Understanding Healthcare in Mid-Sized Cities


Understanding Healthcare in Mid-Sized Cities

October 26, 2016  |  Best Practice

1. Understand Limited Access to Care

 Low-income households struggle to pay for care, including out-of-pocket costs and high deductibles, insurance premiums, or other associated expenses. As a result, this population is less likely to seek primary and preventative care.

2. Embrace Education and Awareness

It is important that patients take increased ownership of their health in today’s 21st-century era of patient engagement, preventative health and wellness, and patient-centric care. 

3. Include Underserved Patient Populations

To combat these barriers, it is imperative that providers develop the cultural competency and understanding to best serve all racial, ethnic, and demographic patient groups.

4. Understand the Social Determinants of Health

Proposed cuts of $14.1 million to Supportive Housing Services in the 2016 Illinois budget would remove services from 10,311 recently placed households.

5. Educate about Mental Health

The need for treatment of depression and other mental health conditions far exceededthe need for the treatment of physical illnesses.


To learn more health equity best practices, attend an upcoming CHI educational event


Joseph Gaspero

CEO and Co-Founder at CHI

Aakash Balaji

Senior Analyst at CHI


Amman Bhasin

Senior Analyst at CHI


Ivory Chang

Senior Analyst at CHI



Healthcare Challenges in Mid-Sized U.S. Cities

Joseph Gaspero is the CEO and Co-Founder of CHI. He is a healthcare executive, strategist, and researcher. He co-founded CHI in 2009 to be an independent, objective, and interdisciplinary research and education institute for healthcare. Joseph leads CHI’s research and education initiatives focusing on including patient-driven healthcare, patient engagement, clinical trials, drug pricing, and other pressing healthcare issues. He sets and executes CHI’s strategy, devises marketing tactics, leads fundraising efforts, and manages CHI’s Management team. Joseph is passionate and committed to making healthcare and our world a better place. His leadership stems from a wide array of experiences, including founding and operating several non-profit and for-profit organizations, serving in the U.S. Air Force in support of 2 foreign wars, and deriving expertise from time spent in industries such as healthcare, financial services, and marketing. Joseph’s skills include strategy, management, entrepreneurship, healthcare, clinical trials, diversity & inclusion, life sciences, research, marketing, and finance. He has lived in six countries, traveled to over 30 more, and speaks 3 languages, all which help him view business strategy through the prism of a global, interconnected 21st century. Joseph has a B.S. in Finance from the University of Illinois at Chicago. When he’s not immersed in his work at CHI, he spends his time snowboarding backcountry, skydiving, mountain biking, volunteering, engaging in MMA, and rock climbing.