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Member Research and Reports

Member Research and Reports

GW Publishes New Report on Medicaid Payment Reform at Community Health Centers

A new report on Medicaid payment reform and community health centers reviews the key elements of Medicaid’s Federally Qualified Health Centers (FQHC) payment rules, describes the flexibility available under federal law that permits states and health centers to develop alternative payment methodologies, and provides an in-depth profile of five states’ experience in crafting reforms to Medicaid payments for health centers. Produced with support from the Commonwealth Fund and the RCHN Community Health Foundation, the report was prepared by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at the Milken Institute School of Public Health (Milken Institute SPH) at the George Washington University (GW).

The analysis looks at five Medicaid expansion states (California, Colorado, Minnesota, New York and Oregon) and finds that health centers and Medicaid agencies in these states are testing payment alternatives, such as global payments, that link payment to health center performance.

Dr. Peter Shin, Ms. Jessica Sharac, and Dr. Sara Rosenbaum from Milken Institute SPH’s Department of Health Policy and Management and Zoe Barber, now at the Office of the National Coordinator for Health Information Technology, authored the new issue brief titled, “Community Health Centers and Medicaid Payment Reform: Emerging Lessons from Medicaid Expansion States.”