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19.  Strengthening Primary Care to Bend the Cost Curve: The Expansion of Community Health Centers Through Health Reform
June 30, 2010

This analysis indicates that the expansion of community health centers (CHCs) will make a major contribution toward bolstering the capacity of the nation’s primary care system and reducing the long term growth in health care costs.

The report indicates that the $11 billion in additional federal grants for community health centers will 1) increase the number of patients receiving primary care at CHCs by at least 18 million by the end of the decade, effectively doubling the number of people served and 2) reduce total national medical costs by more than $180 billion over the next ten years. If CHCsreceive additional funding through appropriations in future years, medical costs could be reduced by up to $300 billion over the next ten years.

18.  Medical-Legal Partnerships: Addressing the Unmet Legal Needs of Health Center Patients
May 4, 2010

This report examines the role of medical-legal partnerships (MLPs) as catalysts for improving the overall health of low-income and vulnerable patients by addressing their legal needs. Given their comprehensive approach to health care and high proportion of low-income patients, health centers could serve as an excellent entry point for low-income populations to legal services. MLPs can also benefit the viability of the centers.

17.  The Economic Stimulus: Gauging the Early Effects of ARRA Funding on Health Centers and Medically Underserved Populations and Communities
February 16, 2010

This brief, issued on the first anniversary of the American Recovery and Reinvestment Act, examines the effect of ARRA stimulus funding on community health centers. It projects that the federal investment of approximately two billion dollars in the nation’s 1,100 community health centers will generate $3.2 billion in economic activity – an estimated return on investment of nearly two dollars for every dollar spent. Because health centers were able to rapidly transform the infusion of funding into new services and jobs, the ARRA investment provided significant relief to many of the nation’s hardest hit communities and has acted as an effective economic engine.

16.  Using Primary Care to Bend the Cost Curve: The Potential Impact of Health Center Expansion in Senate Reforms
October 14, 2009

This report is an analysis of health reform legislation currently under consideration in the Senate. The analysis posits a consolidated measure combining elements of both the Senate Health, Education, Labor and Pensions (HELP) Committee and Senate Finance Committee bills. A combination of both bills could expand health insurance coverage and investments in community health centers, while producing savings of $369 billion for the entire health care system and $105 billion for the federal portion of Medicaid over the next decade.

15.  Estimating the Economic Gains for States as a Result of Medicaid Coverage Expansions for Adults
October 7, 2009

This policy research brief finds that the Medicaid expansions currently under Congressional consideration as part of health reform legislation would not only improve the health and well-being of previously uninsured individuals and families but also would generate significant economic returns in new business activities, jobs, salaries and wages. The report concludes that a $10 million investment by each state in Medicaid would generate, on average, 247 jobs in addition to $29.1 million in business activity. Every dollar invested in Medicaid helps generate two to six dollars in new business activities.

14.  Using Primary Care to Bend the Curve: Estimating the Impact of a Health Center Expansion on Health Care Costs
September 1, 2009

This policy research brief finds that health center expansion to serve an additional 20 million patients as a part of national health reform would result in overall health care savings of $212 billion from 2010 to 2019, including federal Medicaid savings of $59 billion. The report emphasizes that the savings far exceed the $38.8 billion health center investment called for in the July 14 House health reform bill.

13.  Health Center Data Warehouses: Opportunities and Challenges for Quality Improvement
August 7, 2009

This policy research brief reports on a pilot project in Michigan that demonstrates the potential of data warehouses to create performance measures specifically tailored to community health centers.

12.  Community Health Centers in Indiana: State Investments and Return
July 29, 2009

This brief presents key findings from a recent study that estimated cost savings and benefits generated by Indiana’s investment in the state's community health centers. The study examines the crucial role community health centers play in providing cost-effective care, enabling states to potentially save of millions of dollars annually.

11.  Estimating the Effects of Health Reform on Health Centers’ Capacity to Expand to New Medically Underserved Communities and Populations
July 23, 2009

This policy research brief examines the potential impact of the draft House Tri-Committee health reform bill on community health centers’ capacity to provide primary health care services to millions of needy patients, including the newly insured and millions who will remain uninsured.

10.  National Health Reform: How Will Medically Underserved Communities Fare?
July 9, 2009

This research brief studies the potential impact of national health reform on the more than 96 million residents of America's urban and rural medically underserved communities. The researchers estimate that 72 percent of medically underserved community residents are insured; yet residents of these communities experience ongoing barriers to adequate health care The brief identifies a series of safeguards and investments essential to long term quality and efficiency improvements in underserved communities.

9.  Boosting Health Information Technology in Medicaid: The Potential Effect of the American Recovery and Reinvestment Act
July 7, 2009

This report examines the Medicaid HIT adoption incentives contained in the American Reinvestment and Recovery Act (ARRA). The first study to map the potential impact of the Medicaid provisions on incentive funding finds that about 45,000 office-based physicians – including nearly all physicians who practice at FQHCs and half of office-based pediatricians – may be eligible for up to $63,750 over six years to improve and maintain their HIT systems because of their participation in Medicaid.

8.  Examining the Experiences of Puerto Rico’s Community Health Centers Under the Government Health Insurance Plan (GHIP)
April 22, 2009

This report examines the impact of Puerto Rico’s 1994 health reform on the Commonwealth’s community health centers. The findings highlight the importance of investing in health centers, not only to support essential primary health care, but to achieve cost savings and generate economic activity.

7.  Restoring Medicaid and SCHIP Coverage to Legal Immigrant Children and Pregnant Women: Implications for Community Health and Health Care for Tomorrow's Citizens
January 14, 2009

A new policy brief by the Collaborative indicates that restoring eligibility for Medicaid and SCHIP coverage to legally-admitted immigrant children and pregnant women is crucial. The current reauthorization debate provides an opportunity to improve the health status of vulnerable immigrant populations and strengthen their ability to contribute to the nation and the economy.

6.  Assessing the Effects of Medicaid Documentation Requirements on Health Centers and Their Patients: Results of a “Second Wave” Survey
October 4, 2008

This report represents a “second wave” follow-up to a “first wave” study whose purpose was to measure the effects of the Deficit Reduction Act’s citizenship documentation requirements on health centers and their patients.


5.  Designation of Medically Underserved and Health Professional Shortage Areas: Analysis of the Public Comments on the Withdrawn Proposed Regulation
September 3, 2008

The Collaborative's latest research brief examines comments from health centers and concerned parties across the country on the proposed rule to narrow the federal definition of medical underservice. HRSA’s withdrawal of the proposed regulation provides an opportunity for a future approach that better addresses critical concerns related to data, methodology, and stakeholder involvement.

4.  Uninsured and Medicaid Patients' More Likely to Receive Preventive Care in Community Health Centers
August 13, 2008

The study finds that community health centers out-perform other primary care providers in the use of key preventive care services by both Medicaid and uninsured patients.

3.  Grantee-Level Estimates Show that 31 Percent of All Health Centers would Fail to Meet Tier Two Status under HRSA's Proposed MUA/MUP/HPSA Designation Regulations
May 12, 2008

This analysis shows that nearly one-third of all health centers would fail to qualify for Tier Two designation under HRSA's proposed designation process.

2.  Analysis of the Proposed Rule on Designation of Medically Underserved Populations and Health Professional Shortage Areas
May 1, 2008

The policy brief examines a proposed federal regulation to create a new method to designate Health Professional Shortage Areas and Medically Underserved Areas or Populations. 

1.  How Does Investment in Community Health Centers Affect the Economy?
February 25, 2008

Inaugurating a new research brief series on health centers and health policy, the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at The George Washington University School of Public Health and Health Services estimates that a $250 million appropriations increase in the community health centers program would yield health care for an additional 1.8 million patients and a nationwide four-to-one return on investment.





 
Geiger Gibson Program: A health-center focused initiative within The George Washington University School of Public Health and Health Services.
 
A membership organization representing community health centers and dedicated to expanding access to health care.
 
An affiliate of NACHC, CHV offers products and services to meet the specific needs of CHCs.
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