Ready for ACA? How Community Health Centers Are Preparing for Health - - PowerPoint PPT Presentation

Ready for ACA? How Community Health Centers Are Preparing for Health Care Reform

Appendix

Nadereh Pourat Max W. Hadler UCLA Center for Health Policy Research

ACA-Ready Community Health Centers Have More Providers

9* 13 31 24 43 14* 17 47 60 66 6* 33 55 52 84 1 2 3 4 5 Primary care providers† Clinical support staff Administrative staff

Source: UCLA analysis of 2012 primary care clinic utilization data from the Office of Statewide Health Planning and Development (OSHPD). †Primary care providers include all providers who can independently deliver care (billable encounters), including physicians, physician assistants, nurse practitioners, nurse midwives, visiting nurses, dentists, registered dental hygienists, psychiatrists, clinical psychologists, and licensed clinical social workers. *Significantly different from Level 5 CHCs (p < .05). Low Readiness High Readiness

The “most ready” CHCs are larger

• rganizations with

more full-time equivalent primary care providers and clinical and administrative support staff than the “least ready” CHCs on average.

ACA-Ready Community Health Centers Have More Patients

Source: UCLA analysis of 2012 primary care clinic utilization data from the Office of Statewide Health Planning and Development (OSHPD). *Significantly different from Level 5 CHCs (p < .05).

Larger organizations with more providers and staff can provide more visits to more

• patients. The “most

ready” CHCs had at least four times more patients and encounters than the “least ready” CHCs.

7,879* 14,382 27,607 23,066 33,084 26,587* 44,160 89,587 77,507 118,551 1 2 3 4 5 Number of patients Number of encounters

Low Readiness High Readiness

ACA-Ready Community Health Centers Have More Medi-Cal Patients

Source: UCLA analysis of 2012 primary care clinic utilization data from the Office of Statewide Health Planning and Development (OSHPD). †“Other insured” includes Medicare, Healthy Families, and privately insured. ††“Other” includes county indigent care programs and non-comprehensive health coverage programs, including breast cancer programs, Family PACT, the Child Health and Disability Prevention Program, and the PACE Program. *Significantly different from Level 5 CHCs (p < .05).

ACA readiness is associated with a greater proportion of encounters covered by public and private insurance, which supply a more consistent revenue source than self-pay, free, or other types of payers.

8%* 24% 40% 34% 48% 3%* 3% 9% 5% 8% 22% 9% 10% 15% 8% 16% 19% 2% 4% 1% 51% 45% 39% 42% 35% 1 2 3 4 5

Medi-Cal Other insured† Self-pay Free Other††

Low Readiness High Readiness

ACA-Ready Community Health Centers Have More Patient Revenues

Source: UCLA analysis of 2012 primary care clinic utilization data from the Office of Statewide Health Planning and Development (OSHPD). *Significantly different from Level 5 CHCs (p < .05).

The “most ready” CHCs generate significantly more revenue from the patients they serve and may rely less on

• ther funding sources.

29%* 30% 53% 43% 61% 34% 30% 30% 42% 28% 37% 40% 18% 16% 11% 1 2 3 4 5

Patient revenue Grant revenue Other revenue

Low Readiness High Readiness

ACA-Ready Community Health Centers Serve More Children

Source: UCLA analysis of 2012 primary care clinic utilization data from the Office of Statewide Health Planning and Development (OSHPD). *Significantly different from Level 5 CHCs (p < .05).

14%* 20% 28% 28% 42% 42% 36% 36% 36% 29% 39% 38% 30% 32% 24% 4% 6% 5% 4% 5% 1 2 3 4 5 <20 20-44 45-64 65+

Low Readiness High Readiness

Community Health Center Patients are Racially and Ethnically Diverse

61% 72% 66% 57% 61% 13% 12% 12% 18% 14% 15% 8% 10% 3% 3% 1 2 3 4 5 White African-American Asian/Pacific Islander

50% 58% 57% 66% 76% 1 2 3 4 5 Latino

Source: UCLA analysis of 2012 primary care clinic utilization data from the Office of Statewide Health Planning and Development (OSHPD). Low Readiness High Readiness Low Readiness High Readiness

Most Community Health Center Patients are Female and Many Have Limited English Proficiency

49% 38% 39% 41% 36% 51% 62% 61% 59% 64% 1 2 3 4 5 Male Female 41% 62% 51% 36% 50% 1 2 3 4 5 % of patients with limited English proficiency

Source: UCLA analysis of 2012 primary care clinic utilization data from the Office of Statewide Health Planning and Development (OSHPD). Low Readiness High Readiness Low Readiness High Readiness

Community Health Centers Most Frequently Treat Endocrine and Circulatory System Issues

18% 16% 13% 14% 14% 11% 13% 10% 10% 7% 10% 5% 8% 7% 4% 3%* 6% 6% 7% 7% 5% 11% 8% 3% 1% 5% 4% 5% 4% 3% 1 2 3 4 5 Endocrine/Nutritional/Metabolic Circulatory Family planning Respiratory Mental Musculoskeletal/Connective tissue

Source: UCLA analysis of 2012 primary care clinic utilization data from the Office of Statewide Health Planning and Development (OSHPD). Low Readiness High Readiness