Because there are still huge pockets of America without accessible health care services, community health centers are well positioned to ramp up and be ready to provide care to these newly covered health care recipients. Community health centers are well placed to help the nation achieve both these goals. As a result of Recovery Act funding, community health centers generated an additional $3.2 billion in economic activity for the communities they served.20 Much of this is a result of the new jobs created. Community health centers enjoy strong bipartisan support. Online Journal of Issues in Nursing, 19(2), 2. https://doi.org/10.3912/OJIN.Vol198No02PPT02, Miller, S. C., Frogner, B. K., Saganic, L. M., Cole, A. M., & Rosenblatt, R. (2016). By design, these health centers are run by a board of directors comprised mostly of health center patients, ensuring the care delivered is tailored for the needs of the communities they serve. Funding of $1.85 billion from the ARRA for community health centers resulted in $3.2 billion in new economic activity (Shin, Bruen, Jones, Ku, & Rosenbaum, 2010). These dollars also translate into job retention and creation. Prior to 2006 community health centers were not required to report on the same quality measures as other healthcare agencies. 5 Center for American Progress | The Importance of Community Health Centers higher numbers of community health centers and after analyzing county level data finds that these centers were located in counties with even higher rates of unemployment.8 Although there are over 8,000 community health center, the unmet need is still enormous. This one-time funding nearly doubled their annual funding of $2.1 billion in FY 2008. Health Affairs, 30(11), 2090-2097. https://doi.org/10.1377/hlthaff.2011.1008, Lathrop, B., & Hodnicki, D. R. (2014). By design, these centers are located in medically underserved areas in lower income rural and inne… New England Journal of Medicine, 372(25), 2451-2458. https://doi.org/10.1056/NEJMhpr1503614, Evans, C. S., Smith, S., Kobayashi, L., & Chang, D. C. (2015). 11th Feb 2020 These centers also serve a much higher percentage of individuals with Medicaid. These health centers are located in all 50 states, the District of Columbia and in the nation’s territories and commonwealths, but within these political boundaries they are located in the most underserved areas. 20 million people have gained health insurance coverage because of the Affordable Care Act, new estimates show [Press release]. In the three-month period between January and March 2010, for example, it is estimated that this investment created or maintained over 7,000 jobs—over half of which were health professionals. Predominately rural states see substantial economic benefit driven by health centers. With the $2 billion Recovery Act investment, these centers were projected to provide care to an additional 2.9 million patients over the stimulus act’s two-year funding period, but in fact registered seeing over 2 million additional patients in the first year of funding—indicative of the demand for community health services in our country. Since CHWs are often members of the communities they serve, and rural communities typically have strong community connections, CHWs have an opportunity to: To qualify for the discount, you must have paid at least 50% of your order cost by 23:59 on Wednesday 3rd of December 2020 (UTC/GMT). 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. Expansion of health centers is proposed to improve access to healthcare for underserved communities. Khoury AJ(1), Weisman CS, Jarjoura CM. (2012). the conversation, but to change the country. Launched in 1965 as a small experiment in bringing comprehensive primary care to rural and urban medically underserved communities, health centers have grown steadily over five decades following studies showing their effectiveness, not only in creating access to health care but in improving health on a community-wide basis.1Today’s health centers offer a wide range of services spanning a full spectrum … There remains controversy over the effectiveness of these provisions (Blumenthal, Abrams, & Nuzum, 2015). By intent, these health centers are located in lower income medically underserved communities mostly in rural and inner-city neighborhoods. Policy review: the US Affordable Care Act, community health centers, and economic development opportunities. That’s why any discussion of how to expand access to health services while trying to slow the rising costs of health care must include maximum utilization of our nation’s existing community health centers and the new ones needed to meet future needs. To receive the designation as a community health center and related funding, the practice must provide healthcare for underserved and at-risk populations (HHS, 2016). This is not an example of the work produced by our Nursing Essay Writing Service. Every dollar spent and every job created by health centers has a direct impact on their local economies. 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. Although there has not been a tremendous increase in providers, improvements have been made as a result of the ACA. Journal of Health Care for the Poor and Underserved, 26(3), 839-851. https://doi.org/10.1353/hpu.2015.0081, Goldman, L. E., Chu, P. W., Tran, H., Romano, M. J., & Stafford, R. S. (2012). Retrieved from https://www-clinicalkey-com.libproxy.unm.edu/#!/content/playContent/1-s2.0-S1544170915600051, Atsas, S., & Kunz, K. (2014). Author information: (1)University of Southern Mississippi, USA. These critical providers developed these skills since their launch in the 1960s. This is important since about half of the 32 million Americans who will be newly insured by the ACA will be eligible for Medicaid. Imagine a health center that purchases waiting room chairs from a local furniture store (direct effect). Through the Affordable Care Act, these health centers will receive an additional funding over the next five years to expand services and prepare to help meet the needs of these newly covered Americans. Annals of Family Medicine, 13(1), 10-16. With this additional funding, community health centers will be able to double the number of patients they serve to up to 40 million annually by 2015. The Affordable Care Act: Primary care and the Doctor of Nursing Practice Nurse. The funding also created an additional 1,500 jobs related to construction. Retrieved from https://meps.ahrq.gov/, Angier, H., Hooper, M., Gold, R., Bailey, S. R., Cottrell, E. K., Heintzman, J., Marino, M., & DeVoe, J. E. (2015). Economic benefit is gained by communities that have community health centers. It may be surprising to some, but community centers can boost a small town’s economy. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! In summary, the ACA provision to expand community health centers is based on their proven ability to deliver cost-effective, high quality healthcare for high risk populations. This means in addition to providing comprehensive primary health care services they also offer specialty care (such as orthopedic, cardiac, or podiatric care), dental and mental health services, as well as “supportive services” that can include nutrition education, translation services, care coordination and case management, transportation to and from health care sites, and outreach activities to help find eligible patients. This is especially important during times of economic insecurity. 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. Historically, funding community health centers proved to be a smart investment in exactly the communities that need it most. How does expanded economic activity occur? The same estimates were made for employment predictions. We are staffed with expert physicians & dentists that you can trust. The important role that community health centers play in their neighborhoods proved to be especially evident as the Obama administration and Congress revved up to combat the economic consequences of the Great Recession of 2007-2009. Community health centers offer excellent, cost-effective healthcare to the most vulnerable individuals in the United States irrespective of their ability to pay for the care received (United States Department of Health and Human Services [HHS], 2016). Further work is required to develop strategies to support adequate and stable community health center workforce to enable healthcare centers to continue to maintain current standards (Miller, Frogner, Saganic, Cole, & Rosenblatt, 2016). This also means the care delivered is culturally appropriate and in languages that many in these communities speak. American Journal of Preventive Medicine, 43(2), 142-149. The Effect of Community Health Center (CHC) Density on Preventable Hospital Admissions in Medicaid and Uninsured Patients. Studies consistently show that community health centers provide care that improves health outcomes of their patients. (See figure two). Interactive Map: Economic Benefits of Community Health Centers, Health Centers as Economic Engines for Their Communities, ‮g​r​o​.​s​s​e​r​g​o​r​p​n​a​c​i​r​e​m​a​@​r​e​g​r​e​b​e​e​s​c‭, ‮g​r​o​.​s​s​e​r​g​o​r​p​n​a​c​i​r​e​m​a​@​s​n​i​l​l​o​c​r‭, The US-Japan Alliance: Priorities for 2021, RELEASE: CAP Report Proposes New Paradigm for Humane and Effective Immigration Enforcement, EVENT ADVISORY: ‘We Are Essential’: Immigrants and the Path Toward a Resilient Economy, RELEASE: New CAP Column Shows How California’s Proposition 16 Was Not A Bellwether on Affirmative Action. Why are community health centers so capable of putting these funds to work quickly and effectively? Community Health Centers reaches communities throughout Orlando and beyond including centers in:: We have every reason to expect increased funding for these centers via the Affordable Care Act will follow these same patterns. The ACA provision to expand community health centers is overall successful. These employees spend their income on everyday purchases such as groceries, clothing, cars, and TVs (induced effect). 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. policy institute that is dedicated to improving the lives of all Over this same period, these centers will support 457,289 jobs in these same communities (over 284,000 as a result of ACA funding). 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. All work is written to order. (2015, July). Going for Gold in the Effort to Keep Community Health Centers Funded Retrieved from https://www-clinicalkey-com.libproxy.unm.edu/#!/content/playContent/1-s2.0-S0749379712002875, Kotelchuck, R., Lowenstein, D., & Tobin, J. N. (2011). Improved access for at-risk individuals results in decreased complications, fewer hospitalizations, and lower healthcare costs (Richards, Saloner, Kenney, Rhodes, & Polsky, 2014). To get the full picture of how this affects the neighborhoods served by the health centers, this economic activity can be broken down by what happens inside the health center and outside of them in the community at large. Orders placed without a payment will have the discount removed, but continue as normal. VAT Registration No: 842417633. The National Association of Community Health Centers (NACHC) was founded in 1971 to promote efficient, high quality, comprehensive health care that is accessible, culturally and linguistically competent, community directed, and patient centered for all. These include lowincome people, the uninsured, those with limited English proficiency, migrant and seasonal farm workers, individuals and families experiencing homelessness, and those living in public housing. First, and most obviously, health centers directly employ people in their communities, including key entry-level jobs, training, and other community-based opportunities. The Affordable Care Act allocates that the additional $9.5 billion funding for operating costs be distributed by a formula over the next 5 years and indicates that the funding should be in addition to (not a replacement for) current, appropriated funding which was $2.2 billion in FY 2010.24 We estimate that total spending by community health centers (including base appropriated funding and the new health reform funding) will generate $54 billion in economic activity in 2015, with $33 billion of this a direct result of the additional investment in the new law. Centers saw an additional two million patients in the first 12 months of funding (Kotelchuck et al., 2011). The nearly $2 billion investment from the stimulus act, for example, generated $3.2 billion of economic activity, and in 2009, health centers generated approximately $20 billion in economic activity for their local communities. Retrieved from https://www.hhs.gov/about/news/2016/03/03/20-million-people-have-gained-health-insurance-coverage-because-affordable-care-act-new-estimates. One study finds that increased funding from 1996-2006 resulted in increases in the provision of on-site mental health services, 24-hour crisis intervention, after-hours urgent medical care, and substance use counseling.