The NAFCC report, America’ s Free and Charitable Clinics: Vital Support for 30 Million Uninsured Americans provides a description of the ongoing need for free and charitable clinics after implementation of the Affordable Care Act. (submitted by S. Graham)
The Patient Centered Primary Care Collaborative (PCPCC) published patient centered medical home (PCMH) activity through state programs across the United States. Each state page includes a checklist of potential programs states can use to expand PCMH activity (e.g., legislation, regulations, grant-funded demonstration programs, etc.), a listing of PCMH programs grouped by public, private and/or multi-payer type, evaluation data, population health data and statistics, and state-specific news.
Compared to other states, Virginia has a low level of PCMH activity through state programs. This does not mean that there are fewer PCMH recognized clinicians/practices in Virginia, but rather it speaks to state policy and programs related to the medical home. Click here to view Virginia’s page on the PCPCC website.
Geiger Gibson/RCHN Community Health Foundation Research Collaborative Policy Research Brief # 36; Peter Shin, PhD, MPH; Jessica Sharac, MSc, MPH; Sara Rosenbaum, JD
This report provides updated estimates of the number of community health center patients who are expected to gain insurance coverage under health reform. Our original report that estimated the impact of the ACA on uninsured health center patients was based on 2011 Uniform Data System data, while this updated analysis uses 2012 data and includes New Hampshire among the Medicaid expansion states. We estimate that were all states to expand Medicaid, 5.2 million uninsured health center patients would gain coverage nationally. But because 24 states have not done so, nearly 1.1 million patients will remain uninsured. Health center patients living in southern states are disproportionately affected. Among health center patients denied Medicaid, approximately 71 percent live in the South.
What issues and questions are you encountering regarding your patients’ eligibility for and navigation through the Marketplace?
Through meetings and conversations with clinics statewide, we see that safety net organizations are encountering questions related to patients’ eligibility for and navigation through the Marketplace. Community Health Solutions has offered to collect these questions and work with Enroll Virginia and other partners to find answers. Click here to share an issue or question.
Governor Bob McDonnell unveiled the Commonwealth’s budget for the next two fiscal years in a morning address to the Joint Money Committees of the General Assembly. According to Linda Wilkinson, he did not recommend any cuts to funding for free clinics through VAFCC.
The Washington Post published a brief FAQ on “how to get enrolled” in the marketplaces. The FAQ is geared towards an audience at higher income levels, for which the subsidies are not applicable. However, the questions and answers are still informative and to the point.
Posted by Sally Graham, Goochland Free Clinic:
This is a nice summary of the ACA, dental coverage, and the consequences of not having access to dental services. Published in the November 2013 issue of Nonprofit Quarterly.
The Kaiser Family Foundation just published a new report “Medicaid in a Historic Time of Transformation: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2013 and 2014.”
In the Kaiser Health News summary of the report, they state that even states not expanding Medicaid will see surge in spending, enrollment. According to a survey of state Medicaid officials by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured, states that did not expand Medicaid eligibility under the Affordable Care Act will nonetheless see enrollment grow by an average of 5 percent and spending by 7 percent. In states that expanded eligibility, enrollment is expected to grow by nearly 12 percent and spending by 13 percent. Only three states’ (Louisiana, Maine and Wisconsin) projected Medicaid enrollment would decrease in 2014.