SASH Homes St. Louis
Bridging the Delmar Divide with health-integrated affordable housing — transforming North St. Louis and East St. Louis through LIAM-powered RPM and Medicaid managed care partnerships.
24K
Vacant Lots (North City)
45%
Medicaid Rate (Target)
50+
OZ Tracts
$1.2B
NGA Investment
Why St. Louis, Why Now
St. Louis presents a unique convergence of extreme vacancy, healthcare need, and catalytic investment that creates an ideal environment for the SASH model.
Vacancy Crisis
24,000+ vacant lots in North City
North St. Louis has the highest vacancy rate of any major U.S. city. Entire blocks sit empty, creating opportunity for purpose-built health-integrated housing at scale.
St. Louis Vacancy Collaborative, 2025
Health Disparities
18 years life expectancy gap
Life expectancy in North St. Louis (63 years) is 18 years lower than in Clayton (81 years) — one of the starkest health divides in America.
St. Louis City Health Dept, 2024
NGA Catalyst
$1.2B investment pipeline
The National Geospatial-Intelligence Agency's new $1.7B campus in North St. Louis is catalyzing $1.2B+ in surrounding development, creating housing demand.
NGA West Development Plan, 2025
Centene Headquarters
Fortune 25 managed care HQ
Centene Corporation — the nation's largest Medicaid managed care company — is headquartered in St. Louis, creating a natural partnership for SASH RPM services.
Centene Corp, 2025
MO HealthNet
1.1M Medicaid enrollees
Missouri expanded Medicaid in 2021. MO HealthNet now covers 1.1M residents, with managed care contracts through Home State Health (Centene) and UHC Community Plan.
MO DSS, 2025
Workforce Pipeline
Harris-Stowe HBCU partner
Harris-Stowe State University provides a workforce development pipeline for community health workers, LIAM technicians, and healthcare technology professionals.
Harris-Stowe State University
Strategic Partner Pipeline
Building a coalition across healthcare, housing, education, and government to deploy the SASH model in the St. Louis region.
BJC HealthCare / Washington University
Academic Medical Center
Largest healthcare system in the region; clinical integration for RPM services and population health research
Centene Corporation
Managed Care Organization
St. Louis-headquartered Fortune 25 company; Medicaid managed care across Missouri and Illinois
Mercy Health
Health System
Major regional health system with strong community health worker programs and RPM experience
Missouri Housing Development Commission
State Housing Finance Agency
LIHTC allocation, affordable housing financing, and state housing trust fund administration
St. Louis Development Corporation
Municipal Agency
Economic development, Opportunity Zone coordination, and TIF district management for North St. Louis
Harris-Stowe State University
HBCU
Workforce development pipeline for healthcare technology, community health workers, and LIAM technicians
Target Deployment Communities
Initial deployment targets communities with the highest convergence of vacancy, health disparities, and Opportunity Zone designation.
North St. Louis
Pop. ~85,000
OZ Tracts
22
Medicaid Rate
45%
East St. Louis, IL
Pop. ~18,000
OZ Tracts
8
Medicaid Rate
52%
North County
Pop. ~120,000
OZ Tracts
14
Medicaid Rate
38%
South City
Pop. ~60,000
OZ Tracts
6
Medicaid Rate
33%
St. Louis Deployment Timeline
Phase 1 — Foundation
Q3-Q4 2026- Finalize Centene/Home State Health partnership for Medicaid RPM billing
- Submit MHDC LIHTC application for North City pilot site
- Establish Harris-Stowe workforce training program
- Secure NGA-adjacent OZ investor commitments
Phase 2 — Pilot
Q1-Q4 2027- Break ground on 40-unit pilot near NGA West campus
- Deploy LIAM platform with Essential device tier
- Onboard BJC clinical integration for RPM services
- Launch community health worker training cohort
Phase 3 — Scale
2028-2029- Expand to 400+ units across North City and East St. Louis
- Add Professional device tier for chronic disease management
- Integrate with MO HealthNet managed care contracts
- Replicate model in North County communities
Phase 4 — Regional
2030+- Target 1,500+ units across Greater St. Louis metro
- Expand to Kansas City and Springfield, MO
- Establish SASH as standard for Midwest health-integrated housing
- Cross-state integration with Illinois market
Join the St. Louis Coalition
Help us bridge the Delmar Divide with health-integrated affordable housing that generates sustainable revenue while transforming community health outcomes.