1. Estimated Number of Patients Served by Health Centers Through 2019

1
1. Estimated Number of Patients Served by Health
Centers Through 2019
Number of Patients in Millions
50.0
44.1
18.8
Source Estimates of patients served under
funding levels authorized by ACA from Ku, L.,
Richard, P., Dor, A., Tan, E., Shin, P. and S.
Rosenbaum. June 30, 2010. Strengthening Primary
Care to Bend the Cost Curve The Expansion of
Community Health Centers Through Health Reform.
Geiger Gibson/RCHN Community Health Foundation
Research Collaborative Policy Research Brief No.
19.
2
2. Health Center Patients by Source of Insurance,
2010 and 2019
Total 19.5 million
Total 40 million

• SOURCE Ku L et al., Strengthening Primary Care
  to Bend the Cost Curve The Strengthening of
  Community Health Centers
• Through Health Reform. Geiger Gibson/RCHN
  Community Health Research Collaborative, 2010.

3
3. Physician Visits Involving Treatment of
Chronic Conditions, Health Centers vs.
Office-Based Physicians
Physician visits involving treatment of common
chronic conditions
Physician visits involving treatment of specified
chronic condition

• Note Difference measured relative to
  office-based physicians. plt.01, plt.05,
  plt.10
• SOURCE Estimates based on combined sample of
  visits to office-based physicians from National
  Ambulatory Medical Care Survey (NAMCS) for
  2006-2009. Common chronic conditions means
  primary diagnosis for visit is coded as
  hypertension, asthma, diabetes, heart disease,
  and selected psychotic conditions and other
  psychoses. Excludes pre/post surgical visits,
  visits to non-primary care physicians, and visits
  in which patient did not see a physician.

4
4. Health Center Caseloads Rose, While Percent of
Health Center Patients Without Insurance Fell
482,503
446,559
431,005
19
18
18
19
8
7
7
42
42
42
42
38
5
33
36
26
Number of Patients
4
Note Comm Care and Other Public served 1 in
2005 and lt1 in 2006 Source GW analysis of
Massachusetts Uniform Data System data
5
5. Percentage of Uninsured Low-income Adults at
Health Centers Fell in 2007, but Health Center
Patients Still More Likely to be Uninsured
Source Health center data from UDS. Statewide
from Long 2008 Census 2008.
5
6
6. Percent of Total Statewide Uninsured Receiving
Care at Health Centers Rose in 2007
of Uninsured Who Are Patients at Health Centers
2007
2006
6
Source GW analysis of Uniform Data System and
Census data
7
Growth of Health Center Appropriations in
Nominal vs. Real Dollars, 1980-2010
Appropriations (billions)
Medicaid expansions for pregnant women and
children (1984-1990)
FQHC payments OBRA (1990)
Bush Administration expansions (2002-2008)
ARRA (2009-2010)
Health centers
872
694
1,002
722
630
530
1,124
Patients (millions)
9.6
5.0
5.3
6.0
7.7
14.1
19.4

• Note In 2010 dollars, adjusted by Medical Care
  Services CPI.
• SOURCE 1980-1995 data from National Association
  of Community Health Centers 2000-2010 UDS data,
  HRSA.

8
Federal Health Center Funding, FY 2008-2013
in billions
(Proposed)

• Note HCTF Health Center Trust Fund. Fiscal
  year funding in nominal dollars. Does not include
  the 1.5 billion of the HCTF committed for
  capital projects (of which 750 million is
  remaining).
• SOURCE 2008 and 2010 data from UDS, HRSA
  2011-2013 based on allocation specified in ACA.