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Community Health Centers and Health Care Reform

Community Health Centers and Health Care Reform. Closing the Coverage Gap. June 16, 2010. Public Health Seattle & King County Dialogue on Health Reform. What is a FQHC? Four core requirements. Reach medically underserved communities Govern with community involvement

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Community Health Centers and Health Care Reform

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  1. Community Health Centers and Health Care Reform Closing the Coverage Gap June 16, 2010 Public Health Seattle & King County Dialogue on Health Reform

  2. What is a FQHC? Four core requirements • Reach medically underserved communities • Govern with community involvement • Treat patients regardless of ability to pay • Provide a comprehensive scope of services Federally Qualified Health Centers (FQHCs) must:

  3. The CHC Role in the Safety Net • Washington’s 26 Community Health Centers are the health care home for over 25% of the uninsured population. • To continue to meet demand and fulfill their role and mission, CHCs have rapidly expanded, increased staff and increased hours to include evenings and weekends.

  4. CHCs Serve Communities Statewide

  5. FQHCs in King County • HealthPoint • Seattle Indian Health Board • SeaMar • Country Doctor • International Community Health Services • Neighborcare Health • Public Health-S & KC (Health Care for the Homeless)

  6. Cost-Effective, Proven Strategy • Reduce/eliminate health disparities. • Help vulnerable patients successfully manage chronic conditions. • Save money in the health care delivery system by keeping patients out of the hospital and ER. • Integrated medical, dental, behavioral health services. 6 Impact: No other model of primary health care service delivery offers more services in one location or targets more special populations through one model of care.

  7. CHC Revenue Sources

  8. Medicaid • Medicaid is a critical source of funding for Community Health Centers. • FQHCs receive different payments for Medicaid services than other providers because of their mission and required wraparound services. • The payment system used to pay FQHCs is cost-based and indexed to a Washington State specific inflator.

  9. Grants Federal • Community Health Center Program • Migrant Health Center Program • Healthcare for the Homeless Program • Community Health Services (Administered by Health Care Authority) • County & city level funds, United Way, local health departments • Foundations & individual donations State Local Private

  10. Federal Health Care Reform • Increases funding for expanding health center operations from FY 2011-2015. • Increases patients served in health centers by 20 million through 2019. • Provides critical new funding to encourage health care providers to offer primary care: loan repayment; increased primary care reimbursement; incentives for improved outcomes, etc.

  11. Health Center ExpansionCommunity Health Centers Trust Fund • Capital--$1.5 billion FY 2011-2015—expand and improve existing facilities and construct new buildings.

  12. Expanding the Primary Care Workforce National Health Service Corps Trust Fund • Additional 15,000 primary care providers in provider-short areas. • Maximum annual loan repayment increases from $35,000 to $50,000. • Corps members may satisfy their service obligation through part-time clinical practice.

  13. Contact Information Steven Wish Director of Public Policy WACMHC 360.786.9722 ext. 227 stevenw@wacmhc.org www.wacmhc.org

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