TY - JOUR
T1 - Managed care and community health centers
AU - Shi, Leiyu
AU - Frick, Kevin D.
AU - Lefkowitz, Bonnie
AU - Tillman, Julia
PY - 2000/1
Y1 - 2000/1
N2 - This study has two objectives: (1) to examine the relationship between the involvement of community health centers (CHCs) in managed care and various center characteristics, including patient, provider, services, and financial characteristics, that are critically linked with the fulfillment of their mission and (2) to identify factors significantly associated with CHCs' involvement in managed care. Regarding the first objective, the study indicates that CHCs involved in managed care have more diversified sources of revenue and depend less on grant funding than other CHCs, and they serve a significantly smaller proportion of uninsured and homeless patients. Involvement in managed care is also associated with greater financial vulnerability, reflected in higher costs and net revenue deficits. Regarding the second objective, the study finds that CHCs have become involved in managed care largely in response to external market pressures, such as the prospect of reduced federal grant funding. Other significant factors include center size, location, and the percentage of users who are Medicaid patients.
AB - This study has two objectives: (1) to examine the relationship between the involvement of community health centers (CHCs) in managed care and various center characteristics, including patient, provider, services, and financial characteristics, that are critically linked with the fulfillment of their mission and (2) to identify factors significantly associated with CHCs' involvement in managed care. Regarding the first objective, the study indicates that CHCs involved in managed care have more diversified sources of revenue and depend less on grant funding than other CHCs, and they serve a significantly smaller proportion of uninsured and homeless patients. Involvement in managed care is also associated with greater financial vulnerability, reflected in higher costs and net revenue deficits. Regarding the second objective, the study finds that CHCs have become involved in managed care largely in response to external market pressures, such as the prospect of reduced federal grant funding. Other significant factors include center size, location, and the percentage of users who are Medicaid patients.
KW - Community health center
KW - Managed care
KW - Medicaid Uniform Data System
UR - http://www.scopus.com/inward/record.url?scp=0033970990&partnerID=8YFLogxK
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U2 - 10.1097/00004479-200001000-00002
DO - 10.1097/00004479-200001000-00002
M3 - Article
C2 - 11184892
AN - SCOPUS:0033970990
SN - 0148-9917
VL - 23
SP - 1
EP - 22
JO - Journal of Ambulatory Care Management
JF - Journal of Ambulatory Care Management
IS - 1
ER -