CHM has actually promoted and supported enhanced access to health care and reduced expenses with a specific focus on those most vulnerable. CHM developed a non-profit rural health system to assist guarantee continuous access for health care to 10s of thousands of patients, and, more just recently, helped establish a Medicare Advantage plan which looks after a disproportionately underserved population. Now, CHM is concentrated on pharmacy spend. CHM thinks it can help to control runaway pharmaceutical costs by attempting to shed light on those patents supporting extremely expensive drugs which might be excessively broad or have been synthetically extended beyond their original life times.