The Institute for Child Success, with funding from The Duke Endowment and South Carolina’s Department of Health and Human Services, studied the feasibility of using Pay for Success, an innovative new financing mechanism, to improve outcomes for South Carolina’s youth. The study found that it is feasible for the state to use this mechanism to scale up proven early childhood programs such as the Nurse-Family Partnership, a home visiting program for low-income first-time mothers. Pay for Success could improve the health and prospects of the state’s youth and use public-private partnerships to make government more accountable and efficient.