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Key issues affecting school-based health centers and Medicaid

J G Lear1, L L Montgomery, J J Schlitt

  • 1Making the Grade: State and Local Partnerships to Establish School-Based Health Centers, Washington, DC 20036, USA.

The Journal of School Health
|March 1, 1996
PubMed
Summary
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Securing long-term funding for school-based health centers is crucial. Exploring patient care revenue can provide a sustainable financial strategy for these vital community resources.

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Finance

Background:

  • Public support for school-based health centers (SBHCs) has grown significantly.
  • The number of SBHCs has increased from 200 in 1990 to nearly 700.
  • Many SBHCs lack sustainable long-term funding mechanisms.

Purpose of the Study:

  • To address the critical issue of long-term financial sustainability for school-based health centers.
  • To explore patient care revenue as a potential funding component for SBHCs.
  • To inform state governments and SBHC administrators on funding strategies.

Main Methods:

  • The article examines the financial challenges faced by SBHCs.
  • It analyzes the potential of patient care revenue streams.

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  • Policy considerations for state governments and SBHCs are discussed.
  • Main Results:

    • A substantial number of SBHCs are at risk of service and staffing cuts due to funding instability.
    • Patient care revenue is presented as a viable option for long-term financial support.
    • The need for stable funding mechanisms is highlighted.

    Conclusions:

    • Developing stable funding mechanisms is essential for the continued operation of SBHCs.
    • Integrating patient care revenue can enhance the financial viability of SBHCs.
    • Policy interventions are needed to support the long-term sustainability of school-based health services.