Development impact framework

Why and how we use a development impact framework to measure the impact of our innovative finance tools.

An elderly person's hands counting money

Why we measure impact

Our development impact framework ensures we target our capital at partnerships that will deliver positive impact. The framework is based on four principles:

  1. Balancing rigour and pragmatism, making careful, evidence-based assumptions where required.
  2. Focusing on the direct outcomes resulting from our involvement, rather than the impacts that follow.
  3. Focusing on our contribution to the change, rather than attribution, as we always work in partnerships.
  4. Accompanying quantitative data with qualitative evidence.

We assess whether MedAccess’ innovative finance tools will lead to increased health benefits sooner than would have otherwise been the case, by looking at three indicators.

Our development impact indicators

A heart with a heart rate line through it

Lives changed

Key questions:

  • How many additional people will gain access to the product?
  • How much difference could it make to them?
A graphic of a bank note

Money saved

Key questions:

  • How much would our guarantee reduce the price of the product?
  • What does this mean in total dollars saved?
A series of circles showing connections

Markets shaped

Key questions:

  • What impact would our guarantee have on the broader market for a product?

How we measure impact

We estimate the impact of each opportunity against all three indicators by comparing the expected outcomes against a counterfactual situation, where we are not involved. This ensures we only capture the additional impact generated by a MedAccess guarantee.

Before making a decision, we use the framework to identify and prioritise high impact opportunities, to ensure we deploy our capital in the most valuable way. All opportunities must meet a minimum development impact threshold to be considered.

Once we enter into an agreement with our partners, we use the framework to estimate the impact we have. We use these findings to support the implementation of existing agreements and to guide our future strategy by considering how we can identify more impactful opportunities.