Healthcare Access

Healthcare Access Problem Statement

Approximately 15.7% of residents in Louisville live in poverty, with higher rates in communities of color. Individuals experiencing poverty are more likely to face logistical challenges in accessing healthcare services, since they may struggle to afford the cost of transportation, especially when their healthcare needs require frequent medical visits.

Marginalized communities, including low-income individuals, communities of color, elderly populations, and people with disabilities face significant barriers in accessing reliable, affordable and suitable transportation options. These challenges are limiting their ability to access essential services, employment opportunities, and social connections. Barriers associated with NEMT and healthcare access often result in delayed or missed health appointments, inability to fill prescriptions, and inadequate healthcare management, and other social barriers to health, ultimately leading to poorer health outcomes.  

Healthcare access options sometimes exist to help patients reach medical facilities for non-emergency appointments, treatments, or follow-ups, but are often unaffordable, unavailable, not culturally sensitive, or otherwise inaccessible, particularly in economically disadvantaged and rural communities. Many healthcare access providers may not adequately cater to diverse linguistic and cultural needs, leading to a lack of trust and misunderstanding, which can discourage individuals from utilizing healthcare access services even if they are otherwise available. The lack of insurance coverage or limited reimbursement options for healthcare access further exacerbates financial burdens, creating multiple barriers to accessing health services.

Reconstruct Challenge: Healthcare access is seeking to find and fund innovations addressing access to healthcare in the Louisville region. This is an open call for solutions that address related challenges. Some particular areas of interest include:

Enhancing public transportation systems in underserved areas

● Increasing the availability of accessible vehicles and transportation options for individuals with disabilities

● Fostering partnerships between healthcare providers and transportation agencies to coordinate Healthcare services

● Establishing referral networks to connect patients with appropriate transportation options

● Coordinating transportation services alongside healthcare appointments and schedules

● Providing cultural competency training for healthcare access staff to better understand and meet the needs of diverse populations.

● Promoting inclusive and culturally sensitive practices in healtcare service delivery

● Increasing affordability of Healthcare access services

● Establishing volunteer driver programs or ridesharing initiatives for non-emergency medical transportation, or other community-driven transportation coordination and support systems

● Otherwise improving accessibility of healthcare for those who lack affordable transportation options

This Reconstruct Challenge was supported by funds made available by the Kentucky Department for Public Health’s Office of Health Equity from the Centers for Disease Control and Prevention, National Center for STLT Public Health Infrastructure and Workforce, under RFA-OT21-2103.


Supported By:

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Addressing barriers to healthcare access

Malama Health
Malama Health improves pregnancy-related outcomes through a 24/7 digital coach for pregnancy and postpartum. Developed in partnership with Stanford maternal fetal medicine providers, Malama's gestational diabetes care management solution has reduced c-section rates by 50% and NICU admissions by 38% compared to U.S. averages.
Kare Mobile
Kare Mobile is a Dental Service Organization focused on innovation using a hybrid brick and mortar and mobile van oral care delivery model. Kare’s technology and systems were designed to eradicate dental deserts and establish a more equitable oral healthcare model for the world.
Zenyor Healthcare
The Zenyor Healthcare App and Webapp is designed to upcycle phones/tablets into at-home healthcare kiosks that are always powered on for A) care communication, B) care and transportation scheduling/reminding, and C) prompted health. Please visit for more information.
Maro’s mission is to eliminate the 11-year gap between first symptom and first intervention when it comes to youth mental health. Our digital “medical neighborhood” operates across home, school and clinic to support early intervention & risk detection starting with school-based mental health screening and triaged interventions.
Kyndly Benefits
Kyndly Benefits is on a mission to hack health insurance. We help people and small businesses find and secure high-quality health care through the ACA exchange. Our Kynd Choice application helps people navigate the confusing healthcare marketplace, select the right plan, and access federal subsidies to make health insurance affordable.


It starts with a challenge

  1. Applications received
  2. Evaluation panel reviews
  3. Top 10 applicants selected
  4. Selection committee interviews
  5. Final 5 companies selected and awarded $100,000 to bring their solutions to Louisville and Southern Indiana.

Challenge launches

June 2023

Applications due

August 10

Recipients announced

September 2023


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