The key premise of the Accountable Care Act was to expand coverage to nearly all Americans. These people will need access to care. By design, these centers are located in medically underserved areas in lower income rural and inne… These critical providers developed these skills since their launch in the 1960s. With additional funding for operations, community health centers will add staff to accommodate more patients, and add additional services at the centers to improve care delivery and lessen the chances of patients needing to get care will go to more expensive locations. Case in point: Using modeling developed by the U.S. Department of Agriculture and the Minnesota IMPLAN Group, an economic modeling firm, researchers determined how much economic activity a particular community health center will bring to a community, with details specific to each county and industrial sector. The combination of high unemployment and rising home foreclosures is especially felt in communities of color. In fiscal year 2002, which began in October 2001, President Bush launched the President’s Health Centers Initiative with the goal of adding 1,200 new and expanded health center sites over five years “to ultimately double the number of patients treated at community health centers.”15 This was the hallmark of his strategy to address the nation’s uninsured.16 Due to subsequent budget constraints, however, as the federal budget surplus of the 1990s under President Bill Clinton turned to deficits under President Bush, this goal shifted to expanding the number of patients seen from 10 million in 2001 to 16 million in 2006. Although the extra funding was allocated to improve and expand patient care, the secondary economic effects of this investment on the communities they serve cannot be ignored. Our aim is not just to change These new health centers and the businesses that have ramped up to serve the centers also must hire new employees. Clinics can be privately operated or publicly managed and funded. The increased funding for these health centers through the Affordable Care Act will be funneled to centers serving these communities where the extra economic benefits will be especially valuable. The new funding necessary to grow found support from the Bush administration and the Obama administration, receiving the most recent boost in investment funds from the American Recovery and Investment Act of 2009 and the Affordable Care Act of 2010. In fact, over two-thirds of the patients who receive care at community health centers are members of racial and ethnic minorities, which is one of the reasons these centers are so successful at reducing racial and ethnic health disparities in our country. So besides the direct economic effects within a health center, community health centers also provide indirect economic effects through their purchases of goods and services from other local business, as well as induced economic effects, which represent the response by all local industries caused by the expenditures of new household income generated by the direct and indirect effects. Seventy percent of patients seen have incomes below the federal poverty level (just over $22,00 for a family of four) and over 90 percent are under two times the federal poverty level (about $44,000 for a family of four). By intent, these health centers are located in lower income medically underserved communities mostly in rural and inner-city neighborhoods. The historic passage of the new health care law earlier this year now poses a number of implementation-related challenges, including how to deliver care to the additional 32 million Americans who will have health coverage. These health centers are required to provide a full range of health-related services, typically beyond what other health care providers such as hospitals or out-patient clinics provide. The same estimates were made for employment predictions. may need to go to a Hospital for some of the following health issues: PO Box 997377 The Recovery Act granted additional funding of about $2 billion to community health centers for operating costs and new construction dollars. The steady increase in federal funding has enabled these centers to provide high quality, accessible care to the nation’s most vulnerable populations. It should be noted that we cannot know with absolute accuracy the precise amount each state will receive in 2015 because of the process of distributing these funds. We found that in 2015, community health centers will generate over 457,000 jobs, (284,000 as a direct result of the new ACA dollars). This table shows the total economic activity by state in 2015 generated by investments in community health centers and also estimates what proportion of this is a direct result of the additional Affordable Care Act funding. policy institute that is dedicated to improving the lives of all Specific medical treatment (Surgery/Operation), en Because of a ripple effect, health centers often serve as an engine for stimulating existing and new businesses. A Clinic is a health care center where you receive routine preventative care when you are healthy or visit your Doctor/Primary Care Provider when you are sick. If it is an Emergency, go directly to the hospital. It has also incorporated some of the latest aspects like the sharing of information among health care providers while focusing on promoting the health, preventing illness, and other chronic conditions. Because these neighborhood-based and patient-directed centers are so intertwined with their neighborhoods they can often identity the health needs earlier and design effective community-based solutions before others even understand the underlying dynamics. leadership and concerted action. The dual intent of passage of the Affordable Care Act was to increase coverage for nearly all Americans while attempting to rein in health care costs. In the pages that follow, we also will demonstrate that all of this new funding will generate $53.7 billion in economic activity for some of the most disadvantaged neighborhoods in the country over the next five years, with $33.5 billion of this total attributable to the increased investments via the Affordable Care Act. The statute that created these centers requires them to meet four basic standards: These mandated links to the communities in which these health centers are located ensures they serve their neighborhoods efficiently and effectively. This focus on primary care and the provision of additional supportive services are among the reasons that care delivered by community health centers is less expensive and ultimately saves money to the broader health care system. There will also be an additional 171,500 jobs outside the health center, indirectly created as a result of the business generated by the delivery of care in the center and through additional local industries which are expanded as a result of the household income newly generated. (1-833-422-4255). Using this modeling, we are able in this memo to estimate the economic impact and effect on job creation that the funding provided in the Affordable Care Act will have on communities in 2015 nationally and on a state-by-state basis. (See figure two). How does expanded economic activity occur? Studies demonstrate that increased funding to health centers creates additional economic stimulus both within the center and beyond. Now, because of the passage of comprehensive health care reform earlier this year, an additional 32 million Americans will have health insurance coverage with about half of these individuals to be covered through an expansion of the Medicaid program. Studies estimate that the provision of care in community health centers ultimately saves the U.S. health care system between $9.9 billion and $24 billion annually by eliminating unnecessary emergency room visits and other hospital-based care. Español, - The passage of comprehensive health care reform was truly historic, setting the stage to achieve the dual goals set out at the beginning of the health care debate— expand coverage for nearly all Americans and rein in out of control health care costs. you are healthy or visit your Doctor/Primary Care Provider when you are sick. In addition, studies find these are the same areas with the highest rates of unemployment and the highest rates of uninsurance. Although actual economic activity will occur predominantly at very local levels—in areas near the health centers—the national economic impact was broken down by state in Table 2. In addition to health services, this assistance comes in the form of new economic growth and new jobs. The following example from Access Granted: The Primary Care Payoff illustrates the how health centers have direct, indirect, and induced economic influences on its neighborhood. But the expansion began almost a decade ago. The law requires them to be in areas with higher poverty rates within these states. An important but less widely discussed byproduct of the increased funding to community health centers is the enormous economic activity in the broader community generated by this influx of dollars. Why are community health centers so capable of putting these funds to work quickly and effectively?

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