Document Type
Issue Brief
Publication Date
12-18-2012
Abstract
The Patient Protection and Affordable Care Act of 2010 and the Supreme Court’s related decision have significantly shifted the health care landscape for safety net providers. Federally qualified health centers (FQHCs) are a mainstay of primary care for the uninsured and those with limited access to care. This paper focuses on the impact of health reform on FQHCs given the significant federal investment in them through grants, Medicaid, and Medicare reimbursement. Where noteworthy, the effect on non-FQHC community clinics is also discussed. The implications of Medicaid coverage expansions (or lack thereof in states that choose not to expand), Medicaid disproportionate share hospital program cuts, discretionary budgets and sequestration, Medicare payment changes, contracting with qualified health plans in state health insurance exchanges, and delivery system reforms are explored.
Recommended Citation
Taylor, Jessamyn, "Changes in Latitudes, Changes in Attitudes: FQHCs and Community Clinics in a Reformed Health Care Market" (2012). National Health Policy Forum. Paper 266.
https://hsrc.himmelfarb.gwu.edu/sphhs_centers_nhpf/266
Open Access
yes
Included in
Community Health and Preventive Medicine Commons, Health and Medical Administration Commons, Health Law and Policy Commons, Health Services Administration Commons, Health Services Research Commons
Comments
Issue brief no. 848