Financing Community Health Centers Resource Bank: Additional Resources

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Overview of CHCs

• Community Health Centers Chronicles– This web site provides a historical overview of the CHC movement, and highlights stories of individual CHCs across the country.


• Cost Effectiveness of Care Provided at Health Centers
  • Author: National Association of Community Health Centers
  • Summary: The report summarizes how community health centers are an affordable, comprehensive, and cost-effective option for delivering primary and preventive care. Research demonstrates that health centers deliver a significant return on investment – in terms of system-wide savings, economic benefits, and health improvements. As health centers expand to reach new patients with unmet health care needs, the value they bring to communities and payers will grow.


• Health Centers and Medicaid
  • Author: National Association of Community Health Centers
  • Summary: The report highlights how both Medicaid and CHCs improve access to care for the nation’s most medically underserved. Medicaid is the largest source of health insurance for low-income and disabled people, while CHCs ensure that over 20 million underserved patients have a place for primary and preventive care.


• Health Center Program Terminology Tip Sheet
  • Author: U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA)
  • Summary: This tip sheet defines and provides distinctions between such terms as health centers, Health Center Program grantees, Federally Qualified Health Centers (FQHCs), and FQHC Look-Alikes and their applicability to health care.


• Understanding the Medicaid Prospective Payment System for Federally Qualified Health Centers
  • Author: National Association of Community Health Centers
  • Summary: This report provides some contextual analysis regarding the passage of the Prospective Payment System (“PPS”), and explains the specific provisions of this new policy and how it is to be implemented by FQHCs.

Economic Development Impacts of CHCs

• Bootstrappers and Mavericks: A Framework for Understanding What Drives Community Clinics
  • Authors: Scott Sporte and Annie Donovan, Capital Impact Partners
  • Summary: Community health centers contribute in significant ways to the growth and stability of low-income neighborhoods. Their impact has been long-standing, yet not widely known in the community development field. This article explores the linkages between community development and CHCs.


• Community Health Centers: A Vital Strategy for Community Development
  • Authors: Scott Sporte and Annie Donovan, Capital Impact Partners
  • Summary: Community health centers contribute in significant ways to the growth and stability of low-income neighborhoods. Their impact has been long-standing, yet not widely known in the community development field. This article explores the linkages between community development and CHCs.


• Community Impact of Health Centers Continues to Increase
  • Author: Capital Impact Partners
  • Summary: This infographic highlights the powerful economic benefits health centers provide to local communities.


• How The Health And Community Development Sectors Are Combining Forces To Improve Health And Well-Being
  • Author: Sandra Braunstein (Federal Reserve Board’s Division of Consumer and Community Affairs) and Risa Lavizzo-Mourey (Robert Woods Johnson Foundation)
  • Summary: This article explores the growing partnerships between the health and community development sectors as well as the challenges they face, and offers policy recommendations that might help them succeed.


• Linking Community Development and Health - Testimony Prepared for the Robert Wood Johnson Foundation Commission to Build a Healthier America – June 2013
  • Author: David Erickson, Federal Reserve Bank of San Francisco
  • Summary: David Erickson of the Federal Reserve Bank of San Francisco discusses how the Robert Wood Johnson Foundation (“RWJF”) Commission to Build a Healthier America can help bridge the gap between health and community development. Erickson builds on the RWJF Commission’s initial recommendations to show how community development can improve health. The community development industry—backed by tens of billions of dollars per year—works to improve low-income communities. Erickson calls for the merging of two key approaches—ameliorating the social determinants of health, and revitalizing low-income neighborhoods.


• Community Health Centers Leveraging the Social Determinants of Health
  • Author: Institute for Alternative Futures
  • Summary: This study identifies how community health centers (CHCs) are reaching beyond clinical care to shape the health of their patients by changing community conditions.


• Partnerships Among Community Development, Public Health, And Health Care Could Improve The Well-Being Of Low-Income People
  • Authors: David Erickson (Federal Reserve Bank of San Francisco) and Nancy Andrews (Low Income Investment Fund)
  • Summary: The article proposes a four-point plan to help ensure that collaborations among the community development industry (a network of nonprofit service providers, real estate developers, financial institutions, foundations, and government) achieve positive outcomes and sustainable progress for residents and investors alike.


 

Regional and State-Based Resources for CHCs

• California Community Clinics: A Cohort Analysis Report, 2005–2008
  • Authors: Capital Link and the California HealthCare Foundation
  • Summary: This report, prepared for the California HealthCare Foundation by Capital Link, examines the major factors and characteristics that contribute to the financial success or duress of California community clinics. The report is a continuation of the analysis presented in the updated Financial Profile of the California Community Clinics 2005 – 2008 that was also conducted by Capital Link.


• California Community Clinics: A Financial Profile, 2005–2008
  • Authors: Capital Link and the California HealthCare Foundation
  • Summary: This report profiles the financial health of California clinics from 2005 to 2008 and highlights key indicators of financial performance as well as related utilization trends that may influence their future financial sustainability as clinics continue to respond to the increasing service demands in their communities.


• California Community Clinics: A Financial and Operational Profile, 2008–2011
  • Authors: Capital Link with support from Blue Shield of California Foundation and The California HealthCare Foundation
  • Summary: This report, prepared by Capital Link for Blue Shield of California Foundation and the California HealthCare Foundation, examines California clinic financial trends and highlights strengths and weaknesses in their overall performance. The research was conducted to better understand the financial health of the California clinic safety net as well as those critical factors that may positively influence the development of high performing health clinics.


• California Community Clinics: Financial and Staffing Analysis FY06—FY09
  • Authors: Capital Link and the California HealthCare Foundation
  • Summary: This is a study to determine the financial health of community clinics by examining the productivity and financial measures of community clinics in California. This study analyzes financial and productivity measures and service models to determine if they are correlated with clinic productivity and performance. To obtain deeper insights about the financial status of clinics, the research included case studies of a number of clinics that were selected through the research process.


• California Community Clinics: Organizational Factors Impacting Financial Performance
  • Author: Capital Link
  • Summary: This infographic illustrates selected performance highlights of Federally Qualified Health Centers and Look-Alike clinics in California. It is based on a study conducted to better understand the financial health of the California clinic safety net and factors that may positively influence the development of high performing health clinics.


• Capital Plans and Needs of California Community Health Centers
  • Authors: Capital Link and California Endowment
  • Summary: In the fall of 2012, The California Endowment (TCE) commissioned Capital Link to conduct a capital needs assessment of community clinics and health centers across the state of California. The purpose of the study was to determine the current capital plans and needs of California community clinics and assess the extent to which any funding gaps exist. The resulting data will be used to inform TCE’s development of a capital financing program for California community clinics and health centers, in collaboration with other statewide and national funders.


• Health Resources and Services Administration’s 2012 Health Center Profile


• Health Resources and Services Administration’s Find a Health Center