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Full-Text Articles in Health Policy

Promoting The Integration And Coordination Of Safety-Net Health Care Providers Under Health Reform: Key Issues, Leighton C. Ku, Peter Shin, Marsha Regenstein, Holly Mead Oct 2011

Promoting The Integration And Coordination Of Safety-Net Health Care Providers Under Health Reform: Key Issues, Leighton C. Ku, Peter Shin, Marsha Regenstein, Holly Mead

Health Policy and Management Faculty Publications

The Affordable Care Act includes several provisions designed to encourage greater coordination and integration among health care providers, including the promotion of accountable care organizations and health homes. While much discussion has focused on how these strategies might be adopted by Medicare and private insurers, little attention has focused on their application among safety-net health care providers. Such providers face particular challenges in coordinating care for their low-income and uninsured patients, and no single approach is likely to meet their diverse needs. Successful efforts will require federal, state, and local financial resources to sustain the safety net and make the …


Transforming Community Health Centers Into Patient-Centered Medical Homes: The Role Of Payment Reform, Leighton C. Ku, Peter Shin, Emily Jones, Brian K. Bruen Sep 2011

Transforming Community Health Centers Into Patient-Centered Medical Homes: The Role Of Payment Reform, Leighton C. Ku, Peter Shin, Emily Jones, Brian K. Bruen

Health Policy and Management Faculty Publications

This report examines how changes in the way federally qualified health centers (FQHCs) are financed could support the transformation of these critical safety-net providers into high performing patient-centered medical homes. Through surveys and interviews, the authors explore the current landscape of health center involvement in medical home initiatives, adoption of medical home standards, and receipt of payment incentives. Based on their findings, the authors make preliminary recommendations to encourage health centers to serve as patient- and community-centered medical homes. These include: establishing recommended standards for patient- and community-centered medical homes that apply to FQHCs; structuring payment incentives to promote medical …


State Insurance Exchanges: An Overview, Sara J. Rosenbaum Sep 2011

State Insurance Exchanges: An Overview, Sara J. Rosenbaum

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


The View From New Hampshire: The Imperative Of Linking Health Care Reform To Economic And Job Growth, Maggie Wood Hassan Apr 2011

The View From New Hampshire: The Imperative Of Linking Health Care Reform To Economic And Job Growth, Maggie Wood Hassan

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Issues In Health Reform: How Changes In Eligibility May Move Millions Back And Forth Between Medicaid And Insurance Exchanges, Benjamin D. Sommers, Sara J. Rosenbaum Jan 2011

Issues In Health Reform: How Changes In Eligibility May Move Millions Back And Forth Between Medicaid And Insurance Exchanges, Benjamin D. Sommers, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

The Affordable Care Act will extend health insurance coverage by both expanding Medicaid eligibility and offering premium subsidies for the purchase of private health insurance through state health insurance exchanges. But by definition, eligibility for these programs is sensitive to income and can change over time with fluctuating income and changes in family composition. The law specifies no minimum enrollment period, and subsidy levels will also change as income rises and falls. Using national survey data, we estimate that within six months, more than 35 percent of all adults with family incomes below 200 percent of the federal poverty level …