Research Report Swimming Upstream: Improving Access to Indigent Health Care in the Midst of Major Economic Challenges
Sarah Benatar, Dana Hughes, Embry M. Howell
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An evaluation of San Mateo County's comprehensive health system redesign initiative finds notable improvements in access to high quality patient care for formerly uninsured adults. For example, the percent of such individuals having a usual source of care rose from 42.5 to 91.2 percent with the initiative. The initiative met with success despite mounting fiscal challenges associated with the economic recession and state budget crisis threatening the county's ability to support these innovations. The county's efforts offer lessons for local and national policymakers, program administrators, and providers about how progress is possible despite severe financial obstacles.
Research Areas Health and health care Social safety net
Tags Health care delivery and payment Health equity
Policy Centers Health Policy Center