Health Care Reform Resources
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Affordable Care Act
Health Insurance Marketplaces
Medicaid Expansion
Primary Healthcare Improvement

Affordable Care Act (ACA)

Health Insurance Marketplaces

Medicaid Expansion Information

  • Geiger Gibson/RCHN Community Health Foundation: Impact on CHCs in States that do not Expand Medicaid
    Geiger Gibson/RCHN Community Health Foundation Research Collaborative analyzes the impact on community health centers of states’ refusal to implement the Medicaid expansion under the Affordable Care Act (ACA). Click here to download.
  • NACHC Medicaid Expansion Calculator
    NACHC State Affairs has developed a Medicaid Expansion Calculator making the business case for health centers. The calculator is designed to compute the additional revenue if Medicaid was expanded in the health center’s state and uninsured patients gained coverage. It can be used by a health center entering its own specific data or a PCA confirming the value expansion will have on its health centers in its state. This is the first iteration of the calculator; NACHC is already planning a second version which would incorporate more financial data.
  • State of Refor(u)m Medicaid Expansion Chart
    State of Refor(u)m has produced a chart that tracks state Medicaid expansion decisions. The chart includes direct links to statements from the governor or executive branch, activity in the state legislature, and fiscal and demographic analyses from the state or other institution. Click here to check the progress of Medicaid expansion in your state.

Primary Healthcare Improvement

  • AHRQ & Commonwealth Fund Launch Health Extension Toolkit
    The Agency for Healthcare Research and Quality (AHRQ) and the Commonwealth Fund are supporting the role of a new, emerging strategy for facilitating primary care transformation and improving community health-“Health Extension.” The Primary Care Extension Program is incorporated into the Affordable Care Act in Section 5405. They have launched a new online toolkit on the range of applications of Health Extension, how to get started and where to get help. Click here to access the toolkit.
  • US Government Accountability Office (GAO) Health Center Strategies Report
    The GAO reports on the cost of the use of emergency rooms for non-urgent matters and the potential savings with the expansion of FQHCs. The report also discusses some of the strategies health centers are using to reduce non-urgent use of emergency rooms. Full report here.
  • National Academy for State Health Policy (NASHP) State "Accountable Care" Activity Map
    With the support of The Commonwealth Fund, NASHP is tracking state efforts to lead or participate in accountable care models that include Medicaid and Children’s Health Insurance Program populations. Accountable care models aim to address lack of care coordination and wide disparities in cost and quality of care in the U.S. health care system, perpetuated by the prevailing fee-for-service payment method, through shared incentives to manage utilization, improve quality, and curb cost growth. Click here to access. 
  • Practical Playbook: Public Health and Primary Care Together
    Winston Wong's new book on the importance of the integration of public health and primary care is applicable to health centers and offers professionals a roadmap to integrating the two
  • Robert Wood Johnson Foundation US Health Care Poll
    A recent poll conducted by the Robert Wood Johnson Foundation found that many Americans believe the US Health Care system deserves a "C", at best. Americans with an income of $50,000 per year are mostly likely to think the quality of their health care is below average. Why do so many Americans believe that their care is subpar? Find the answers here.



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