Eligio G. White

Immediate Past Chair

NACHC Board of Directors

Outline

• NACHC

• FQHCs

• Access for All America

Who is NACHC ?

• The National Association of Community Health Centers is the national trade association serving and representing the interests of America’s community health centers.

What is NACHC’s mission ?

• To promote the provision of high quality, comprehensive health care that is accessible, coordinated, culturally and linguistically competent, and community directed for all underserved populations

Who Does NACHC Serve -

Community, Migrant, Homeless, Public Housing Health Centers - providers of health care to America’s poor and medically underserved. For over 40 years, they have been responsible for bringing clinicians, basic health services and facilities into the nation’s neediest and most isolated communities.

Health centers serve the working poor, the uninsured, the underinsured, as well as high-risk and vulnerable populations.

Today, our innovative programs in primary and preventive care serve more than 15 million people in over 6,208 locations - spanning urban, rural and frontier communities in all 50 states, the District of Columbia, and all territories.

National Association of Community Health Centers, Inc.7200 Wisconsin Ave., Suite 210Bethesda, MD 20814Phone: 301-347-0400 Fax: 301-347-0459E-mail: contact@nachc.com

NACHCers• Lil Anderson, Board Chair

• Anita Monoian, Board Chair-Elect

• Eligio G. White, Immediate Past-Chair

• Dan Hawkins, Senior Vice President

• Tom Van Coverden, CEO

Three FQHC Types

1. Federally Qualified Health Centers receive PHS Section 330 grant funding

– Community Health Center – Migrant Health Center– Health Care for the Homeless– Public Housing Health Centers

2. FQHC Look-Alikes (Do not receive Section 330 Grant – Do not submit UDS)

3. Indian Health Grantees – Urban and Recognized

FQHC & FQHC Look Alike must:

• Governed by a community board composed of a majority (51%) of health center patients who represent the population served.

• Private non-profit or public entities.

• Located in or serve a high need community, i.e. medically underserved areas (MUA) or medically underserved populations (MUP).

• Provide comprehensive primary care services and supportive services such as education, interpretation and transportation that promote access to health care.

• Services available to all with fees adjusted upon ability to pay (Sliding Fee).

• FQHCs must meet other performance and accountability requirements regarding administrative, clinical, and financial operations, i.e., UDS.

FQHCs Are

• Community-Driven

• Community-Responsive

• Comprehensive

• Culturally & Linguistically Proficient

• Interdisciplinary

Source: Uniform Data System, 2006

2006 Uniformed Data Set (UDS) - 59.2 Million Patient Visits

Uninsured40%

Medicaid35%

Medicare8%

Other Public2%

Private Ins15%

85% of patient seen were uninsured or insured by the public sector

2006 UDS Patient Ethnicity/Race

Asian/Pacific Islander

4%

Black23%

Latino36%

Indian/Alaska Native

1%

White36%

2006 UDS & Census March 2007

40%

15%

64%

92%

32%31%

0%

10%20%

30%40%

50%

60%70%

80%90%

100%

≤ 200 % FPL Uninsured Ethnic/Racial

FQHCs

US

FQHCs 2006

• 15.0 Million served

• 59.2 Million patient visits

• 1002 grantees

• 6,208 service sites

• 52.5% rural grantees

Health Center Results

• 41% lower total health care expenditures (AAFP)

• Save 30 to 34% in total Medicaid spending (Numerous studies)

• Saved $10 - $18 billion in 2006 (NACHC)

• Produce $12.6 billion in economic benefit

• 140,000 jobs in low-income communities

Access for All America

• 30 million patients by 2015– Twice the current number of patients

• 51 million patients by 2022