone they were granted $70K from Lane County’s Business Incentive Program, had won first place for concept-stage ventures at the Willamette Angel Conference, and secured over $100K from local investors.

While their three-minute pitch was awesome, and their press coverage has been extensive, I was still curious about the bright young innovators behind this radical new idea. I sat down with Orion Falvey and Oliver Alexander to try and understand how these recent university graduates were planning to turn health care delivery on its head.

Abby: Out of all the problems in the world, why try and fix Oregon’s primary care delivery?
Orion: I think the answer here is simple. What brought us to healthcare was the size of the industry, its potential scalability, and most importantly the opportunity to help people live happy and productive lives. We saw a service that was costing the average person thousands of dollars per year, yet was not solving any of their problems, and was sometimes even creating bigger problems itself. We strongly believe that primary and preventative care is the foundation of our country’s healthcare system, and that by working directly with patients to come up with a better solution, we will be able to save the entire system billions of dollars in the long run.

Abby: What’s new or different about Orchid Health compared to other primary care delivery programs?
Orion: We have taken a well-researched and well-supported framework for primary care, and created a do-it-yourself type model that allows us to move significantly faster than other healthcare organizations. The biggest change that we have made is removing insurance billing from everyday healthcare, which allows us to focus almost entirely on our patient experience.

Abby: How has your idea evolved since you started working on it? Was there a person, idea, experience, or policy change that influenced your work in a big way?
Orion & Oliver: The biggest change we have made is our decision to focus in rural communities that have at least 60% of their primary care needs not being met. Spending the past year working with the community of Oakridge, where our pilot clinic is opening next month, made us realize the true extent of what living without healthcare access is like. Additionally, rural communities provide us with a very defined population base, which we can use to show results and validate our model.

Orchid Oakridge Town Hall Pic copy

Abby: What does success look like for you and for Orchid Health?
Oliver: For us, success is being able to provide the highest quality patient-centered care, on par with the Mayo clinic, in each and every community like Oakridge across Oregon. Our model has the potential to help hundreds of thousands of people maintain and reclaim their health, while also saving them money, which is why we’re so excited about Orchid and the impact that it will have on the people who need healthcare the most.

You can find out more about Orion Falvey and Oliver Alexander, and more about the Orchid Health model here.

July 23, 2014 at 11:50 am 1 comment

Putting the audience in the content: lessons from Elevating Impact 2014

When we invited 24 speakers from diverse backgrounds to talk about lifelong changemaking at the Elevating Impact Summit, we knew we would learn something new. The range of speakers included a veteran, a pharmacist, a poet, and an angel investor. They were exemplary leaders at all stages of life and work, and we had started collecting their stories before they even arrived.

What we couldn’t have anticipated was that in addition to the admirable lineup of speakers we would have an audience of 375 incredible changemakers. Ok, maybe we could have figured it out; Portland does tend to be that way, but the quality, authenticity, motivation and energy of the people who attended this year’s summit left us speechless. Many of the attendees could have easily been on stage sharing their own stories of social innovation, their creative triumphs, and their unprecedented discoveries.

Hear from a few of our incredible event attendees and speakers, and find out why next year we’ll focus even more on helping the audience tell their stories. If we learned one thing at the 2014 Elevating Impact Summit, it’s that everyone has a story.

July 16, 2014 at 12:31 pm Leave a comment

Impact Entrepreneurs 2013 Impact Report

You might not be surprised to find that as a program called Impact Entrepreneurs we’re interested in impact. We’re pleased this summer to release our 2013 report.

We believe that by bridging historical chasms between business and nonprofits, shared value and shareholder value, we can create the conditions that empower choices for good. To do this we build programs, projects, and relationships that meet social entrepreneurs where they are – whether it is at inspiration, incubation, or acceleration. We have selected metrics for our annual impact report that help us gauge our progress, where we should be making adjustments, and to see what is working.

This report is for us, to make sure we change in the right direction, and it is for you, our community. Here are some highlights from 2013:

Certificate_ImpactBlogLAUNCHED The Business of Social Innovation, a combined academic and professional online certificate open to students and community members of all ages. In January, 2014, nearly 30 students from Portland to Venezuela joined the first course in the new program.

EIS_impactblogHOSTED the inaugural Elevating Impact Summit, exposing 330 people to powerful entrepreneurial approaches to creating change locally and globally, and celebrating social entrepreneurship and social innovation across a diverse set of stakeholders. The second annual Elevating Impact Summit took place on June 20, 2014.

FieldStudy_impactblogLED Social Enterprise Field Studies, introducing 11 students and community members to social enterprise through a combination of site visits, applied fieldwork and research, and meetings with subject matter experts in Siem Reap and Phnom Penh, Cambodia.

elp_impactblogTAUGHT business fundamentals, social innovation, and leadership effectiveness to 21 managers from 15 countries through our Entrepreneurial Leadership Program. The experience empowers Mercy Corps and other global NGO managers with skills they need to grow as leaders and improve their organizations’ performance.

CCC_impactblogINCUBATED four new social ventures and supported the 16 alumni of Impact Entrepreneurs’ Social Innovation Incubator with resources and community connections. Stories from the alumni network include EcoZoom, a company that just signed a $21m contract to provide healthy, efficient, and ecofriendly cookstoves around the world; My Street Grocery, a mobile grocer recently integrated into Whole Foods Market as a new business unit; and Central City Concern, who in 2013 launched Central City Coffee, diversifying the parent organization’s revenue streams and providing employment and job training to clients who had previously experienced homelessness.

Download the full report by clicking on the image below:


Please contact for more information on our programs or report.

June 30, 2014 at 3:29 pm Leave a comment

Introducing the 2014 Social Innovation Pitch Fest Finalists

IE_EI Summit_banner

Watch local innovators pitch the region’s most exciting new social ventures and vote for a winner to receive $1500 cash at the Elevating Impact Summit on June 20. 

The Elevating Impact Summit, put on by Portland State University’s Impact Entrepreneurs, is an annual one-day event in downtown Portland celebrating entrepreneurship and innovation for social impact.

On Friday, June 20, six finalists, each selected for their innovative and entrepreneurial approach to addressing a social or environmental problem, will have three minutes to pitch their idea to more than 350 audience members. Following each pitch, a panel of expert investors and entrepreneurs will discuss the finalist’s for-profit, nonprofit, or hybrid venture, their vision, and their plans.

When the real-time audience vote is in, Immix Law Group will award $1500 cash and $1000 of in-kind legal support to the finalist with the most votes. The runner up will also receive $1000 of in-kind legal support.

The 2014 finalists are…

• Ila Asplund, Half Sky Journeys

Half Sky Journeys creates global trips with a purpose: to boost funding and awareness for girl- and women-empowering organizations. Half Sky Journeys’ life-changing journeys give travelers an opportunity to improve the lives of others and transform their own in the process. The journeys help high-level philanthropists engage personally with innovative women leaders (in education, health, technology) and discover firsthand how investing in a girl is the starting point for changing the world.

• Ryan Carson, Treehouse Island, Inc.
Treehouse provides affordable, accessible tech education for high-paying jobs in a digital economy. Many schools lack tech teachers and teachers cannot keep pace with rapidly evolving technology. Treehouse’s online interactive tutorials teach job-ready skills in web design, programming and app design without massive debt. Treehouse has had success in high poverty and rural areas using the program to retrain workers. With your support, Treehouse aims to reach people everywhere to empower them to economic self-sufficiency and inspire innovators.

• Orion Falvey, Orchid Health
Over the past decade, health insurance costs have risen over 100%. While costs go up, care quality has decreased because insurance companies don’t pay providers sustainable rates. Orchid Health’s solution removes health insurance from primary care by having patients pay a monthly fee of around $50. This model, along with locating in Medically Underserved Areas, which allows Orchid to profitably serve those on Medicaid and Medicare, makes Orchid unique and ready to grow quickly.

• Aaron Killgore, Live Forest Farms
Live Forest Farms is a food import company that partners with projects that drive sustainable agriculture and conservation in critical parts of the world. Live Forest Farms’ prototype is in East Bali Indonesia, where they have created a nonprofit initiative, East Bali Watershed Initiative, and partnered with a cashew factory, to import single origin, ethically sourced cashews to Portland, Oregon.

• Katrina Scotto di Carlo, Supportland
Small, local businesses tend to be isolated, leading 40% to go out of business in the first three years. By increasing the exchanges in which small businesses engage, Supportland disables this isolation. Besides the quantity, we make exchanges simpler and more rewarding with business-to-business, business-to-consumer, and even with other players historically unable to build at-scale exchanges with independent businesses. All these exchanges deepen relationships resulting in stronger economic activity for small, local businesses.

• Amy Doering Smith, Safi Water Works
Safi means ‘clean’ or ‘pure’ in Swahili. Safi Water Works is a social purpose enterprise addressing two complex global issues: providing safe, clean drinking water and creating income-generating opportunities for some of the world’s poorest. Safi manufactures and distributes products that use off-the-grid/human sources to power an ultraviolet disinfecting process that results in safe drinking water. Products are designed to be economical and effective and appropriate for urban communities throughout the developing world.


Jaime Wood, cofounder of IncitED, pitching at the 2013 Elevating Impact Summit.

Panelists joining the Pitch Fest to provide strategic questions and feedback to each finalist include:

• Carolynn Duncan (moderator), Founder and General Partner of NW Social Venture Fund and Founder and CEO of TenX
• Melissa Freeman, Oregon Community Foundation
• Molly Lindquist, Founder & CEO of Consano
• Tom Sperry, Managing Director of Rogue Venture Partners

Tickets are still available for the full day Summit at Find out about student tickest, volunteer opportunities, and more here.

June 4, 2014 at 12:02 pm Leave a comment

Elevating Impact Stories: Marc Freedman

Leading up to the Elevating Impact Summit on Friday, June 20 in Portland, Oregon, we’ve invited event speakers, award nominees, and panelists to engage in a stories project. We believe that storytelling is an essential part of effective social innovation. How can we tell stories in a way that generates interest and creates connections? How can we listen to the stories of others with the empathy needed to achieve true understanding? We hope that by sharing the stories of our speakers, or pieces they have written reflecting elements of their journeys, you will learn more about each person, and explore the promise and challenge of social innovation.

Why John Gardner Is My Retirement Role Model
By Marc Freedman

MarcFreedman_headshot_500Seventeen years ago, I sat behind the wheel of a blue Volkswagen Beetle, speeding through the night on Highway 101 between San Francisco and Palo Alto. Seated beside me in the passenger seat was my hero and mentor, John W. Gardner. Dressed impeccably, as always, in a gray suit, with a felt fedora perched on his lap, Gardner was then 85 years old.

I took the late-night ride as the chance to ask him about his life and legacy, looking back from the perspective of one’s ninth decade. What was he proudest of? What did he feel had been his great contribution? Gardner’s answer was immediate and unequivocal: the book, “Self-Renewal,” first published in the early 1960s. I was so engrossed in Gardner’s reflections that I failed to notice the sea of taillights accumulating rapidly in front of us. I slammed on the brakes. John’s hands hit the dashboard, and I could hear him repeating the words, “Oh my God,” over and over again. The phrase repeating in my head was less uplifting: “You’re killing a national treasure!”

We survived, thank God, although I don’t think John ever drove with me again. But we remained close right to the end of his life five years later, in 2002. During that period he served as the founding board member of Civic Ventures (now, the organization we started together to launch the program Experience Corps, and more broadly, to help transform the aging society into a source of personal and social renewal.

John’s own life was a marvelous example of renewal. In 1964, he was awarded the Presidential Medal of Freedom, that ultimate lifetime achievement award, for his work in education and philanthropy. Already in his 50s with a long track record of achievement, he nevertheless refused to accept a ‘gold watch’ or an end to purpose—in fact, he was just getting started.

Over the next decades, Gardner served as Lyndon Johnson’s Secretary of Health, Education, and Welfare, where he implemented Medicare and many other groundbreaking reforms, then went on to found Common Cause and Independent Sector, and to help preside over the creation of the Corporation for Public Broadcasting, along with authoring a series of books on leadership and civil society. It’s no wonder that The New York Times titled an article about him, “Father of Invention.”

Along with being an inveterate and lifelong social entrepreneur, Gardner was a master of the memorable phrase. During the Medicare battles of 1965, he observed, America today faces “breathtaking opportunities disguised as insoluble problems,” an apt characterization for the demographic and longevity revolutions unfolding today.

The last time I heard him speak publicly, a year before his passing, Gardner talked in very personal terms about the challenges and opportunities of renewal in the second half of life: “All my feelings about the release of human possibilities, all of my convictions about renewal,” he stated, “are offended by the widely shared cultural assumption that life levels off in one’s 40s and 50s and heads downhill, so that by 65 you are scrap heap material.”

Then he offered a closing wish, aimed at all of us middle agers in the audience: “What I want for those youngsters in their 40s and 50s is several more decades of vital learning and growth. And I want something even broader and deeper. I don’t know whether I can even put it into words. What I want…is a long youthfulness of spirit. It doesn’t seem much to ask—but it is everything.”

And it is.

This article was originally posted in the Wall Street Journal 

Marc Freedman is leading a movement to engage millions of baby boomers in encore careers by combining personal meaning, continued income, and social impact. Freedman is the founder and CEO of, an organization investing in people over 60 who are changing the world, and the Purpose Prize, which is a set of $100,000 awards to celebrate and advance their work. He also created Experience Corps, one of the largest nonprofits in the US engaging people over 55, and is the author of several books on encore careers and volunteering.

Freedman has received numerous accolades for his work as a social entrepreneur. In 2003 he was elected as an Ashoka Fellow for his innovative idea that engaging millions of baby boomers in encore careers could produce a “windfall of human talent to solve society’s greatest problems.” In 2007, 2008 and 2009, Fast Company magazine named Freedman one of the nation’s leading social entrepreneurs, and in 2010 The Nonprofit Times named him one of the 50 most powerful and influential individuals in the nonprofit sector. That year he also received the prestigious Skoll Foundation Award for Social Entrepreneurship.

Marc Freedman will Keynote the Elevating Impact Summit on June 20, 2014 in Portland. Tickets are available at

June 2, 2014 at 11:59 am Leave a comment

Four Trends for Ten Years: 
a conversation with Amy Pearl on meeting the needs of the future

Ten years ago Amy Pearl launched Springboard Innovation, an organization based in Portland OR, designed to deliver curriculum, programs, training, and models that build capacity in youth and adults to become better thinkers and more effective doers.

Last year Amy launched ChangeXchange NW, a brand new economic engine for growing community capital that includes a Northwest-only crowdfunding platform. Between then and now, she leased a building that would become HATCH: A Community Innovation Lab. Hatch is a collaborative space for visionaries and realists who are working for a better world.

It’s been a busy time.IMG_3103 For a decade, Amy has been creating an infrastructure that supports small, locally owned business, investing for impact, and social enterprises. I sat down with Amy near the ten-year anniversary of Springboard Innovation to find out what would be next.

Impact Entrepreneurs: Ten years ago you were launching Springboard Innovation. Today you have added HATCH and the ChangeXchange. What will your work look like ten years from now? Can you paint a picture of Springboard Innovation in 2024?

Amy: When our decisions effect our own neighborhoods, we tend to make better decisions. In the next ten years we will see a shift in what we now call “impact investing.” We will see local investing thriving and communities investing in themselves. In ten years we will be putting our money in our own backyards, investing will be thoughtful and it will transform everything.

For the past ten years Springboard Innovation was focused on curriculum for entrepreneurs. We were getting people to address community problems. And we were good at it! Our programs are astounding. Yet, with all the people and all the ideas, there was no ecosystem or environment where those ideas and organizations could thrive. ChangeXchange and HATCH were born to address this.

When we started, impact investing was taking off as a theme, but the enthusiasm was only for globally scalable ideas. I remember back then I was confused about the lack of support for communities. Why aren’t we focusing closer to home? Then, things started to shift. The JOBS Act was signed into law, and locally focused efforts grew. We realized that really, it’s all about our local communities, wherever they may be.

My team and I have identified four key trends that, when taken together, could meet our needs and transform our ability to solve our own problems.

1. Social Entrepreneurship: A global trend consisting of entrepreneurs who combine nonprofit mission with business strategies

2. The “Local First” Movement: Partnerships and programs in states across the country are incentivizing citizens to shop, buy, source, stay, and invest locally

3. Impact Investing: An emerging class of investors will want their money to matter

4. Change in the Law: The JOBS Act and new state-based laws will transform how we view finance and create new pathways for unaccredited investors to engage. Amypearl_4trends

We have some powerful strategies to leverage here. They’re in our communities, in each other, and in us. It’s a fascinating, terrifying, incredibly exciting time… and we better start taking advantage of these opportunities!


May 28, 2014 at 9:03 am 2 comments

Elevating Impact Stories: Steve Lee

Leading up to the Elevating Impact Summit on Friday, June 20 in Portland, Oregon, we’ve invited event speakers, award nominees, and panelists to engage in a stories project. We believe that storytelling is an essential part of effective social innovation. How can we tell stories in a way that generates interest and creates connections? How can we listen to the stories of others with the empathy needed to achieve true understanding? We hope that by sharing the stories of our speakers, or pieces they have written reflecting elements of their journeys, you will learn more about each person, and explore the promise and challenge of social innovation.

Steve Lee responds to the question: What is your source of personal motivation? 

Steve_Lee_300x300“I feel truly privileged in my role as a Service Designer, at a time when the remit of design is broader than ever, and its principles are being applied to humanize the complex systems and services we navigate every day as citizens, consumers, patients, students, and employees.

In its purest definition, the designer is a betterist. We make stuff better. But this doesn’t just mean the products we buy and can hold – a handier can opener, a sturdier mobile phone case, a more desirable car, or an unfeasibly expensive white Italian chair that you wouldn’t let your kids anywhere near, but thinking about the experiences we have with the other 80% of the economy, the service economy.

Transportation, health interactions, financial services, legal services, educational opportunities, understanding how these services are navigated and experienced by the people who use them and the staff who provide them is key to providing services that are both more useful and more desirable. Designing how each service is organized, and the touchpoints that constitute the service including the website, branding and communications, staff roles, the flow of a space and signage, can make a huge difference.

Spending a day shadowing a doctor or a housing applicant, or assessing the capacities of a community to mobilize around health or urban regeneration can reveal opportunities for innovation and relevant services around the true, latent or unmet needs of people.

Many of us are working on improving connections between people we work with and outcomes they are seek. I would recommend we all step back and become our own ‘Common Sense Police’. Empathize with each stakeholder. Ask why over and over to get to the root issues and seek to elevate impact by stripping away operational efficiencies which get in the way of effectiveness and better experiences – it can transform communities and change lives.”

Steve Lee is a Senior Service Designer at Ziba. He focuses on applying design thinking to complex systems, organizations and problems in the most holistic, sustainable, human way. From research and ideation to implementation and helping manage change, people are at the heart of Ziba’s Service Design methodology and Steve’s expertise. He has worked on projects for notable clients such as UHG and FedEx.

Steve hails from Prospect, London where prior to joining Ziba he worked at Engine Service Design and the Design Council on both the Technology Campaign and RED, their public services innovation unit. Steve studied Design at Goldsmiths College, University of London while working as an interaction designer at Imagination. He also helps to fund and run the Union Cycle Works, a social enterprise making beautiful bespoke bikes while assisting disadvantaged people in learning new skills.

Steve Lee will discuss building resilience in vulnerable communities at the Elevating Impact Summit on June 20, 2014.

May 21, 2014 at 9:43 am Leave a comment

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