Florida's Community Health Centers Are at Risk

Florida’s Community Health Centers are Federally Qualified Health Centers (FQHCs) 

A key part of Florida’s health care safety net

  • Treated over 1.4 million patients (2016)
  • 48 centers, 460+ locations
  • Operating in every Florida county
  • Population mix:
    • 41% Medicaid
    • 7% Medicare
    • 36% uninsured
    • 16% commercial and VA
    • State funding: $9 million (2016-17) – 78% reduction from recent years
    • State funding: $6 million (2017-18)

What’s at Issue

  • Trump Administration approved Florida Medicaid waiver – increases Low Income Pool funding to $1.5 billion to help cover significant costs of uncompensated care
  • Includes relatively small amount to assist federally qualified health centers (FQHCs) – up to $50 million per year for next five years
  • Florida Agency for Health Care Administration included requirement for all reimbursements to go through managed care organizations rather than state paying bills directly. To date, that process has been fraught with problems – will lead to delay and inefficiency
  • AHCA holding meeting on issue tomorrow

Could Impact Programs that Work, Like ER Diversion

  • ER Diversion began in 2006
  • Conducted in partnership with local, community-based hospitals
  • Analysis of 13 centers (2015):
    • 72,768 – patients diverted from ERs to community health centers
    • $9,516,158 – treatment costs at community health centers
    • $708,390,514 – costs if treated at ER
    • $698,874,356 – costs savings because treated at community health centers

Red Tape Could Jeopardize Expansion of Access

  • Additional savings at 30 centers from use of LIP funds and state General Revenue to improve access to care and health outcomes for uninsured, underinsured, Medicaid patients
    • 98,280 – new patients
    • $12,596,438 - treatment costs at community health centers
    • $1,008,207,126 – costs if treated at ER
    • $995,810,688 – costs savings because treated at community health centers