Rural Primary Care Program Survival: An Analysis of Financial Variables

Shi, Leiyu; Samuels, Michael E.; Konrad, Thomas R.; Porter, Carol Q.; Stoskopf, Carleen H.; Richter, Donna L.

doi:10.1111/j.1748-0361.1994.tb00227.x

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…Most of the measures were directly available from the UDS. The financial measures of stability, efficiency, and productivity were created based on industry standards, prior research, and our experience (Feldman, Dietz, & Brooks, 1978;Mullner, 1990;Mullner, Rydman, Whiteis, & Rich, 1989;Rosenblatt & Moscovice, 1982;Shi et al, 1994;Walleck & Kretz, 1981).…”

Section: Center Characteristicsmentioning

confidence: 99%

Managed Care and Community Health Centers

Shi

Frick²,

Lefkowitz³

et al. 2000

Journal of Ambulatory Care Management

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This study has two objectives: (1) to examine the relationship between the involvement of community health centers (CHCs) in managed care and various center characteristics, including patient, provider, services, and financial characteristics, that are critically linked with the fulfillment of their mission and (2) to identify factors significantly associated with CHCs' involvement in managed care. Regarding the first objective, the study indicates that CHCs involved in managed care have more diversified sources of revenue and depend less on grant funding than other CHCs, and they serve a significantly smaller proportion of uninsured and homeless patients. Involvement in managed care is also associated with greater financial vulnerability, reflected in higher costs and net revenue deficits. Regarding the second objective, the study finds that CHCs have become involved in managed care largely in response to external market pressures, such as the prospect of reduced federal grant funding. Other significant factors include center size, location, and the percentage of users who are Medicaid patients.

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Section: Center Characteristicsmentioning

confidence: 99%

Managed Care and Community Health Centers

Shi

Frick²,

Lefkowitz³

et al. 2000

Journal of Ambulatory Care Management

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“…There is a need for closer examination of the total financing support of the C/MHCs in order to develop comprehensive federal and state policies. (Shi, et al, 1994). From a policy perspective, government intervention is both necessary and likely if rural C/MHCs are to succeed and fulfill their mission of providing primary care for the medically underserved who are primarily poor, uninsured, and unable to pay.…”

Section: Introductionmentioning

confidence: 99%

Community and migrant health centers: the need for a coordinated national financing policy

Samuels

Shi

Campbell

1998

Journal of Public Budgeting, Accounting &Amp; Financial Management

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This article is a descriptive revenue profile of Community and Migrant Health Centers providing preventive and primary health care services to underserved rural and urban populations throughout the United States. The study is a secondary data analysis of the 1994 Bureau Common Reporting Requirements (BCRR) reports of the 626 Community and Migrant Health Centers to the Bureau of Primary Health Care. The purpose of the analysis is to examine the sources of revenue of the centers and consider the implications for public policy. In 1994, the 626 centers generated more than $2 billion from all payment sources to care for more than 7 million users. The findings should guide and assist policy makers at the state and federal levels in first deciding the role of C/MHCs in developing managed health care strategies for underserved rural and urban populations and developing the appropriate funding policies to support these decisions.

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