Navigation Links
States opting out of Medicaid leave 1.1 million community health center patients without health insurance
Date:5/8/2014

WASHINGTON, DC and NEW YORK (May 9, 2014) An estimated 1.1 million community health center patients are left without the benefits of health coverage simply because they live in one of 24 states that have opted out of the Medicaid expansion, a key part of the Affordable Care Act (ACA), according to a new report.

The research, by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at Milken Institute School of Public Health (Milken Institute SPH) at the George Washington University also shows that the vast majority (71 percent) of the 1.1 million patients left behind live in just 11 southern states (AL, FL, GA, LA, MS, NC, OK, SC, TN, TX, VA).

"These low-income patients, many of them living in the South, already face significant challenges to obtaining health care," says lead author Peter Shin, PhD, MPH, director of the Geiger Gibson Program in Community Health Policy and an associate professor of health policy at Milken Institute SPH. "Our analysis suggests these patients will remain without access to affordable insurance, which will almost certainly lead to delays in care and the risk of more serious health conditions."

The new report updates earlier estimates to reflect health center growth between 2011 and 2012 as reported in the Uniform Data System. This latest analysis, like the previous one which was published in 2013, examines what happens to community health centers and their patients in both the Medicaid expansion states, including New Hampshire, which recently decided to expand Medicaidas well as the 24 states that have continued to reject the Medicaid expansion.

In 2012, community health centers served 20.7 million patients in 8,000 medically underserved communities throughout the United States. Community health center patients tend to be uninsured or underinsured and they are typically much poorer than uninsured patients generally.

Shin and his colleagues estimate that the ACA would have helped 5.2 million out of a total of 7.5 million uninsured community health center patients to gain health coverage either by buying affordable policies or qualifying for Medicaid under the expansion programs. However, 1.1 million of the 5.2 million who could have gained coverage will remain uninsured due to states' decisions to opt out of the Medicaid expansion.

This report also shows that of the 1.1 million community health center patients left struggling without insurance, 35 percent live in just five opt-out states (AL, FL, GA, LA, MS).

"Health center patients living in the South remain disproportionately affected by the failure to expand Medicaid," says Sara Rosenbaum, JD, the Harold and Jane Hirsh Professor of Health Law and Policy at Milken Institute SPH. "Of the community health center patients denied coverage by virtue of their zip code, most live in the south and more than one third lives in the Deep South." Poor, minority patients in these states already face troubling disparities in health and health care. The decision to reject the Medicaid expansion threatens to make those disparities even worse, the report says.

The analysis also shows that health centers in the opt-out states will likely forgo over half a billion dollars ($569 million) in revenues they would have received under a Medicaid expansion. The loss of potential revenues presents significant challenges to these health centers, which already struggle to care for rising numbers of uninsured patients. In addition, the loss of federal revenues associated with an expansion also means these health centers will not be able to expand into areas that lack access to health care, the report says.

"While the number of uninsured Americans is going down across the nation thanks to the Affordable Care Act, the number of uninsured or underinsured patients seeking care at community health centers continues to grow," says Feygele Jacobs, president and CEO of the RCHN Community Health Foundation. "By rejecting Medicaid expansion, these states are leaving our safety net health care system and the patients it serves in jeopardy."

Community health centers in states that have expanded Medicaid face a very different future with 2.9 million uninsured patients in the expansion states gaining health coverage in 2014, according to the researchers. The increase in insurance payments will generate potential revenues of $2.1 billion in 2014, which help to pay for physicians, nurses, care for patientsand to further expand into isolated communities without access to crucial health care services.


'/>"/>

Contact: Kathy Fackelmann
kfackelmann@gwu.edu
202-994-8354
George Washington University School of Public Health and Health Services
Source:Eurekalert  

Related medicine news :

1. Neural states affect learning
2. Maternal deaths on the rise in the United States
3. New health system scorecard shows little progress among states from 2007-2012
4. Antibiotic-resistant bacteria among children in the United States on the rise
5. How states can encourage web-based health care in hospitals
6. Altruistic acts more common in states with high well-being
7. New report looks at how states restrictions on ACA implementation are affecting access
8. North America to Lead Flow Cytometry Market Till 2020, States Allied Market Research in Its Report Published at MarketPublishers.com
9. Ageism Affects Children and Youth More than the Ederly in the United States
10. Gabriel Pediatrics, A NY-Based Comprehensive Pediatric Care Practice, Responds to the United States’ Treatment of Pediatric AIDS
11. New Niche Plastic Fabrication Technology Requires Aggressive Education Expert States
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
States opting out of Medicaid leave 1.1 million community health center patients without health insurance
(Date:2/6/2016)... ... February 06, 2016 , ... Research ... treatment helps to reduce the frequency and level of relapse. , ... Healthy Identity and Purpose,” will explore the critical tasks of the recovery phase ...
(Date:2/5/2016)... ... February 05, 2016 , ... Successful recruitment and retention ... and scientific initiatives have all marked the last 12 months at Roswell Park ... of the nation’s oldest cancer center, Candace S. Johnson, PhD, outlined the many ...
(Date:2/5/2016)... ... February 05, 2016 , ... ... H. Van Allen have signed a joint enrollment and degree completion agreement. ... toward associate and baccalaureate degrees at FHU|Dickson. , The agreement allows students ...
(Date:2/5/2016)... Pass, OR (PRWEB) , ... February 05, 2016 , ... ... with modern technology, such water may be safer than regular municipal or well water. ... advocate and radio host Sharon Kleyne, could go a long way toward increasing public ...
(Date:2/5/2016)... York, New York (PRWEB) , ... February 05, 2016 , ... ... announced the election of Patrick McDermott as Chairman of the National Board of Directors. ... Pat as Chairman of the Board,” stated Leslie A. Chambers , APDA President ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... ALBANY, New York , February 5, 2016 /PRNewswire/ ... A new Transparency Market Research report states that the ... bn in 2014 and is predicted to reach US$185.9 ... a CAGR of 6.50% from 2014 to 2020. The ... Market: (Branded/Generic/Over-the-counter, Chemical/Biological, Captive/Contract Manufactured, by Geography, and by ...
(Date:2/5/2016)... England , February 5, 2016 ... --> Today, VoicePower Ltd - The Speech Recognition People, announced ... been deployed to improve patient care, reduce turnaround times and to ... Wirral CCG ,- VoicePower client since 2013 Challenge: ... Challenge: --> - Six doctors ,- Wirral CCG ...
(Date:2/4/2016)... 4, 2016  The Senior Care Pharmacy Coalition ... Committee Chairman Jason Chaffetz (R-UT) and ... hearing , "Developments in the Prescription Drug ... growing questions about abusive pharmacy benefit manager (PBM) ... and Ranking Member Elijah Cummings (D-MD) are diligent, ...
Breaking Medicine Technology: