Impacts of the Affordable Care Act on Receipt of Women’s Preventive Services in Community Health Centers in Medicaid Expansion and Nonexpansion States

2021 ◽  
Vol 76 (2) ◽  
pp. 92-94
Author(s):  
Brigit Hatch ◽  
Megan Hoopes ◽  
Blair G. Darney ◽  
Miguel Marino ◽  
Anna Rose Templeton ◽  
...  
Keyword(s):  
Community Health ◽  
Affordable Care Act ◽  
Community Health Centers ◽  
Preventive Services ◽  
Health Centers ◽  
Medicaid Expansion ◽  
The Affordable Care Act

scholarly journals Evaluation of Medicaid Expansion Under the Affordable Care Act and Contraceptive Care in US Community Health Centers

2020 ◽  
Vol 3 (6) ◽  
pp. e206874 ◽  
Author(s):  
Blair G. Darney ◽  
R. Lorie Jacob ◽  
Megan Hoopes ◽  
Maria I. Rodriguez ◽  
Brigit Hatch ◽  
...  
Keyword(s):  
Community Health ◽  
Affordable Care Act ◽  
Community Health Centers ◽  
Health Centers ◽  
Medicaid Expansion ◽  
The Affordable Care Act

scholarly journals Community Health Centers (CHCs) Under Environmental Uncertainty: An Examination of the Affordable Care Act of 2010 and Early Medicaid Expansion on CHC Margin

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Marcus Lam ◽  
Nathan Grasse
Keyword(s):  
Community Health ◽  
Affordable Care Act ◽  
Community Health Centers ◽  
Environmental Uncertainty ◽  
Safety Net ◽  
The United States ◽  
Health Centers ◽  
Medicaid Expansion ◽  
Medicaid Population ◽  
The Affordable Care Act

AbstractNonprofit community health centers (CHCs) are the largest subset of safety net clinics in the United States and, in many vulnerable and underserved areas, act as the only provider of vital health services in the community. The expansion of Medicaid provision under the Affordable Care Act of 2010 led to a fundamental change in the core client demographics of CHCs, with higher income thresholds and single childless individuals now eligible for Medicaid. This expansion of the Medicaid population creates both opportunities and threats that may impact CHCs’ long term financial sustainability. Accumulating reserves through positive net margins is a managerial tactic that nonprofits can utilize to buffer against environmental uncertainty. This study utilizes data from IRS Form 990s, American Community Survey, HRSA grantee lists, and the Area Resource File to model the differences in net margins between CHCs in early Medicaid expansion and non-expansion states from 2008–2012. Results show higher margins for CHCs in early expansion states compared to non-expansion states, even after accounting for organizational and environmental covariates. CHCs who are HRSA grantees are associated with positive margins whereas those relying more heavily on program revenue show negative margins. Further, CHCs located in counties with higher percentages of persons in poverty also demonstrate reduced margins. This exploratory study contributes to the nonprofit finance literature by highlighting the importance of incorporating contextual variables to deepen our understanding of changes in nonprofit financial health.

After the Affordable Care Act: Health Reform and the Safety Net

2016 ◽  
Vol 44 (4) ◽  
pp. 585-588
Author(s):  
Peter Shin ◽  
Marsha Regenstein
Keyword(s):  
Health Care ◽  
Community Health ◽  
Affordable Care Act ◽  
Health Reform ◽  
Community Health Centers ◽  
Safety Net ◽  
Public Hospitals ◽  
Health Centers ◽  
Safety Net Providers ◽  
The Affordable Care Act

Two major safety net providers – community health centers and public hospitals – continue to play a key role in the health care system even in the wake of coverage reform. This article examines the gains and threats they face under the Affordable Care Act.

Impacts of the Affordable Care Act on Community Health Centers

2018 ◽  
Vol 41 (4) ◽  
pp. 250-261 ◽  
Author(s):  
Brigit Hatch ◽  
Ning Smith ◽  
Mary Ann McBurnie ◽  
Thu Quach ◽  
Kenneth H. Mayer ◽  
...  
Keyword(s):  
Community Health ◽  
Affordable Care Act ◽  
Community Health Centers ◽  
Health Centers ◽  
The Affordable Care Act
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