The Geiger Gibson/RCHN Community Health Foundation Research Collaborative is a unique, comprehensive, multi-faceted academic and research initiative focused on community health centers. The Collaborative’s academic home is the Department of Health Policy and Management at the Milken Institute School of Public Health at the George Washington University.
To initiate the Geiger Gibson/RCHN Community Health Foundation Research Collaborative, in 2007 the RCHN Community Health Foundation presented $2 million to the Milken Institute School of Public Health at the George Washington University (then known as the George Washington University School of Public Health and Health Services). The gift was then the largest ever received by the school. The purpose of the gift is to strengthen and expand the field of health center-oriented policy research. Specifically, the funds support the education and training of young scholars, support cutting-edge national and community health policy research, and create opportunities for the dissemination of research focused on access, health equity, and the role of health centers. A second major gift presented in 2012 provided for the expansion and continuation of the Collaborative’s work, including new funding for a dedicated post-doctoral research Fellow.
- 45. Community Health Centers and Medicaid Payment Reform: Emerging Lessons from Medicaid Expansion States
October 11, 2016
A new report prepared by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative examines how health centers and state Medicaid programs in a number of Medicaid expansion states are working to reform Medicaid in order to promote efficiency and quality, and more actively integrate health centers into states’ broader payment reform efforts. These alternative payment approaches enable health centers to test new strategies to address the needs of their patients, while allowing state Medicaid programs to align health center payment strategies more closely with broader payment reform efforts. In 2015, health centers cared for one in five Medicaid beneficiaries nationally, making Inclusion of health centers in payment reform essential.
- 44. How are Migrant Health Centers and their Patients Faring Under the Affordable Care Act?
May 16, 2016
A new brief from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative finds that patients who receive care at migrant health centers located in Medicaid expansion states are increasingly likely to have Medicaid.
- 43. “Puerto Rico’s Community Health Centers in a Time of Crisis”
December 14, 2015
A new brief from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative finds that an extraordinary need for publicly subsidized health services amidst an unprecedented economic crisis is putting Puerto Rico’s community health centers in jeopardy. A higher proportion of Puerto Rico’s population – nearly 1 person in 10 – depends on community health centers for their care, as compared with 1 in 14 on the mainland. Yet with more than 75 percent of those served by Puerto Rico’s health centers covered by Medicare, Medicaid, or both, reimbursement rates far lower than stateside, no tax subsidies for private coverage, and 12 percent remaining uninsured, that care is at risk. An exodus of health professionals has served to deepen the crisis.
- 42. How Has the Affordable Care Act Benefitted Medically Underserved Communities: National Findings from the 2014 Community Health Centers Uniform Data System
August 18, 2015
A new brief from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative examining newly-released data from the 2014 Uniform Data System (UDS) shows how the Affordable Care Act is changing insurance coverage and health care in the nation…
- 41. “Can Electronic Health Records Systems Support New Payment Methods for Health Centers”
April 13, 2015
A new study assesses the feasibility and usefulness of combining electronic health record (EHR) information with federal cost report data as the basis for developing or evaluating reimbursement rates for community health centers. The authors raise questions about how to quantify and reimburse the value of care associated with the community health center model.
- 40. “Teaching Health Centers: A Promising Approach for Building Primary Care Workforce for the 21st Century”
March 3, 2015
REVISED March 10, 2015 – The Teaching Health Center (THC) program was started in 2011 to increase the number of primary care residents and dentists trained in community-based settings, and to fill gaps left by the current system of graduate medical education.
- 39. Community Health Centers and Their Role for Patients Enrolled in the Children’s Health Insurance Program (CHIP)
February 23, 2015
Children’s Health Insurance Program and Community Health Centers Closely Linked, Vulnerable to Cuts CHIP is central to health centers’ ability to ensure high quality, appropriate care.
- 38. Using Payment Reform Strategies to Strengthen Family Planning Services at Community Health Centers
January 7, 2015
New report describes how payment reform could improve family planning services offered by the nation’s community health centers.
- 37. How Medicaid Expansions and Future Community Health Center Funding Will Shape Capacity to Meet the Nation’s Primary Care Needs: A 2014 Update
June 19, 2014
In an updated analysis of their November 2013 report, authors Leigton Ku, Julia Zur, Emily Jones, Peter Shin and Sara Rosenbaum use more recent data to estimate the number of patients who could be served in health centers in 2014 and 2020, depending on the outcome of key federal and state policy decisions: support for health center funding (either through a continuation of mandatory funding or an increase in discretionary appropriation levels) and state implementation of Medicaid expansion.
- 36. Assessing the Potential Impact of the Affordable Care Act on Uninsured Community Health Center Patients: An Update
May 9, 2014
An updated analysis of the impact of the Affordable Care Act (ACA) on uninsured health center patients estimates that 1.1 million community health center patients are left without the benefits of health coverage simply because they live in one of 24 states that have opted out of the Medicaid expansion. The vast majority (71 percent) of the 1.1 million patients left behind live in just 11 southern states (AL, FL, GA, LA, MS, NC, OK, SC, TN, TX, VA). The analysis also shows that health centers in the opt-out states will likely forgo over half a billion dollars in revenues they would have received under a Medicaid expansion. The loss of potential revenues presents significant challenges to these health centers, which already struggle to care for rising numbers of uninsured patients. The brief is authored by Peter Shin, PhD, MPH Jessica Sharac, Msc, MPH, and Sara Rosenbaum, JD of the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at the Milken Institute School of Public Health (Milken Institute SPH) at the George Washington University.
- 35. Assessing the Potential Impact of State Policies on Community Health Centers’ Outreach and Enrollment Activities
January 14, 2014
The first study to gauge the impact of state restrictions on the roll-out of the Affordable Care Act (ACA) indicates that community health centers across the country are engaged in an intensive effort to find and enroll eligible and uninsured patients and community residents.
- 34. How Medicaid Expansions and Future Community Health Center Funding Will Shape Capacity to Meet the Nation’s Primary Care Needs
November 18, 2013
A new report by Drs. L. Ku, J. Zur, E. Jones, P. Shin and S. Rosenbaum examines the impact of federal and state policy decisions on community health centers and their ability to continue providing primary care to the nation’s poorest residents.
- 33. Assessing the Potential Impact of the Affordable Care Act on Uninsured Community Health Center Patients: A Nationwide and State-by-State Analysis)
October 16, 2013
In a new brief, authors Peter Shin, Jessica Sharac and Sara Rosenbaum estimate that more than 5 million health center patients would have gained coverage had all states participated in a sweeping Medicaid expansion.
- 32. Assessing the Potential Impact of Sequestration on Community Health Centers, Patients, and Medically Underserved Communities
March 4, 2013
A new report by the Peter Shin, Jessica Sharac, Carmen Alvarez, and Sara Rosenbaum examines the potential impact of sequestration on community health centers and their patients and communities.