Federally qualified health centers: Surviving Medicaid managed care, but not thriving.
Hoag, Sheila D
Date of Pub
Norton, Stephen A; Rajan, Shruti
This article reviews the experiences of federally qualified health centers (FQHCs) in Hawaii, Rhode Island, and Tennessee
before and after Medicaid managed care demonstrations began. Adapting to managed care proved challenging, but all FQHCs survived.
Overall, FQHCs performed better financially than anticipated, partly because demonstrations expanded coverage to previously
uninsured individuals, and because FQHCs in two States formed plans that paid FQHCs more than other plans. Service encounters
declined; it is unclear if this is negative, since it may indicate more efficient care delivery. In some cases, supportive
State policies aided FQHCs' survival. Continued adaptation is critical for FQHCs' longer term prospects.
Hawaii : Health Care Reform : Health Maintenance Organizations : Health Policy/economics : Health Services Accessibility :
Managed Care Programs : Program Evaluation/statistics & numerical data : Quality Assurance, Health Care : Rhode Island : State
Health Plans : Support, U.S. Gov't, Non-P.H.S. : Tennessee : United States Health Care Financing Administration