Community health centers and the President’s HIV Initiative: issues and challenges facing health centers in high-burden states and communities
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Policy issue brief (Geiger Gibson/RCHN Community Health Foundation Research Collaborative)
- Author(s):
- Rosenbaum, Sara, author Sharac, Jessica, author Shin, Peter, author Gunsalus, Rachel, author
- Contributor(s):
- Geiger Gibson/RCHN Community Health Foundation Research Collaborative issuing body. Geiger Gibson Program in Community Health Policy, issuing body. George Washington University, issuing body. Milken Institute School of Public Health, issuing body.
- Publication:
- [Washington, D.C.] : Milken Institute School of Public Health, George Washington University, February 2019
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Centers Community Health Services HIV Infections -- therapy Facilities and Services Utilization -- trends Financing, Government Forecasting HIV Infections -- economics HIV Infections -- prevention & control Medicaid State Government Humans United States United States. Centers for Medicare & Medicaid Services (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- Community health centers care for 16 percent of people living with an HIV diagnosis in the U.S., and 22 percent of all people with HIV who are receiving HIV-related care. The President's HIV initiative calls for a major expansion of health care: outreach to at-risk populations; services aimed at preventing new infections; and ongoing care and treatment for people living with an HIV diagnosis. All health centers will face challenges in expanding their services, but none more so than those located in the 10 states among those 26 identified as high-burden states or states containing high-burden regions that have not adopted the ACA Medicaid expansion. In these states, thousands of low-income, at-risk people remain exposed to a coverage gap. All health centers will need additional up-front resources to ramp up care capacity still further; those without the Medicaid expansion face the added hurdle of finding funds to sustain expanded services, once added. One key question facing policymakers is how to extend the Community Health Center Fund while adding additional resources for expanded care--and doing so for the 10-year life of the HIV initiative. Another is how to further incentivize adoption of the Medicaid expansion in remaining states. A further key question is whether CMS will modify its § 1115 Medicaid work and eligibility restriction experiments, which threaten to increase coverage interruptions for at-risk, non-exempt populations.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (9 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101755854 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101755854