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Community Health Centers: a Key Partner to Achieve Medicaid Expansion.

Richard Rieselbach1, Ted Epperly2, Eleanor McConnell3

  • 1University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. rer@medicine.wisc.edu.

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|July 26, 2019
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Summary

Federally Qualified Community Health Centers (CHCs) can improve Medicaid coverage access. A proposed "mega CHC" model with outreach clinics, a central hub, and teaching hospital integration offers a solution.

Keywords:
Medicaidcommunity health centersexpansion

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Access

Background:

  • Medicaid expansion, part of the Affordable Care Act, aims to broaden healthcare access.
  • Existing challenges hinder effective Medicaid coverage and patient access to care.
  • Federally Qualified Community Health Centers (CHCs) are vital for underserved populations.

Purpose of the Study:

  • To identify obstacles in Medicaid coverage.
  • To explore how CHCs can resolve these issues.
  • To propose a novel "mega CHC" model for enhanced Medicaid access.

Main Methods:

  • Analysis of current CHC status and limitations.
  • Development of a three-component "mega CHC" model.
  • Integration of satellite clinics, a central hub, and teaching hospital partnerships.

Main Results:

  • The proposed mega CHC model addresses access barriers in Medicaid expansion.
  • Satellite clinics with nurse practitioner-led teams enhance outreach.
  • Central hubs and teaching hospital links ensure comprehensive, cost-effective care.

Conclusions:

  • The mega CHC model can significantly improve healthcare access for Medicaid beneficiaries.
  • CHCs are positioned as key partners in successful Medicaid expansion.
  • This innovative model demonstrates CHCs' potential to ensure quality, cost-effective care.