Assessing the Strategic Role of Community Safety Net Networks


In dozens of U.S. localities, community leaders and health care providers have organized a system of free or discounted health care services for people who cannot get private coverage because they are too sick or work for an employer that does not offer it, or because their modest incomes disqualify them from public programs. A key feature of these safety net initiatives is that they enroll people in case management programs and reduce future need for urgent care. For this grant, the investigators will examine: 1) the importance of leveraging state or federal funding in sustaining such community efforts, and 2) community approaches to delivering cost-effective care on tight budgets. The project team will conduct case studies in three communities where financing—whether through Medicaid disproportionate share hospital payments, employer contributions, or a reinsurance mechanism—has been most innovative. The findings will be disseminated to the hundreds of health care access projects around the country to help them achieve sustainability, as well as to states and localities that may, over the longer term, find these programs beneficial for covering more of the uninsured.

Grant Details

Grantee Organization:
Georgia State University Research Foundation, Inc.
Principal Investigator:
Karen Minyard, Ph.D.
Award Amount:
Approval Date:
July 8, 2003

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