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Research ArticleOriginal Research

Implementation of Health Insurance Support Tools in Community Health Centers

Nathalie Huguet, Brigit Hatch, Aleksandra Sumic, Carrie Tillotson, Elizabeth Hicks, Joan Nelson and Jennifer E. DeVoe
The Journal of the American Board of Family Medicine May 2018, 31 (3) 410-416; DOI: https://doi.org/10.3122/jabfm.2018.03.170263
Nathalie Huguet
From Oregon Health & Science University, Portland, OR (NH, BH, EH, JED); OCHIN, Inc, Portland (BH, AS, CT, JN, JED).
PhD
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Brigit Hatch
From Oregon Health & Science University, Portland, OR (NH, BH, EH, JED); OCHIN, Inc, Portland (BH, AS, CT, JN, JED).
MD, MPH
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Aleksandra Sumic
From Oregon Health & Science University, Portland, OR (NH, BH, EH, JED); OCHIN, Inc, Portland (BH, AS, CT, JN, JED).
MPH
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Carrie Tillotson
From Oregon Health & Science University, Portland, OR (NH, BH, EH, JED); OCHIN, Inc, Portland (BH, AS, CT, JN, JED).
MPH
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Elizabeth Hicks
From Oregon Health & Science University, Portland, OR (NH, BH, EH, JED); OCHIN, Inc, Portland (BH, AS, CT, JN, JED).
MPH
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Joan Nelson
From Oregon Health & Science University, Portland, OR (NH, BH, EH, JED); OCHIN, Inc, Portland (BH, AS, CT, JN, JED).
PA-C
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Jennifer E. DeVoe
From Oregon Health & Science University, Portland, OR (NH, BH, EH, JED); OCHIN, Inc, Portland (BH, AS, CT, JN, JED).
MD, DPhil
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    Figure 1.

    Hybrid effectiveness-implementation study design.

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    Figure 2.

    Tool use among arm 1 and arm 2 clinics during tool development and implementation.

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    Table 1.

    Characteristics of Participating Health Centers

    Health centerABCDEFG
    TypeFQHCFQHCFQHCFQHCFQHCRHCFQHC
    Number of patients3,52318,2633,7613,82612,5073,65419,151
    Proportion of visits by payer
        Uninsured6.4%11.9%11.5%45.4%5.5%6.5%10.4%
        Medicaid53.8%59.7%51.6%45.0%64.3%30.7%56.6%
        Medicare22.3%11.7%16.4%6.2%6.6%34.4%19.4%
        Commercially Insured15.7%16.5%18.2%1.5%2.9%27.5%13.2%
        Other public insurance*1.9%0.3%2.3%1.9%20.8%1.0%0.5%
    Proportion non-White patients7.7%24.3%3.1%12.0%23.5%1.3%3.6%
    Proportion Hispanic patients6.5%25.8%26.7%50.0%60.5%2.2%18.5%
    • FQHC, federally-qualified health center; RHC, rural health center.

    • Analysis Period: March 2016 to May 2017 (study is ongoing and will complete data collection in March 2018).

    • ↵* Other Public Insurance includes publically-funded coverage sources, typically covering limited services (eg, breast and cervical cancer early detection program; title X contraceptive care) or available to specific populations (eg, Veterans Affairs and Tricare, Indian Health Service, grant programs for migrant/seasonal workers, and care for the homeless or individuals living with HIV/AIDS).

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The Journal of the American Board of Family     Medicine: 31 (3)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 3
May-June 2018
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Implementation of Health Insurance Support Tools in Community Health Centers
Nathalie Huguet, Brigit Hatch, Aleksandra Sumic, Carrie Tillotson, Elizabeth Hicks, Joan Nelson, Jennifer E. DeVoe
The Journal of the American Board of Family Medicine May 2018, 31 (3) 410-416; DOI: 10.3122/jabfm.2018.03.170263

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Implementation of Health Insurance Support Tools in Community Health Centers
Nathalie Huguet, Brigit Hatch, Aleksandra Sumic, Carrie Tillotson, Elizabeth Hicks, Joan Nelson, Jennifer E. DeVoe
The Journal of the American Board of Family Medicine May 2018, 31 (3) 410-416; DOI: 10.3122/jabfm.2018.03.170263
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Keywords

  • Community Health Centers
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