Safety Net Moonshot Initiative

A blueprint for restructuring fragmented urban safety nets into coordinated, sustainable systems.

America's urban safety nets serve the most vulnerable through institutions never designed to function as a system. The Safety Net Moonshot provides a comprehensive framework for restructuring fragmented systems into coordinated, financially sustainable infrastructure — so communities that depend on the safety net can actually rely on it.

fragmented urban safety netscoordinated, sustainable systems

KEY CAPABILITIES

Developed through the Chicago Safety Net Moonshot Initiative—a state-level effort in Illinois restructuring how safety-net hospitals serving low-income, Medicaid, and uninsured communities in Black and Brown neighborhoods are funded and operated; designed as a replicable blueprint for fragmented safety nets nationwide
Transformation framework including asset reallocation, sustainable payment design, and capital formation strategies
Coordinates public, nonprofit, and private stakeholders around shared infrastructure rather than competition for scarce resources
Designed for measurable impact: better access, fewer coverage gaps, and earlier connection to the right care before crisis demands the most expensive intervention

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