Briefing Detail Page
Health Centers at the Launch of the Coverage Expansion
Friday, May 16, 2014
The coverage expansion under the Affordable Care Act brings new pressures and opportunities for health centers, including the potential to serve newly-insured patients while continuing as a cornerstone of the primary care safety net for the uninsured. At the same time, health centers are in the midst of rapid transformation brought about in part by recent federal investments in health center capacity and delivery system improvements, even as they face uncertainty about future state and federal funding.
This briefing revealed new findings from The Commonwealth Fund’s 2013 Survey of Federally Qualified Health Centers, examined perceptions and realities of health center capacity to ensure access to newly-insured and still-uninsured patients, and highlighted system improvements health centers have made to improve outcomes and efficiency at lower costs.
Leighton Ku, director of the Center for Health Policy Research at George Washington University, discussed health center capacity in light of recent coverage expansions and highlight lessons learned about the capacity and fiscal health of health centers after the Massachusetts coverage expansion.
Vernita Todd, chief executive officer of Heart City Health Center in Elkhart, Indiana, shared an on-the-ground perspective on the center’s efforts to leverage federal investments and implement delivery system innovations to improve patient access to high-quality care.
Brooks Miller, president of the Jordan Valley Health Center in Springfield, Missouri, discussed the status of the coverage expansion with respect to Missouri health centers and highlight strategies to forge new partnerships with health systems and payers.
Michelle Proser, director of research at the National Association for Community Health Centers, highlighted national research and data analysis that will answer critical questions on health centers and the populations they serve.
Ed Howard of the Alliance and Melinda Abrams of Commonwealth co-moderated.
Contact: Sarah Dash (202)789-2300 firstname.lastname@example.org
Follow the Briefing on Twitter: #HealthCenters
The event was sponsored by the nonpartisan Alliance for Health Reform and The Commonwealth Fund.
KEY BRIEFING POINTS
If you were unable to attend the briefing, here are some key takeaways:
*Eighty-four percent of health center patients earn under 200 percent of the federal poverty level, Melinda Abrams said.
*Implementation of health information technology by health centers has more than doubled since 2009, according to a new Commonwealth Fund report. However, many health center leaders report provider shortages, especially with the anticipated influx of new patients and focus on integrating behavioral health.
*Health centers may face a funding cliff after the $11 billion mandatory trust fund created by the Affordable Care Act expires in 2015, Michelle Proser stated. This calls into question whether or not there is adequate continued support for health centers and whether or not they have the stability to continue to meet the needs of new patients.
*Funding for health centers is not only about grants, but payment models, Brooks Miller noted. Total grant income is only 9 percent of the budget at Jordan Valley Health Center, while Medicaid accounts for 60 percent.
*The evidence suggests that health centers save money by providing good quality primary care to people who otherwise would have difficulty getting it, Leighton Ku said. There are 1.1 million people who would be eligible if the state had expanded Medicaid to the 133% of poverty level. If a state does not expand Medicaid, these 1.1 million people will remain uninsured.
|Transcript, Event Summary and/or Webcast and Podcast|
Transcript: Full Transcript (Adobe Acrobat PDF), 5/16/2014
Full Webcast/Podcast: Full Video from C-SPAN
Abrams Presentation (Adobe Acrobat PDF), 5/16/2014
Ku Presentation (Adobe Acrobat PDF), 5/16/2014
Todd Presentation (Adobe Acrobat PDF), 5/16/2014
Miller Presentation (Adobe Acrobat PDF), 5/16/2014
Proser Presentation (Adobe Acrobat PDF), 5/16/2014
(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)
Agenda (Adobe Acrobat PDF), , 5/16/2014
Speaker Biographies (Adobe Acrobat PDF), , 5/16/2014
Materials List (Adobe Acrobat PDF), , 5/16/2014
Selected Experts (Adobe Acrobat PDF), , 5/16/2014
|Offsite Materials (briefing documents saved on other websites)|
Community Health Centers in an Era of Health Reform: An Overview and Key Challenges to Health Center Growth, The Kaiser Commission on Medicaid and the Uninsured, Henry J. Kaiser Family Foundation, 3/1/2014
States’ Medicaid Decisions Leave Health Centers, Patients in Lurch, Kaiser Health News, 5/9/2014
What Surge? Nation’s Primary Care System Holding Up Well So Far Under Obamacare, Kaiser Health News, 5/12/2014
Federal Health Centers, Congressional Research Service, 4/1/2014
Safety-Net Providers after Health Care Reform: Lessons from Massachusetts, JAMA Internal Medicine, 171 (15), 8/8/2011
How the Affordable Care Act Supports a High Performance Safety Net, The Commonwealth Fund Blog, 1/16/2012
Access is the Answer: Community Health Centers, Primary Care & the Future of American Health Care, National Association of Community Health Centers, 3/1/2014
Health Care David and Goliath Partner to Open After-Hours Clinic, The Seattle Times, 4/20/2014
Medstar Faces Tensions with Community Clinics Over Primary-Care Expansion in District, The Washington Post, 4/17/2013
America’s Health Centers, National Association of Community Health Centers, 3/1/2014
Health Centers and the Uninsured: Improving Access to Care and Health Outcomes, National Association of Community Health Centers, 5/1/2014
Providing Outreach and Enrollment Assistance: Lessons Learned from Community Health Centers in Massachusetts, The Kaiser Commission on Medicaid and the Uninsured, The Henry J. Kaiser Family Foundation, 9/1/2013
Establishing a Coalition to Pursue Accountable Care in the Safety Net: A Case Study of the FQHC Urban Health Network, The Commonwealth Fund, 10/1/2013
How Medicaid Expansions and Future Community Health Center Funding Will Shape Capacity to Meet the Nation’s Primary Care Needs, Geiger Gibson/RCHN Community Health Foundation Research Collaborative, 11/18/2013
Medicaid and Community Health Centers: the Relationship Between Coverage for Adults and Primary Care Capacity in Medically Underserved Communities, The Kaiser Family Foundation, 3/1/2012
Assessing the Potential Impact of the Affordable Care Act on Uninsured Community Health Center Patients: An Update, Geiger Gibson/RCHN Community Health Foundation Research Collaborative, 5/9/2014
Changes in Latitudes, Changes in Attitudes: FQHCs and Community Clinics in a Reformed Health Care Market, National Health Policy Forum, 12/18/2012
The Affordable Care Act and Health Centers, Health Resources and Service Administration, 1/1/2012
United States Health Center Factsheet, National Association for Community Health Centers, 7/1/2013
A Louisville Clinic Races to Adapt to the Health Care Overhaul, The New York Times, 6/22/2013
In New Health Care Era, Blessings and Hurdles, The New York Times, 3/20/2014
West Virginia Family Health Plan Announces Collaboration with Highmark Blue Cross Blue Shield West Virginia for New Provider Sponsored Network, State News Wire, 3/12/2013
Ready or Not? How Community Health Centers View Their Preparedness to Care for Newly Insured Patients, The Commonwealth Fund, 5/16/2014
Trends in Health Information Technology Adoption Among Federally Qualified Health Centers, 2009-2013, The Commonwealth Fund, 5/16/2014
Briefing Video: Health Centers at the Launch of the Coverage Expansion
The evidence suggests that health centers save money by providing good quality primary care to people who otherwise would have difficulty getting it, Leighton Ku, director of the Center for Health Policy Research at George Washington University, stated at a May 16 Alliance briefing, Health Centers at the Launch of the Coverage Expansion.
Health centers may face a funding cliff after the $11 billion mandatory trust fund created by the Affordable Care Act expires in 2015, Michelle Proser, director of research at the National Association for Community Health Centers, stated at a May 16 Alliance briefing, Health Centers at the Launch of the Coverage Expansion. (Video)
Toolkit on Connection Between Health and Housing
A new Alliance toolkit, “The Connection between Health and Housing: The Evidence and Policy Landscape,” provides a detailed look into federal, state and local initiatives, as well as cost implications for health and housing programs.
Attempts to tie health and housing policy are gaining momentum, amid evidence that housing, a social determinant of health, is an important factor in the health status of various populations. More than 610,000 people experience homelessness in the U.S., and over 250,000 individuals within that population have a severe mental illness or a chronic substance use disorder, according to the Department of Housing and Urban Development.
Toolkit on Biosimilars
The Alliance for Health Reform has released a new toolkit, “Biosimilars: Unpacking Complex Issues.”
The Affordable Care Act created an expedited licensure pathway for biosimilars, and, in March 2015, the U.S. approved the first biosimilar, leaving policy makers, regulators, providers and stakeholders to grapple with regulatory and financial questions.
Biosimilars are similar – but not identical – to biologic drugs, and cost less. Unlike traditional pharmaceuticals, biologic drugs are derived from living organisms and tissues, making them more complex and expensive to produce.