The Sinai Urban Health Institute (SUHI), in partnership with the Illinois Institute of Technology School of Design and University of Chicago Medicine, was one of only four national awardees of a $250,000, one-year competitive grant by the Robert Wood Johnson Foundation. As part of the Integrating Cost-of-Care Conversation Resources into the Clinical Workflow funding initiative, SUHI’s study will create a tool designed to support the sometimes difficult conversations physicians need to initiate around cost of care, especially with lower income patients. This study will focus specifically on adult women patients at the University of Chicago Medicine on Chicago’s Southside who are pregnant or postpartum. The patients will be low income, predominantly African American and privately insured through one of the exchanges of the Affordable Care Act (ACA). “The cost of healthcare can be an uncomfortable topic for both physicians and patients to discuss, which can result in patients incurring unintended costs after a procedure or treatment,” said Veronica Fitzpatrick, project director for the Sinai Urban Health Institute. “Our ultimate goal is to facilitate better conversations between physicians and patients that can lead to informed decision-making, lower costs, and better health outcomes.” A key deliverable from the study will be a tool that enables productive question-asking and planning between a physician and his/her patient. Based on the success of this support tool in an OB/GYN clinical setting, the study will also develop a user-centered framework for communicating about the cost of care in other clinical situations.