The Geiger Gibson/RCHN Community Health Foundation Research Collaborative has produced studies and analyses across a broad range of issues:
This policy brief describes the outlook of community health centers by examining newly released data for 2025 from the Health Resources and Services Administration (HRSA)’s Uniform Data System (UDS) on operations and financial status, as well as policy changes that will increasingly impact health centers in the coming years.
A new literature review of studies published 2021-2026 reaffirms the value of Medicaid expansion and illustrates how Medicaid work requirements threaten more than a decade of gains in coverage and access, putting communities at risk.
This policy brief examines utilization and cost of preventive services guaranteed under the ACA without cost-sharing, and describes the health and financial benefits for families across the country.
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.
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.
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.
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.
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.
This analysis reviews the substantial body of evidence developed over decades about the health and economic value contributed by community health centers
The Supreme Court’s Dobbs decision will affect demand for maternal and child health care in health center communities. Staffing and capacity are paramount.
