Federally Qualified Health Centers
Community Health Centers’ Journey Through the Pandemic
Health Care Costs
This collection highlights the financial challenges faced by California's Federally Qualified Health Centers (FQHCs) during the COVID-19 pandemic, and how they adapted to keep serving patients. It also highlights policy changes that are needed to stabilize FQHCs so they can continue to play their vital role in providing care to Californians with low incomes.
The Changing Landscape of California’s Federally Qualified Health Centers
Blue Sky Consulting Group
This paper is one of two cross-site analyses drawn on insights from the seven publications in the 2020 Regional Market Report series. In the post-ACA period, FQHCs have added patients and clinic sites at a rapid pace, and many health centers have increased offerings of specialty services and of care for elderly patients. This paper examines the changing FQHC landscape, focusing on emerging trends and regional differences in FQHCs across the state.
Risky Business: California Health Centers Weakened by the COVID-19 Pandemic Prepare for the Future
Carol Backstrom, Lauren Block, Allison Coleman
California's Federally Qualified Health Centers experienced many financial challenges as a result of the COVID-19 pandemic. This report summarizes policy options that have the potential to improve FQHC stability, address health equity, and ensure access to a broader range of services in the long term.
Clinics Respond to Anti-Asian Hate with Many Kinds of Support
May 13, 2021
Xenia Shih Bion
Health Equity, Behavioral Health
Health centers serve as care providers, social services connectors, and community advocates, and they stepped up to help patients navigate the tribulations of the COVID-19 era.
The Importance of Health Care Phone Visits
Phone visits have quickly become a popular way to access care that is especially appealing to Californians with low incomes and Californians of color — populations whose access to care consistently lags. With Governor Gavin Newsom making health equity a priority, it would be a setback if the state took away this important care option for Medi-Cal enrollees.
Ending Phone Visits Would Be a Setback for Patients with Low Incomes
April 30, 2021
Telehealth, Health Equity
The director of CHCF's Improving Access team says we should build on what is working well to improve access to care, especially for those whose needs have historically not been well served by the health care system.
San Francisco Bay Area: Regional Health Systems Vie for Market Share
Caroline Davis, Katrina Connolly
Over the last 20 years, the Bay Area health care market has consolidated, leaving four dominant systems — Kaiser, Sutter Health, UCSF Health, and Stanford Health Care. At the same time, smaller systems, such as John Muir Health and El Camino Health, play key roles in geographic submarkets, making them attractive partners for the larger systems seeking to expand market share.
The Pandemic’s Financial Impact on California’s Community Health Centers: Largest Centers Suffer Significant Losses
Whether measured by revenue size, number of patients, or number of sites, the largest health centers bore the brunt of the financial losses experienced across California's health centers between April and December 2020.
San Diego: Competing, Collaborating, and Forging Ahead with Population Health
Caroline Davis, Katrina Connolly
The San Diego health care market has long been dominated by four health systems: Kaiser Permanente, Sharp HealthCare, Scripps Health, and University of California San Diego Health. Despite significant gains in health coverage, access to care for people with lower incomes, especially for behavioral health services, remains a challenge.
Sacramento Area: Large Health Systems Grow in a Pricey and Tumultuous Market
Len Finocchio, James Paci
The Sacramento area — a region spanning El Dorado, Placer, Sacramento, and Yolo Counties — stands out among other inland California localities in boasting relatively high household incomes and a stable economy. Yet the region's hospital market continues to be dominated by four large health systems, a trend that likely contributes to the area’s high private health insurance premiums.
Holding On: How California’s Health Centers Adapted Operations and Care for Patients During the Pandemic
Capital Link, Aurrera Health Group
This paper identifies several key factors that enabled California’s health centers to manage the financial strain exacerbated by the COVID-19 pandemic while continuing to serve patients at a time when accessing health care involved new and unanticipated challenges.
Reimbursing FQHCs for Telehealth Post-COVID-19 Pandemic: Medi-Cal’s Options
Pacific Health Consulting Group
This paper examines the choices and considerations for California policymakers to extend Medi-Cal coverage and reimbursement for telehealth provided by Federally Qualified Health Centers — even after the COVID-19 pandemic.
San Joaquin Valley: Despite Poverty and Capacity Constraints, Health Care Access Improves
Len Finocchio, James Paci
Federally Qualified Health Centers and Rural Health Clinics continue to expand across the region. They are also working with hospitals to improve care integration and access to specialty services for Medi-Cal patients.
Inland Empire: Increasing Medi-Cal Coverage Spurs Safety-Net Growth
Matthew Newman, James Paci
Following the implementation of the Affordable Care Act, this region, comprising Riverside and San Bernardino Counties, has seen a decrease in people who are uninsured and an increase in people with Medi-Cal coverage. In turn, the number of Federally Qualified Health Centers has grown, and patient visits more than doubled in just a few years.