In 2007, the German Federal Government introduced a general healthinsurance obligation, but there are still vulnerable groups such as poorand homeless people without access to medical care. Especially forsocial fringe groups, a visit to the doctor involves many obstacles. Tenyears ago the project "Outreach medical care for homeless people andpeople threatened by homelessness in Hanover" was established in orderto reduce those gaps in healthcare provision. A continuously conductedevaluation of the project shows that low-threshold consulting hours areaccepted and the transition to medical specialists is becomingincreasingly easy. So the evaluation plays an important part in thedevelopment of the project. Since the healthcare reform in 2004,however, the number of cases has increased by 30 % while the actualhomeless target group has remained the same. In order to guaranteeaccess to the healthcare system for patients who cannot affordadditional payments, the abolition of the quarterly practice fee andother additional payments for people on a low income is an importantstep. The growing requirements, resulting from a changing clientele andchanges in the general conditions, are raising questions as to thenature of such projects and its future funding. In the long run it isn'tthe aim of this non-profit project to take on central tasks of amutually supportive community. Therefore the data and results collectedon the evaluation not only serve to improve the projects management, butalso provide important information to other initiatives outside Hanoverwhether and how to support the respective groups of patients (Authors).