San Francisco General Hospital

Healthy San Francisco

The Healthy San Francisco (HSF) Program has successfully expanded access to needed primary, specialty and inpatient services to uninsured San Francisco adult residents. HSF provides universal, comprehensive, affordable health care to uninsured San Francisco adult residents regardless of the person’s employment status, immigration status or pre-existing medical conditions. Uninsured adults with incomes at or below 500% of the Federal Poverty Level may enroll in the program. HSF changed the care model from high-cost episodic care to care where participants select a primary care medical home to promote preventive care and provide a usual source of care. Under HSF, the Department of Public Health (DPH) and San Francisco General (SFG) have made system improvements to create a more organized, integrated health care delivery system. Services are provided through a public/private partnership. The program capitalized on the existing relationships that non-profit providers had with uninsured patients. Today the network includes 14 public DPH clinics, eight community clinics (with 14 sites), one non-profit hospital clinic, a private physician association, and a non-profit health plan.