community health centers

A few recent pieces worth a read: Sarah Kliff at Vox: Why Obamacare enrollees voted for Trump Chimamanda Ngozi Adichie at the New Yorker: Now is the time to talk about what we are actually talking about Ta-Nehisi Coates at The Atlantic: My President Was Black Nidhi Subbaraman at BuzzFeed: Obamacare Repeal Will Bring Lean Times To 9,000 Clinics For The Poor Helen Branswell at STAT: With latest Zika research, our picture of the virus gets cloudier Charles Ornstein and Hannah Fresques, ProPublica, and Mike Hixenbaugh at ProPublica/The Virginian-Pilot: The Children of Agent Orange
A few of the recent pieces I've liked: Sara Rosenbaum at the Health Affairs Blog: Planned Parenthood, Community Health Centers, And Women’s Health: Getting The Facts Right Laura Ungar at USA Today: Study: Needle exchange policy prevented HIV Maryn McKenna at Phenomena: Germination: Tickborne Diseases: Widespread, Serious, and Taking us by Surprise Elissa Strauss at Longreads: The Lost Summer Oliver Sacks's opinion piece "My Periodic Table" appeared in the New York Times in July, just weeks before he died of cancer. Since then, past writing by and about him has gained attention. I enjoyed…
The American Public Health Association (APHA) takes the prize for the best headline in response to today’s Supreme Court’s decision on the Affordable Care Act (ACA): "Six million sighs of relief." APHA’s executive director Georges Benjamin, MD elaborated: “We are pleased the court understood the legislative history and intent of this law… We know that when people can’t afford health insurance, they don’t get health care — and get sicker as a result. …APHA and the public health community rejoice in today’s decision, and look forward to working with the administration and Congress to realize…
$569 million. That’s how much revenue community health centers will miss out on because their state legislators decided not to expand Medicaid eligibility. The loss means that many community health centers will continue to struggle to serve all those in need, others will have to cut back on services and some could be forced to shut down altogether. “In some ways, it’s status quo,” Peter Shin told me. “But for many of them, it’s a bleak status quo.” Shin co-authored a recent report on the impact of the Affordable Care Act (ACA) on uninsured patients at community health centers, zeroing in on…
I've written before about the importance of the Affordable Care Act's Medicaid expansion and about the role of community health centers in delivering primary care to underserved patients. With roughly half of the states declining the now-optional Medicaid expansion and an uncertain federal funding environment, though, the extent to which health centers will be able to serve the newly insured is up in the air. A new report from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative puts some numbers on the variability. Under different Medicaid expansion and funding scenarios…
In Wonkblog yesterday, Sarah Kliff highlighted an important aspect of immigration reform: Undocumented immigrants who gain legal status will also gain access to the Affordable Care Act’s options for getting health insurance. The Congressional Budget Office estimated that the ACA would reduce our nonelderly uninsured by 32 million, but 23 million people would remain without health insurance – and one-third of those people would be undocumented immigrants. The ACA has two main mechanisms for offering affordable coverage to the uninsured: 1) expansion of Medicaid eligibility to all legal…
Millions of people will gain insurance under the Affordable Care Act, but will they be able to get appointments with healthcare providers? Coverage doesn't automatically translate into access, and some newly insured individuals will struggle to find physician practices that will take them on as patients. In particular, states that adopt the (now optional) Affordable Care Act Medicaid expansion, which extends eligibility to adults up to 133% of the poverty level, may encounter a severe shortage of providers willing to accept new Medicaid patients. Although Medicaid reimbursement levels vary…
Earlier this week, the Geiger Gibson/ RCHN Community Health Foundation Research Collaborative released a policy research brief that estimates the impact of the House of Representatives' proposed reduction in funding to community health centers. (Full disclosure: the Geiger Gibson program is part of the George Washington University's School of Public Health & Health Services, where I work, and I've taken classes taught by Sara Rosenbaum, one of the authors of the brief.) I'm sure most readers won't be surprised to learn that cuts to community health center funding won't really save money…