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 a 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
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