Wednesday, October 23, 2013

Health Centers National Capital Needs Survey: Extended to Nov 12

Periodically Capital Link conducts a national capital needs assessment, with support from HRSA, to determine the extent of existing and future health center capital requirements. This study provides an estimate of the need for additional capital investment so health centers and Primary Care Associations can plan for growth. The data also helps us identify strategies for securing capital funding for health centers.

Health center participation is critical to the process of developing effective capital development strategies for centers nationally.  On October 16th, an electronic questionnaire was sent to health center CEOs and Executive Directors on Capital Link’s mailing list. If your health center did not receive this questionnaire, please contact Steve Rubman, Manager of Data Resources & Analysis, at We thank you for your assistance. Responses are due November 12th.  

Tuesday, October 15, 2013

"Lenders Coalition for Community Health Centers" Launched

Seventeen Community Development Financial Institutions (CDFIs) that finance community health initiatives have established the Lenders Coalition for Community Health Centers (LCCHC) to press for policies that will strengthen health centers' access to capital and CDFIs' ability to finance community health center growth. The LCCHC was launched on October 15 at the annual Opportunity Finance Network conference in Philadelphia.

"CDFIs play a critical role in helping community health centers obtain affordable capital to strengthen their capacity and expand their facilities. But CDFIs need greater resources and policies to finance rapid growth of community health centers," said Allison Coleman, Chair of the LCCHC Steering Committee and CEO of Capital Link. "The LCCHC will educate policymakers about issues that impact health center growth, financial stability and access to capital, and advocate for policies and resources that enhance CDFIs' ability to foster community health center expansion."

For the complete press release, visit

Tuesday, October 8, 2013

Market Assessment Data Sources While the Government Is Shut Down

By Rebecca Polan, Capital Link Project Consultant and Market Assessment Specialist

Just because the Census website is shutdown doesn’t mean that your market assessment efforts need to be too!  Below is a list of alternate data sources that health centers can use for market research efforts.

·    HealthLandscape (  In addition to a terrific visual interface, try the Community HealthView (under “Tools”) in order to access US Census data from the American Community Survey as recent as 2009, all the way down to the census tract level.  Health Landscape includes demographic data, health outcome data, HPSAs, health facility locations and more.   Just select your map, and click the data export tab on the top left and the data is yours!

·     UDS Mapper (  The UDS Mapper offers basic income, poverty and ethnicity data at the zip code level, also from the Census American Community Survey (ACS) database, for 2011.  In addition, get aggregate FQHC patient data for 2012, also at the zip code level.  The UDS Mapper was brought to us by the creators of HealthLandscape, so the interface, including the data download options, is very similar.

·    Upset that the Census’ Small Area Health Insurance Estimates are not available?  This "Mapgirl" is.  Try the following sources for data on the uninsured:

o   PolicyMap (  While you can’t access the data behind the maps, you will see very detailed visual data on the uninsured population for 2010 in your county by age as well as by income (including at or below 200% of poverty).  In addition PolicyMap has a wealth of other maps available for free that provide a bird’s eye view understanding of neighborhood conditions, demographics, economic indicators and more.

o   Community Health Status Indicators (  CHSI is one of the few Center for Disease and Control sites that is still open.  Find your county, click on Access to Care and find the exact number of uninsured individuals in your county for 2009.

o   State databases for Behavioral Risk Factor Surveillance System (BRFSS) data:  BRFSS data is available in most states down to at least the county level via state databases.  A quick web search will allow you to access a wealth of data regarding health insurance status, access to care, as well as a number of behavioral data points related to drinking, smoking, exercise, etc.

For more data options, see If you have any questions as you explore these resources, feel free to contact Rebecca Polan, (also known as Mapgirl) at

50-State Medicaid Budget Survey Highlights Trends for FY13 and F14

The Kaiser Commission on Medicaid and the Uninsured and Health Management Associates (HMA) recently conducted the 13th annual budget survey of Medicaid officials in all 50 states and the District of Columbia. The report highlights trends in Medicaid spending, enrollment and policy initiatives for FY 2013 and FY 2014 with an intense focus on eligibility and enrollment changes tied to the implementation of the Affordable Care Act as well as payment and delivery system changes. The report also provides detailed appendices with state-by-state information and a more in-depth look at four case study states:  Arizona, Florida, Kentucky and Washington. Download the report and an executive summary here.

According to Kaiser’s release, key findings from the survey include the following:

  • Improvements in the economy resulted in modest growth in Medicaid spending and enrollment in FY 2013.  In FY 2014, national enrollment and spending growth are expected to rise.  States moving forward with the Medicaid expansion are expected to see higher enrollment and total spending growth driven by increases in coverage and federal funds.
  • The implementation of the ACA will result in major changes to Medicaid eligibility and enrollment for all states whether they are implementing the ACA Medicaid expansion or not.
  • Nearly all states are developing and implementing payment and delivery system reforms designed to improve quality, manage costs and better balance the delivery of long-term services and supports across institutional and community-based settings.
  • Improvements in the economy have enabled states to implement more program restorations or improvements in provider rates and benefits compared to restrictions, but states also adopted policies to control costs and enhance program integrity.
  • Looking ahead, FY 2014 will be a transformative year for Medicaid.