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The Colorado Health Foundation (Denver, CO)
The Colorado Health Foundation released a new white paper explaining its decision to create and endow Healthier Colorado, a 501(c)(4) political organization that is free to engage in lobbying and elections.
The foundation transitioned from a public charity to a private foundation in 2011. Under federal rules of the new tax status, the foundation was no longer able to lobby for or against specific pieces of legislation. Through a thoughtful and transparent process with external partners, foundation leadership considered how to continue its long track record of engaging in policy and advocacy through a unique opportunity: to form a separate and independent 501(c)(4) organization that would focus on health policy advocacy, lobbying, and grassroots political activism in the state.
Established in 2013, this new political nonprofit began with $15 million in seed funding from the foundation, over the span of three years, and a mission to build grassroots support for health policy. To date, Healthier Colorado has had significant success. It has rallied Colorado residents in support of legislation allowing local farmers to sell nutritious crops to school food programs. It has partnered with a coalition to improve nutrition standards at the 2,000 licensed child care centers caring for 100,000 Colorado children a year. Most notably, on Election Day in 2016, Healthier Colorado helped secure a sugary beverage tax in Boulder, Colorado.
The white paper, Creating a Healthier Colorado, outlines the foundation’s transition to private foundation tax status and its evolution of policy engagement, as well as the process behind the formation and advocacy work of Healthier Colorado to date.
Contact: Keri Jones
RCHN Community Health Foundation (New York, NY)
Compared to doctors’ offices and other providers, community health centers lower the cost of children’s primary care by approximately 35 percent, according to an analysis published by researchers at the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at George Washington University’s Milken Institute School of Public Health. Many children served by these health centers are poor and entitled to unusually broad coverage with no cost sharing through Medicaid’s early and periodic screening diagnosis and treatment benefit. But despite the comprehensive range of services community health centers offer, children who receive the majority of their care at health centers incur substantially lower average annual costs than those who receive care in other settings.
The analysis is the first to show that community health centers (CHCs) provide care for children at a significant savings. This study builds on previous research, which showed that CHCs reduce overall medical costs for adults while providing comprehensive, high-quality care. The new study suggests that health centers provide the same kind of high-value care when it comes to pediatrics.
The study analyzed health care costs for pediatric care as tracked by the nationally-representative Medical Expenditure Panel Surveys from 2011-2012, the most recent data available on source of care. The researchers looked at children who used community health centers as their primary source of care as well as those who obtained care at doctor offices and other pediatric providers. The authors found that:
- On average, health centers saved $618 in overall medical costs per child, per year with total costs of $1,133 per year for CHC users compared to $1,751 for non-users.
- Health centers saved money on outpatient care. The study showed that the cost of ambulatory care for children at community health centers was just $418 per year compared to $697 for other providers.
- For children who received the majority of their care at CHCs, expenditures for prescription drugs were nearly 50 percent lower--only $163 per child per year, compared to $320 for children getting care from other providers.
The study also notes that while community health centers provide a nationwide system of access to primary care, there is no such safety net system for specialty care. Community health centers often report having difficulty getting their patients appointments with specialists, especially for uninsured children. As a result, parents may turn to emergency rooms to get more specialized care for their children.
Community health centers may save money by offering a broad range of outpatient services under one roof or in one visit—thus requiring fewer visits to different providers and decreasing fragmentation of care. Lower drug costs suggest that these health centers manage prescription drug usage effectively and promote the use of less expensive generic drugs.
Download the report: Community Health Centers Reduce the Costs of Children’s Health Care
Contact: Kathy Fackelmann
More information: https://publichealth.gwu.edu/sites/default/files/downloads/GGRCHN/Brief%2048%20Child%20Cost%20Savings.pdf