The Impact of Medicaid Expansion on the Self-Sustainability of Federally Qualified Health Centers.

Autor: Davlyatov, Ganisher K., Hiller, Sidney, Cendoma, Philip
Zdroj: Academy of Management Annual Meeting Proceedings; 2022, Vol. 2022 Issue 1, p3608-3608, 1p
Abstrakt: Federally Qualified Health Centers (FQHCs) have been struggling to diversify their revenue sources to reduce their reliance on government grant funding. States' decisions to expand Medicaid would make most low-income uninsured people eligible for Medicaid coverage and could help FQHCs increase their financial viability by reducing their grant to total revenue ratio. We extracted a national sample of 729 FQHCs from the Uniform Data System and the Internal Revenue Service Form 990 in 2009-2018. The dependent variable was the grant to revenue ratio and the independent variable was the states' Medicaid expansion status. Mixed-effects regression was applied controlling for organizational, patient, and community factors. FQHCs operating in Medicaid expansion states had lower grant ratios (β=-4.51, p<.01). As the past decade's funding volatilities have shown, overreliance on one revenue source can be risky. Medicaid expansion can help FQHCs improve their short-term and long-term sustainability. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index