Model & Strategy

City Health Works hires and professionally trains Local Health Coaches who operate in their own community, while serving as a bridge to clinics. They help their peers better manage their health and navigate the complicated healthcare system, and they partner with health systems and insurers to evaluate return on investment to build a case for financial sustainability. At the neighborhood level, City Health Works creates meaningful local jobs and ensures patients receive the right care at the right time.

City Health Works has a unique and powerful ability to work closely with patients, primary care teams, and social service providers. Working together allows them to achieve population health goals, reduce healthcare spending and create more resilient neighborhoods.

At a Glance
Founded: 2012
Location of work: Domestic, Northeast
City Health Works
127 West 127th Street
Suite 207
New York, NY 10027
Creating healthier neighborhoods and local jobs
Meet Manmeet Kaur

Since founding City Health Works in 2012, Manmeet Kaur has led its growth from a promising vision to an increasingly recognized example of how to bridge the gap between health and healthcare. Manmeet incubated City Health Works while pursuing an MBA at Columbia. Throughout the past 10 years, Manmeet has worked on efforts to create meaningful jobs and improve health for informal and low-wage workers in New York City, South Africa and India.

Before launching City Health Works, Manmeet was an advisor to the Earth Institute’s One Million Community Health Worker Campaign. Manmeet is a Third Millennium Human Rights Fellow and a GLG Social Impact Fellow. She was selected as the 2012 Alumni Social Innovator by the Social Enterprise Program at Columbia Business School.


City Health Works currently serves nearly 400 patients, influencing the quality of care in multiple healthcare systems, and closing critical gaps in psychosocial care. It has served over 1,300 clients to date.

CHW has improved clinical measures of diabetes beyond what was achieved by the clinical system alone (average blood sugar reduction = 1.6. Benchmark for clinician-led coaching by Certified Diabetes Educators (CDE) is 0.6. 83% of clients with diabetes experience a drop in blood sugar; the benchmark is 65% for CDE-led coaching).

CHW ensures clients get the right care at the right place when they need it. For one out of every two patients, CHW escalated an uncovered medical case or medical issue to the clinic before it became a crisis.

In working with multiple insurance companies, CHW has refined the financial benefit to patients and the healthcare system. It achieved a $900 drop-in per member per month by month five for the first 74 patients.