Quality of Care in Community Health Centers and Factors Associated with Performance
This study examines quality performance among community health centers (CHC) on three key measures of primary and preventive care — diabetes and blood pressure control and timely Pap tests — using quality in Medicaid managed care organizations (MCO) as a benchmark. The study also identifies factors that differ significantly between high- and lower-performing health centers. Most health centers perform better than 75% of all Medicaid MCOs on the two chronic care measures, and more than 1 in 10 exceed this benchmark on all three quality measures. Few health centers lag behind average Medicaid MCO performance on all three measures. Lower-performing health centers have very high uninsured and homeless rates, while high performers have higher rates of Medicare and privately insured patients, a finding that suggests that the ACA expansion of Medicaid and private insurance may foster gains in health center quality performance.
also of interest
- A Profile of Community Health Center Patients: Implications for Policy
- What is Medicaid's Impact on Access to Care, Health Outcomes, and Quality of Care? Setting the Record Straight on the Evidence
- Medicaid and Community Health Centers: The Relationship Between Coverage for Adults and Primary Care Capacity in Medically Underserved Communities