Capital Impact Council: Advancing Private Investment That Improves Health Care & Health

Duke-Margolis Center for Health Policy
Duke-Margolis Center for Health PolicyMar 6, 2026

Why It Matters

The Council’s health‑value framework gives investors a transparent way to fund innovations that improve outcomes and equity, potentially accelerating the shift toward financially sustainable, high‑impact health‑care solutions.

Key Takeaways

  • Capital Impact Council links private capital to measurable health outcomes.
  • New Health Value ROI framework integrates financial and health impact metrics.
  • Investors receive transparent data tools to assess affordability, access, outcomes.
  • Early members showcase case studies across AI, rural, behavioral health.
  • Council aims to scale framework nationally, influencing LP investment decisions.

Summary

The video introduces the Capital Impact Council (CIC), a Duke‑Margolis Institute initiative launched in 2024 to bring private‑capital investors together around a common goal: generate financial returns while demonstrably improving health‑care delivery, access, affordability and outcomes.

Central to the council’s work is the Health Value ROI framework, which layers traditional financial return analysis with measurable health‑value metrics drawn from peer‑reviewed guidelines and real‑world data. The council has already piloted the framework with member firms such as American Heart Association Ventures, Echo Health Ventures and Healthier Capital, producing case studies in AI‑driven rural care, behavioral health and cardiometabolic programs.

Co‑chair Dr. Cheryl Piggas, CEO of Flight Health, emphasized that “private investment can be the lynchpin for scaling innovative care models when health impact is built into the investment thesis.” The council’s rollout at ACE, the Health Evolution Summit and multiple podcasts has attracted new members and generated press coverage in Fierce Health, underscoring growing industry interest.

By standardizing health‑value measurement, the CIC seeks to give limited partners clear, comparable data, encouraging capital flows toward solutions that address gaps in underserved communities. If widely adopted, the framework could reshape how venture and private‑equity firms evaluate health‑care opportunities, aligning profit motives with public‑health objectives.

Original Description

Private investment provides critical resources that enable existing and new health care organizations to provide access to better treatments, improve outcomes, increase affordability, and strengthen communities. However, there are real and understandable public concerns about private investment activities that are not working as intended and leaving critical and urgent health reform goals unrealized. The Duke-Margolis Capital Impact Council (CIC) is a group of highly engaged venture capital and private equity investors dedicated to advancing and supporting private health care investments that are aligned with the goals of improving health and the value of health care. The CIC's Health Value Evidence Quality Framework (https://duke.is/HVEQ) aims to accelerate development of valid health value evidence, with the goal of high-quality HV-ROI generation becoming a routine, practical element of health care investment.

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