Legacy Community Health Services v. Smith: what are the national implications for community health centers and their communities?

Legacy Community Health Services v. Smith: what are the national implications for community health centers and their communities?

Collection:
Health Policy and Services Research
Series Title(s):
Policy issue brief (Geiger Gibson / RCHN Community Health Foundation Research Collaborative)
Author(s):
Ku, Leighton, author
Shin, Peter, author
Sharac, Jessica, author
Rosenbaum, Sara, 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, August 2018
Language(s):
English
Format:
Text
Subject(s):
Community Health Centers -- economics
Community Health Centers -- legislation & jurisprudence
Community Health Services -- economics
Community Health Services -- legislation & jurisprudence
Managed Care Programs -- economics
Managed Care Programs -- legislation & jurisprudence
Medicaid -- economics
Medicaid -- legislation & jurisprudence
Child
Child Health Services
Community Mental Health Services
Health Policy
Humans
Texas
United States
Genre(s):
Technical Report
Abstract:
In a recent decision, the United States Court of Appeals for the Fifth Circuit in Legacy Community Health Services v. Smith held that state Medicaid programs may refuse to pay community health centers for the non-emergency, out-of-network care they furnish to Medicaid managed care enrollees. This issue brief discusses the national implications of this ruling and estimates the economic impact on community health centers, their staff, and their patients nationally if the decision stands. Our estimate of potential losses suggest that community health centers nationwide could lose between $1.0 and $2.0 billion in revenue annually, an amount that translates into between 4.3 percent and 8.6 percent of total community health center revenue. Losses of this magnitude translate into the loss of as many as 8,900 to 17,800 community health center jobs and would reduce the number of patients served by as many as 1.1 million to 2.2 million per year.
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 (8 pages)).
NLM Unique ID:
101735629 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101735629