A low-cost way to reach the patients the safety net misses

Many counties and states have goals for better health, lower costs, or better access to care for uninsured, underinsured and underserved people in certain areas. Our directory already covers all 50 states, so work can start in your area right away.

We can focus our work on your counties or zip codes. We plan outreach and directory work for that area, and any funding set aside for an area is spent only there. At the end, we report what we did and what we could measure.

This is a national program. Kansas, where we are based, is one of ten states that have not expanded Medicaid. Medicaid is public health coverage for many people with low incomes, and expanding it means opening it to more low-income adults. Kansas is one example of a state where many working adults are left without affordable coverage.

Many federal health programs try to reach people who fall through the cracks. Those are the people we serve: uninsured, underinsured and underserved people who need a regular doctor to stay healthy.

• About 27.1 million Americans have no health insurance.
• It costs us $149 per patient connected. The federal Navigator program, which helps people sign up for health insurance, spent $1,061 per enrollment in plan year 2024.
• Our modeled cost avoidance is $157 to $309 per connected patient per year. "Modeled" means estimated with a cost model, not measured directly.

When we report to a federal program, we show the size of the need in the areas we serve, what we did, how many people we reached and connected, what it cost per person, and the results we could measure.

People without a regular doctor often use the emergency room as their doctor's office. Much of that care is never paid for, and hospitals absorb the cost. This is called uncompensated care, which means care a hospital provides but does not get paid for. Hospital margins, the money left over after costs, are already thin.

We help uninsured and underinsured people near your hospital find an affordable regular doctor. A regular doctor can treat problems early, help patients stay healthy and prevent avoidable ER visits. That can mean your hospital loses less money on care that could have happened in a doctor's office. An average ER visit cost about $2,863 in 2026, across all types of insurance. A cash-pay doctor visit usually costs $40 to $300.

Nonprofit hospitals report their community benefit to the IRS on a form called Schedule H. Helping uninsured patients find a regular doctor is the kind of work that can count as community health improvement. Your community benefit team can confirm how it applies to you.

Private foundations and health plans want to know that the work they back reaches people, gets measurable results and is run well. A health plan is a company or program that pays for its members' medical care. Here is what we can show you.

• Measurable results. Our directory has connected more than 10,000 uninsured and underinsured patients to a cash-pay physician since 2020. Our Impact page explains exactly how we count each one and what our numbers do not show.
• Low cost per person. It costs us $149 per patient connected.
• Governance. Two of our three directors are independent physicians. No director or officer is paid. About 82.7% of our $150,000 budget for 2027 goes to program work, 5.3% to fundraising and 12.0% to management and general costs. Our IRS letter, our conflict of interest policy and a plain explanation of our technology license are on our Transparency page.
• A track record since 2020. The directory has run since 2020. Our Foundation was formed in 2026 to grow it as a free charity program.

For health plans. Many members have plans with high deductibles. A deductible is the amount a person pays before insurance starts to pay. The average Marketplace deductible hit a record $3,786 in 2026. Members with high deductibles sometimes put off care because of the cost. A cash-pay doctor can be an affordable way for them to see a regular doctor, stay healthy and catch problems early. We do not claim savings for any health plan. We would like to talk about what we could measure together.

Our founder, Harsha Moole, MD, is an internal medicine physician-scientist. That means he is a doctor for adults who also does medical research. He built this directory with his own money, starting in 2020, and he takes no salary. Physicians know better than anyone what happens when a patient has no regular doctor. A regular doctor helps patients stay healthy and makes better health outcomes possible. If that is a problem you want to help solve, we would like to talk.