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A long and winding road: federally qualified health centers, community variation and prospects under reform.
- Source :
-
Research brief [Res Brief] 2011 Nov (21), pp. 1-9. - Publication Year :
- 2011
-
Abstract
- Community health centers have evolved from fringe providers to mainstays of many local health care systems. Those designated as federally qualified health centers (FQHCs), in particular, have largely established themselves as key providers of comprehensive, efficient, high-quality primary care services to low-income people, especially Medicaid and uninsured patients. The Center for Studying Health System Change's (HSC's) site visits to 12 nationally representative metropolitan communities since 1996 document substantial growth in FQHC capacity, based on growing numbers of Medicaid enrollees and uninsured people, increased federal support, and improved managerial acumen. At the same time, FQHC development has varied considerably across communities because of several important factors, including local health system characteristics and financial and political support at federal, state and local levels. Some communities--Boston; Syracuse, N.Y.; Miami; and Seattle--have relatively extensive FQHC capacity for their Medicaid and uninsured populations, while other communities--Lansing, Mich.; northern New Jersey; Indianapolis; and Greenville, S.C.--fall in the middle. FQHC growth in Phoenix; Little Rock, Ark.; Cleveland; and Orange County, Calif.; has lagged in comparison. Today, FQHCs seem poised to play a key role in federal health care reform, including coverage expansions and the emphasis on primary care and medical homes.
- Subjects :
- Community Health Centers economics
Community Health Centers legislation & jurisprudence
Community Health Centers statistics & numerical data
Community Health Services statistics & numerical data
Community Health Services trends
Facility Regulation and Control legislation & jurisprudence
Financing, Government legislation & jurisprudence
Forecasting
Health Care Reform legislation & jurisprudence
Health Care Surveys
Health Services Accessibility
Health Services Needs and Demand
Humans
Insurance Coverage economics
Insurance Coverage legislation & jurisprudence
Leadership
Medicaid economics
Medicaid legislation & jurisprudence
Medicaid statistics & numerical data
Medically Uninsured
Patient Protection and Affordable Care Act
Poverty
Primary Health Care economics
Primary Health Care legislation & jurisprudence
Primary Health Care trends
United States
Community Health Centers organization & administration
Community Health Services supply & distribution
Facility Regulation and Control economics
Financing, Government economics
Health Care Reform economics
Primary Health Care organization & administration
Subjects
Details
- Language :
- English
- Issue :
- 21
- Database :
- MEDLINE
- Journal :
- Research brief
- Publication Type :
- Academic Journal
- Accession number :
- 23155547