The recent change from cost-based reimbursement to a monthly per capita amount for health centers participating in prepaid managed care has raised concerns about the ability of these centers to continue providing both medical and enabling services without threatening their financial position. This reports presents lessons that can be learned from health center experiences in prepaid managed care and how the Bureau of Primary Health Care (BPHC) can help centers prepare for operating under prepaid managed care systems. Charts, tables and graphs.

Recent develop. in the health care environ. -- such as the steady growth in the no. of uninsured, a dramatic increase in the use of managed care by Medicaid, and increased competition and consolidation among health care providers -- have presented new challengers for Fed. community and migrant health centers (C/MHCs). This report: describes the current status of C/MHCs, the pop's. they serve, the types of services they provide, and sources of revenue; describes changes in Medicaid that have effected C/MHCs; discusses how C/MHCs have responded to these and other changes; and assesses HHS's actions to monitor C/MHC perfor. and help them improve oper.

Essentials of Global Community Health offers current and future clinicians, public health professionals, and administrators a comprehensive resource on providing community-oriented health care. This essential reference delves into the individual, family, social, and global determinants that shape a community’s health. Combining theory with practical application, Essentials of Global Community Health provides step-by-step guidance on interventions that promote health and prevent disease at the community level. With 16 structured case studies that span the globe—from Cambodia and Chad, to Moldova, Israel, Spain, and others—Essentials of Global Community Health explains and illustrates how principles of Community-Oriented Primary Care (COPC) and Community-Oriented Public Health (COPH) work in diverse settings worldwide. Jaime and Rosa Gofin bring 40 years of academic and field experience to bear in this text by offering a complete framework for putting community health into practice. Essentials of Global Community Health features • A step-by-step framework for integrating individual care and public health • A comprehensive resource on COPC and COPH • Illustrative examples and summary tables, plus study and review questions to reinforce concepts • A complete package of instructor and interactive student resources available online. Looking for more real-life evidence? Check out Cases 3, 7, 13, 17, & 20 in Essential Case Studies in Public Health, Putting Public Health into Practice.