The Affordable Care Act, Medical Homes, and Childhood Asthma: A Key Opportunity for Progress August 4, 2010
This policy brief, the first in a new series supported by the Merck Childhood Asthma Network and RCHN CHF, reviews the key provisions of the Patient Protection and Affordable Care Act (PPACA) that advance the medical homes concept and recommends approaches to advance high-quality treatment and effective asthma management. The report highlights the significant role of community health centers as medical homes that are well-equipped to provide comprehensive asthma care.
Changing pO2licy: The Elements for Improving Childhood Asthma Outcomes
A new report supported by the RCHN Community Health Foundation and the Merck Childhood Asthma Network, Inc. entitled, Changing pO2licy: The Elements for Improving Childhood Asthma Outcomes, presents new data on the magnitude of the asthma crisis, the surging cost of treatment, and the more than 1 million children with asthma who are uninsured.
February 23, 2010 (Released)
March 10, 2010 (Revised)
Video: Startling New Childhood Asthma Data February 23, 2010
The result of a year-long investigation, a new report, entitled Changing pO2licy: The Elements for Improving Childhood Asthma Outcomes, from The George Washington University, School of Public Health and Health Services supported by the RCHN Community Health Foundation and the Merck Childhood Asthma Network, Inc. finds that more than 1 million children with asthma remain uninsured and at risk for inadequate care. Through a series of moving personal stories, the following video brings into focus the scope and severity of the escalating problem of childhood asthma – the single most common chronic disease among children.
How is the Primary Care Safety Net Faring in Massachusetts? Community Health Centers in the Midst of Health Reform March 2009
The new Collaborative report, which was commissioned by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured, analyzes the impact of health reform on Massachusetts’ community health centers. The findings illustrate CHCs’ continued importance in providing high quality, comprehensive care to a broad population, and also present important considerations for the administration as it plans for health reform nationally.
Impact of Medicaid Documentation Requirements
May 7, 2007
The federal Medicaid policy documentation reforms enacted in July 2006, which require Medicaid applicants to provide evidence of citizenship or legal U.S. residence and personal identity have had an enormous impact on community health centers and their patients. To better understand the scope of the impact, the RCHN Community Health Foundation supported a study on the effects of the reforms conducted by The George Washington University (GWU) School of Public Health and Health Services. The preliminary findings were released in May 2007, in a report entitled "An Initial Assessment of the Effects of Medicaid Documentation Requirements on Health Centers and Their Patients". This brief revealed that the requirements are disrupting coverage for hundreds of thousands of health center patients, while delaying enrollment in Medicaid for potentially hundreds of thousands more.
GWU is now in the process of repeating the survey in order to provide updated results.
Case studies collected as part of the preliminary survey show that the rules are adversely affecting patient care at health centers for insured and uninsured patients, citizens and non-citizens. Patients are facing barriers to continued access, and centers are experiencing the financial fallout.
Barriers to Access:
Rather than curtailing enrollment by ineligible individuals, the reforms are affecting American citizens and documented immigrants. The policy has erected particularly daunting barriers to health care access for U.S.-born children and, ironically, for American Indians and Alaska Natives, whose tribal documents may not always be officially recognized by the federal government.
Financial Ramifications:
Because of significant delays in the Medicaid application and enrollment process, health centers suffer adverse financial consequences while they continue to serve patients awaiting coverage determinations.
Health center specific snapshots illustrate the impact of Medicaid policy requirement change on health centers across America and the patients they serve. Click below for these impact profiles: