Lessons from Local Access Initiatives Contributions and Challenges

Community health initiatives—locally crafted responses to health care access problems—have been steadfast in their efforts to connect uninsured and medically indigent people to health care services and health insurance. These programs assist in outreach, coordinate and integrate care, and help clients use limited resources efficiently. This report offers five case studies of community health initiatives that seek to improve access and coverage for those most likely to be uninsured: low-income, nonelderly adults.