Characterizing the Uptake of Newly Opened Health Centers by Individuals Dually Enrolled in Medicare and Medicaid
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Brad Wright1, Jill Akiyama, Andrew J Potter
1Department of Health Services Policy and Management, University of South Carolina, Columbia (Dr Wright); Department of Health Policy and Management, Gillings School of Public Health, UNC-Chapel Hill, Chapel Hill, North Carolina (Ms Akiyama); Department of Political Science & Criminal Justice, The California State University, Chico (Dr Potter); Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Sabik); The Cecil G. Sheps Center for Health Services Research, UNC-Chapel Hill, Chapel Hill, North Carolina (Ms Stehlin); Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, Rhode Island (Dr Trivedi); and Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City (Dr Wolinsky).
Abstract:
Federally qualified health centers (FQHCs) increasingly provide high-quality, cost-effective primary care to individuals dually enrolled in Medicare and Medicaid. However, not everyone can access an FQHC. We used 2012 to 2018 Medicare claims and federally collected FQHC data to examine communities where an FQHC first opened and determine which dual eligibles used it. Overall uptake was 10%, ranging from 6.6% among age-eligible urban residents to 14.8% among disability-eligible rural residents. Community-level uptake ranged from 0% to 76.4% (median = 5.5%; interquartile range = 2.8%-11.3%). Certain subpopulations of dual eligibles are significantly more likely to use FQHCs. Our findings should inform the targeting of future FQHC expansions.
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