In Camden, New Jersey--as in many urban areas--health care costs are concentrated in a disproportionately small number of patients. These "super-utilizers" typically have multiple chronic conditions combined with social barriers that make it hard to access and coordinate the care they need to manage these conditions and stay healthy. Launched in 2002, the Camden Coalition of Healthcare Providers strives to reform the quality, capacity, and accessibility of the health care system for the city's vulnerable populations.