Henry J. Kaiser Family Foundation
Medicaid; Uninsured; Health Centers; Quality Measures; Safety Net; Access to Care; Delivery System; Low Income
This study examines quality performance among community health centers (CHC) on three key measures of primary and preventive care — diabetes and blood pressure control and timely Pap tests — using quality in Medicaid managed care organizations (MCO) as a benchmark. The study also identifies factors that differ significantly between high- and lower-performing health centers. Most health centers perform better than 75% of all Medicaid MCOs on the two chronic care measures, and more than 1 in 10 exceed this benchmark on all three quality measures. Few health centers lag behind average Medicaid MCO performance on all three measures. Lower-performing health centers have very high uninsured and homeless rates, while high performers have higher rates of Medicare and privately insured patients, a finding that suggests that the ACA expansion of Medicaid and private insurance may foster gains in health center quality performance.
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Paradise, Julia; Shin, Peter; Sharac, Jessica; Rosenbaum, Sara J.; and Kaiser Commission on Medicaid and the Uninsured, "Quality of Care in Community Health Centers and Factors Associated with Performance" (2013). Health Policy and Management Issue Briefs. Paper 2.