A health system shaped by the people it serves
Care should be accessible, affordable, and accountable — and designed with the communities most affected by health decisions.
Learn about our vision350+
partner organizations working at the local and state level
45+
states advancing health affordability, coverage, and accountability
9 states
where we’ve incubated health advocacy organizations
Eight New York medical debt protections drive historic declines in harmful collection practices
Together with partners, we supported eight laws banning hospital liens and wage garnishment between 2021-2025 — driving a 99.8% drop in debt lawsuits, a 78% reduction in medical debt in collections, and removing $241–$337M from credit reports.
Caregiving and aging supports strengthened for millions nationwide
We strengthened HCBS in 10 states, stabilizing support for 14.5M caregivers and families; improved care for 12.8M dually eligible people; and advanced an administration-adopted unified Medicare-Medicaid card to simplify access.
125 community-based organizations mobilized across 13 states for multilingual vaccine safety
We partnered with 15 CBOs on multilingual vaccine-safety research and supported 125 CBOs over four years — enabling 190,000+ vaccinations, training 131,000 trusted messengers, and averting an estimated $1.9–$2.48B in health system costs.
Health and economic security are inseparable, and our work throughout 2025 proved this is a movement built for this moment
December 2025
Our Collective Impact
For over 25 years, we’ve partnered nationwide to improve health outcomes and strengthen economic stability in communities.
