The impact of managed care on the mix of vulnerable populations served by community health centers

Leiyu Shi, R. M. Politzer, J. Regan, D. Lewis-Idema, M. Falik

Research output: Contribution to journalArticle


This article examined the impact of managed care involvement on vulnerable populations served by community health centers (CHCs), while controlling for center rural-urban location and size, and found that centers involved in managed care have served a significantly smaller proportion of uninsured patients but a higher proportion of Medicaid users than those not involved in managed care. The results suggest that the increase in Medicaid managed care patients may lead to a reduced capacity to care for the uninsured, thus hampering CHCs from expanding access to health care for the medically indigent.

Original languageEnglish (US)
Pages (from-to)51-66
Number of pages16
JournalJournal of Ambulatory Care Management
Issue number1
Publication statusPublished - 2001



  • Access to care
  • Community health center
  • Managed care
  • Vulnerable populations

ASJC Scopus subject areas

  • Leadership and Management

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