Health Policy Commons^™

Community Health Centers In An Era Of Health Reform: An Overview And Key Challenges To Health Center Growth, Peter Shin, Jessica Sharac, Carmen Alvarez, Sara J. Rosenbaum, Julia Paradise

Health Policy and Management Faculty Publications

Over 1,100 federally funded community health centers play a vital role in ensuring access to health care for a predominantly low-income population in medically underserved communities. Health centers’ ability to provide comprehensive primary care and improve access to high-quality care while holding down health care cost growth has been well-documented. As health reform spurs coverage expansion and efforts to improve quality, the nation’s reliance on health centers is likely to grow.

In the Affordable Care Act (ACA), Congress invested $11 billion over five years to expand the health center program, to broaden access to care in lower-income communities as coverage …

Examining The Evidentiary Basis Of Congress's Commerce Clause Power To Address Individuals' Health Insurance Status, Sara J. Rosenbaum, Leighton C. Ku, Paula M. Lantz, Holly Mead, Michal Mcdowell

Health Policy and Management Faculty Publications

Chief among the issues that the United States Supreme Court considers in United States Department of Health and Human Services et al. v Florida et al. is the questionof whether Congress has the constitutional power to apply a “minimum essential coverage requirement” on most nonelderly Americans. Opponents of the provision (referred to under the Act as the “Individual Responsibility” requirement) argue that compelling individuals to buy affordable health insurance coverage exceeds Congressional powers. By contrast, the United States Department of Justice and supporters of the law assert that the minimum coverage requirement is consistent with a long line of Supreme …

A Dose Of Reality: Assessing The Federal Trade Commission/Department Of Justice Report In An Uninsured, Underserved, And Vulnerable Population Context, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

Despite the size of their report, the Federal Trade Commission and Department of Justice pay virtually no attention to tens of millions of uninsured and underinsured persons. By focusing on an increasingly rarified group of health care customers—healthy, affluent, and highly insured—the report takes on an untethered quality, with only the slightest tip of the hat to its own limitations. Furthermore, the report overstates the extent of legal constraints on the market, in particular, the degree to which the market is free to select its customers and tailor its goods and services to the best risks. By miscasting the legal …

Walking A Tightrope: The State Of The Safety Net In Ten U.S. Communities, Marsha Regenstein, Lea Nolan, Marcia J. Wilson, Holly Mead, Bruce Siegel

Health Policy and Management Faculty Publications

This report presents the findings from the Urgent Matters safety net assessments and identifies common characteristics, opportunities and challenges for communities that wish to better serve the health care needs of uninsured and underserved individuals. It also illustrates differences across many of the communities, especially in terms of the structure and financing of their safety nets. It is a companion report to the individual safety net assessments and provides an overarching perspective of problems that affect safety nets across the country.

An Assessment Of The Safety Net In Lincoln, Nebraska, Lea Nolan, Lissette Vaquerano, Karen C. Jones, Marsha Regenstein

Health Policy and Management Faculty Publications

This report examines key issues that shape the health care network available to uninsured and under-served residents in Lincoln. It provides background on the Lincoln health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.

The safety net assessment team's analysis of the Lincoln safety net …

2003 State Of The State Addresses: Governors' Discussions Of Budget And Health Care Issues, Sara E. Wilensky, Betsy Schipani

Health Policy and Management Faculty Publications

A series of tables examines State of the State addresses nationwide to examine the frequency and content of Governors' discussions of budget and health care issues.

Access To Care For The Uninsured And Underserved: An Assessment Of The 20-County Service Area Of The Health Foundation Of Greater Cincinnati, Health Foundation Of Greater Cincinnati, Marsha Regenstein, Kyle Kenney, Lissette Vaquerano, Jennel Harvey, Sunga Carter, Cincinnati Health Network, Healthpoint Family Care, Southern Ohio Health Services Network

Health Policy and Management Faculty Publications

In 2002, The Health Foundation of Greater Cincinnati contracted with the Center for Health Services Research and Policy at The George Washington University to conduct a study of the Health Foundation's service area, looking specifically at issues related to access to healthcare for uninsured and underserved residents. This report provides information on the health and socioeconomic status of the population and the status of safety net providers in the region and identifies gaps in care that currently exist or are likely to surface in the near future. It also highlights areas that may be particularly sensitive to economic, political, or …