Cost Savings Associated With the Use of Community Health Centers

Richard, Patrick; Ku, Leighton; Dor, Avi; Tan, Ellen; Shin, Peter; Rosenbaum, Sara

doi:10.1097/jac.0b013e31823d27b6

Cited by 27 publications

(21 citation statements)

References 11 publications

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“…We used data from the first panel year to identify participants in order to study how the site of care may affect future health care utilization. In MEPS, participants are queried at each interview whether their household used health care services and the address of each provider (Richard et al 2012). In order to accurately identify visits at HCs, we compared provider addresses in MEPS to HC addresses in BPHC databases.…”

Section: Methodsmentioning

confidence: 99%

Health Care Utilization and Receipt of Preventive Care for Patients Seen at Federally Funded Health Centers Compared to Other Sites of Primary Care

Laiteerapong

Kirby

Gao

et al. 2014

Health Services Research

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Objective To compare utilization and preventive care receipt among patients of federal Section 330 health centers (HC) vs. patients of other settings. Data sources A nationally representative sample of adults from the Medical Expenditure Panel Survey (2004–2008). Study design HC patients were defined as those with ≥50% of outpatient visits at HCs in the first panel year. Outcomes included utilization and preventive care receipt from the second panel year. We used negative binomial and logistic regression models with propensity score adjustment for confounding differences between HC and non-HC patients. Principal findings Compared to non-HC patients, HC patients had fewer office visits (adjusted incidence rate ratio (aIRR), 0.63) and hospitalizations (aIRR, 0.43) (both p<.001). HC patients were more likely to receive breast cancer screening than non-HC patients (adjusted odds ratio, aOR, 2.78, p<.01). In subgroup analyses, uninsured HC patients had fewer outpatient and emergency room visits and were more likely to receive dietary advice and breast cancer screening compared to non-HC patients. Conclusions Health centers add value to the health care system by providing socially and medically disadvantaged patients with care that results in lower utilization and maintained or improved preventive care.

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Section: Methodsmentioning

confidence: 99%

Health Care Utilization and Receipt of Preventive Care for Patients Seen at Federally Funded Health Centers Compared to Other Sites of Primary Care

Laiteerapong

Kirby

Gao

et al. 2014

Health Services Research

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“…THC graduates are learning how to provide efficient, high quality primary care that may reduce the need for later costly emergency or inpatient care. 11 CHCs are at the forefront of adopting modern quality improvement initiatives. As of 2013, 80% of health centers had adopted electronic health record systems and 54% were recognized as patientcentered medical homes, rates well ahead of the norm for overall American physician practices.…”

Section: How Many Patients Are Served By Thc Residents?mentioning

confidence: 99%

A New Community Health Center/Academic Medicine Partnership for Medicaid Cost Control, Powered by the Mega Teaching Health Center

et al. 2018

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Community health centers (CHCs), a principal source of primary care for over 24 million patients, provide high-quality affordable care for medically underserved and lower-income populations in urban and rural communities. The authors propose that CHCs can assume an important role in the quest for health care reform by serving substantially more Medicaid patients. Major expansion of CHCs, powered by mega teaching health centers (THCs) in partnership with regional academic medical centers (AMCs) or teaching hospitals, could increase Medicaid beneficiaries' access to cost-effective care. The authors propose that this CHC expansion could be instrumental in limiting the added cost of Medicaid expansion via the Affordable Care Act (ACA) or subsequent legislation. Nevertheless, expansion cannot succeed without developing this CHC-AMC partnership both (1) to fuel the currently deficient primary care provider workforce pipeline, which now greatly limits expansion of CHCs; and (2) to provide more CHC-affiliated community outreach sites to enhance access to care. The authors describe the current status of Medicaid and CHCs, plus the evolution and vulnerability of current THCs. They also explain multiple features of a mega THC demonstration project designed to test this new paradigm for Medicaid cost control. The authors contend that the demonstration's potential for success in controlling costs could provide help to preserve the viability of current and future expanded state Medicaid programs, despite a potential ultimate decrease in federal funding over time. Thus, the authors believe that the new AMC-CHC partnership paradigm they propose could potentially facilitate bipartisan support for repairing the ACA.

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“…Federally funded health centers, which currently serve close to 20 million people in the United States, significantly impact the health of disadvantaged populations and serve as a model of high-quality care while lowering costs. 1 Published research about patient outcomes demonstrates the value of health centers in improving access to care, reducing health disparities, 2 reducing disparities in low-birth-weight rates, 3 reducing ambulatory care sensitive hospitalizations, and decreasing the number of emergency department visits. 4 The midwifery philosophy of care fits well into the context of health centers, and midwives are increasingly joining health centers to expand the workforce serving the vulnerable populations cared for in these centers.…”

Section: Introductionmentioning

confidence: 99%

Nurse‐Midwives in Federally Funded Health Centers: Understanding Federal Program Requirements and Benefits

Carter

2012

J Midwife Womens Health

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Midwives are working in federally funded health centers in increasing numbers. Health centers provide primary and preventive health care to almost 20 million people and are located in every US state and territory. While health centers serve the entire community, they also serve as a safety net for low-income and uninsured individuals. In 2010, 93% of health center patients had incomes below 200% of the Federal Poverty Guidelines, and 38% were uninsured. Health centers, including community health centers, migrant health centers, health care for the homeless programs, and public housing primary care programs, receive grant funding and enjoy other benefits due to status as federal grantees and designation as federally qualified health centers. Clinicians working in health centers are also eligible for financial and professional benefits because of their willingness to serve vulnerable populations and work in underserved areas. Midwives, midwifery students, and faculty working in, or interacting with, health centers need to be aware of the regulations that health centers must comply with in order to qualify for and maintain federal funding. This article provides an overview of health center regulations and policies affecting midwives, including health center program requirements, scope of project policy, provider credentialing and privileging, Federal Tort Claims Act malpractice coverage, the 340B Drug Pricing Program, and National Health Service Corps scholarship and loan repayment programs.

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Cost Savings Associated With the Use of Community Health Centers

Cited by 27 publications

References 11 publications

Health Care Utilization and Receipt of Preventive Care for Patients Seen at Federally Funded Health Centers Compared to Other Sites of Primary Care

Health Care Utilization and Receipt of Preventive Care for Patients Seen at Federally Funded Health Centers Compared to Other Sites of Primary Care

A New Community Health Center/Academic Medicine Partnership for Medicaid Cost Control, Powered by the Mega Teaching Health Center

Nurse‐Midwives in Federally Funded Health Centers: Understanding Federal Program Requirements and Benefits

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