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Geiger Gibson Program in Community Health

Milken Institute School of Public Health

Geiger Gibson/RCHN Community Health Foundation Research Collaborative Policy Briefs

The Geiger Gibson/RCHN Community Health Foundation Research Collaborative has produced studies and analyses across a broad range of issues:

  • National health reform and medically underserved communities. 
  • Community health centers as public health first responders. 
  • Community health centers’ special roles for key patient populations, including veterans, agricultural workers and their families, those experiencing homelessness, as well as  opportunities to improve population health.
  • Community health centers’ role in the health of women and families.
  • Efforts to roll back Medicaid gains for health center patients and medically underserved populations. 
  • The impact of policies on immigrant communities served by health centers.
  • Health centers and delivery and payment reform.
     

Search our Policy Briefs Archive

 

Policy Brief

73. Widening Holes in the Safety Net: Community Health Centers at Risk

A new policy brief examines community health center operating margins from 2020 - 2024 as health centers' experienced slimmer margins, resulting in more than half of states with net losses last year. With recently policy changes ready to take effect, the expiration of the ACA's enhanced premium tax credits , Medicaid work requirements, and changes in family planning care and care for immigrant communities could contribute to health center closures and reductions in patients served.

Policy Brief

72. Community Health Centers Grew Through 2023, But Serious Hazards Are on the Horizon

New policy brief, Community Health Centers Grew Through 2023, But Serious Hazards Are on the Horizon, provides an in-depth analysis of 2019-2023 trends in health center services, staffing, and financial metrics. While health centers have experienced growth in patient volume and visits, nearly half had negative margins in 2023 as costs outpaced revenue. It is expected that health center losses will increase in 2024, with many more operating in the red.

Policy Brief

71. Braidwood Management v Becerra Could Eliminate Three Quarters of the Affordable Care Act’s Preventive Benefits for Women, Infants, and Children

A new policy brief, Braidwood Management v Becerra Could Eliminate Three Quarters of the Affordable Care Act’s Preventive Benefits for Women, Infants, and Children, examines a the potential implications of this significant case which could radically reduce free preventive care for women, infants, and children.

Policy Brief

70. Strengthening Community Health Centers’ Role in Early Childhood Development: The New Biden Administration Initiative

New Geiger Gibson brief provides an overview of the Biden administration's early childhood development FOA and the opportunity to support child health and development in community health centers.

Policy Brief

69. Community Health Centers Making the Move to Value-Based Payment

Reporting on the findings of an in depth study in 12 sates, the Geiger Gibson Program explores the shift by community health centers to value based and alternative payment methodologies.

Policy Brief

68. The Value Proposition: Evidence of the Health and Economic Contributions of Community Health Centers

This analysis reviews the substantial body of evidence developed over decades about the health and economic value contributed by community health centers

Policy Brief

67. In the Wake of Dobbs, are Community Health Centers Prepared to Respond to Rising Maternal and Infant Health Care Needs?

The Supreme Court’s Dobbs decision will affect demand for maternal and child health care in health center communities. Staffing and capacity are paramount.

Policy Brief

Family Planning and Medicaid Managed Care Integration, Phase Two Report: Insights from the Field

Part 2 of a project exploring the relationship between managed care organizations, family planning providers, and the provision of family planning services.

Policy Brief

Opportunities and Challenges for Medicaid Managed Care Organizations, Community Health Centers, and Their Partners in Addressing Social Determinants of Health in Five States

State Medicaid managed care contracts were reviewed for language on social determinants of health (SDoH) activities across 10 contractual domains.

Policy Brief

Review of Social Determinants of Health Terms in 2019-2020 State Medicaid Managed Care Contracts

This report describes findings from the first phase of a study on social determinants of health (SDoH) terms in Mediciaid managed care contracts.