National Health Policy Forum

Safety Net

The health care safety net is the constellation of public and private health care providers that deliver health care and enabling services to the uninsured, Medicaid beneficiaries, the underinsured, or those who are otherwise vulnerable because of geographic, language, cultural, economic, or other barriers to care.

The Forum’s work in this area focuses on understanding the financial state of safety net providers and their capacity to provide services to the populations they serve; exploring the effect that the federal authorization, appropriation, and regulation processes have on the viability of such providers; examining the quality of care that safety net providers deliver, particularly innovations in care delivery; and studying the impact of key federal health policy changes on safety net providers, such as the adoption of health information technology and discussions of health reform.

Search Results for Safety Net

Forum SessionDecember 16, 2011
Bridging the Silos: Care Coordination for Kids with Serious Behavioral Health Conditions
Author: Lisa Sprague

WorkshopJune 29, 2011
Medicaid Eligibility and Enrollment for Elderly People and Persons With Disabilities (EPD): Status and Simplification
Author: Judith D. Moore

Forum SessionJune 10, 2011
Still Smoking After All These Years: Tobacco Control Update
Author: Michele J. Orza, ScD

Site VisitMay 31–June 2, 2011
Rocky Mountain Highs and Lows: Efforts to Improve Health and Reduce Costs in Denver
Authors: Michele J. Orza, ScD & Jessamy Taylor

Issue Brief No. 843May 26, 2011
Home, but Not Alone: Evidence-Based Maternal, Infant, and Early Childhood Home Visitation
Author: Eileen Salinsky, Consultant

Forum SessionMay 6, 2011
Managed Care for Medicaid Beneficiaries with Disabilities: How Does It Work?
Author: Judith D. Moore

Forum SessionApril 8, 2011
Pioneering Transformation: Treating Chronic and Complex Disease in Underserved Areas
Author: Lisa Sprague

Forum SessionJanuary 21, 2011
Oral Health Update: Ten Years After the Surgeon General’s Report
Author: Jessamy Taylor

Forum SessionDecember 10, 2010
Insurer-Provider Payment Negotiations: Implications for Health Spending
Author: Mary Ellen Stahlman

Forum SessionDecember 3, 2010
Health Impact Assessments: What, Why, How, Who, Where?
Author: Michele J. Orza, ScD

Background Paper No. 81November 19, 2010
Aging and Disability Resource Centers (ADRCs): Federal and State Efforts to Guide Consumers Through the Long-Term Services and Supports Maze
Author: Carol V. O'Shaughnessy

Forum SessionNovember 18, 2010
Pioneering Transformation: Technology, Data, and Safety Net Outcomes
Author: Lisa Sprague

Background Paper No. 80October 12, 2010
Premium Assistance: An Update
Author: Cynthia Shirk, Consultant

Issue Brief No. 839September 30, 2010
Medicaid Payment for Generic Drugs: Achieving Savings and Access
Author: Christie Provost Peters

Background Paper No. 79September 28, 2010
The Primary Care Safety Net: Strained, Transitioning, Critical
Author: Jessamy Taylor

Forum SessionSeptember 10, 2010
Medicaid Enrollment: Is the First Step the Hardest?
Author: Judith D. Moore

Background Paper No. 77August 18, 2010
Governmental Public Health: An Overview of State and Local Public Health Agencies
Author: Eileen Salinsky, Consultant

Forum SessionJuly 22, 2010
Focus on Reform: How a Law Becomes a Reg - Regulatory Processes to Implement Legislation
Author: Judith D. Moore

Forum SessionJuly 16, 2010
Focus on Reform: Health Care Safety Net-Related Provisions
Author: Jessamy Taylor

Forum SessionJune 25, 2010
Focus on Reform: Public Health Provisions
Authors: Jessamy Taylor & Michele J. Orza, ScD

Forum SessionJune 11, 2010
Incorporating Innovations in Health Care: Workforce Implications
Author: Lisa Sprague

Background Paper No. 75June 4, 2010
Health Care Shortage Designations: HPSA, MUA, and TBD
Author: Eileen Salinsky, Consultant

Forum SessionMay 7, 2010
Focus on Reform: Medicaid Coverage Expansions
Author: Christie Provost Peters

Forum SessionApril 30, 2010
Recession and Budgets: Where Do States Stand for 2011 and Beyond?
Author: Christie Provost Peters

Forum SessionApril 16, 2010
Transforming Health Care Delivery: Insights from the New Orleans Safety Net
Authors: Jessamy Taylor & Michele J. Orza, ScD

Site VisitApril 5–7, 2010
Information and Incentives: Improving the Health of New York City's Low-Income Population
Authors: Kathryn Linehan & Lisa Sprague

Issue Brief No. 836March 29, 2010
Oral Health Checkup: Progress in Tough Fiscal Times?
Author: Cynthia Shirk, Consultant

Forum SessionMarch 19, 2010
CHIPRA One Year Later: Where Does Implementation Stand?
Author: Judith D. Moore

The BasicsMarch 10, 2010
The Ryan White HIV/AIDS Program
Author: Jessamy Taylor

Background Paper No. 72December 11, 2009
No Free Lunch? Current Challenges Facing the National School Lunch and School Breakfast Programs
Author: Eileen Salinsky, Consultant

Forum SessionNovember 20, 2009
Children's Mental Health: Prevalence, Illness Burden, and Efforts at Prevention and Early Intervention
Authors: Judith D. Moore & Rob Cunningham, Consultant

Forum SessionSeptember 18, 2009
Caring for Military Service Members' and Veterans' Psychological Health
Authors: Kathryn Linehan & Jessamy Taylor

The BasicsAugust 26, 2009
Medicaid Waivers and Budget Neutrality
Author: Cynthia Shirk, Consultant

Issue Brief No. 833July 31, 2009
The Medicare Drug Benefit: Update on the Low-Income Subsidy
Author: Mary Ellen Stahlman

Forum SessionJune 19, 2009
Medicaid Disproportionate Share Hospital Payments and Health Care Reform
Author: Christie Provost Peters

The BasicsJune 15, 2009
Medicaid Disproportionate Share Hospital (DSH) Payments
Author: Christie Provost Peters

Forum SessionJune 5, 2009
Building the Medical Home: Under Construction in the States
Author: Lisa Sprague

Site VisitMay 26–28, 2009
Resilience and Renaissance: Efforts to Rebuild a Healthier New Orleans
Authors: Michele J. Orza, ScD & Jessamy Taylor

Special BriefingMay 14, 2009
Resilience and Renaissance: Efforts to Rebuild a Healthier New Orleans - A Pre-Site Visit Briefing
Author: Michele J. Orza, ScD

Forum SessionNovember 7, 2008
Long-Term Services and Supports: Consumers in Charge—Consumer Direction and Money Follows the Person
Author: Carol V. O'Shaughnessy

Background Paper No. 66October 23, 2008
Medicaid and Mental Health Services
Author: Cynthia Shirk, Consultant

Site VisitOctober 23–24, 2008
Tending to Richmond's Children: Community Strategies to Bridge Service Gaps
Authors: Judith D. Moore & Jessamy Taylor

Forum SessionOctober 3, 2008
Exploring Comparative Effectiveness: Activities of CDC, VA, and CMS to Advance Evidence-Based Health
Author: Michele J. Orza, ScD

Issue Brief No. 826September 30, 2008
Covering All Kids: States Setting the Pace
Authors: Jennifer Ryan & Safiya Mojerie

Forum SessionSeptember 19, 2008
Universal Coverage for Children: States Setting the Pace
Authors: Jennifer Ryan & Safiya Mojerie

The BasicsJuly 30, 2008
Medicaid and SCHIP Waivers
Author: Cynthia Shirk, Consultant

Background Paper No. 64July 22, 2008
Shaping Medicaid and SCHIP through Waivers: The Fundamentals
Author: Cynthia Shirk, Consultant

Site VisitMarch 16–18, 2008
Competition and Collaboration, Chicago-Style
Authors: Laura A. Dummit & Lisa Sprague

Meeting ReportMarch 14, 2008
Completing the Recipe for Children's Health: New Variations on Key Ingredients: A Report from the Workshop on June 28, 2007
Author: Jennifer Ryan

Forum SessionJanuary 11, 2008
Health Care Safety Net Innovators: Forging Ahead, Though Challenges Persist
Author: Jessamy Taylor

Site VisitSeptember 30–October 1, 2007
Children's Behavioral Health Services in Baltimore: Walking the Continuum
Author: Jennifer Ryan

The BasicsSeptember 24, 2007
The Title V Maternal and Child Health Block Grant Program
Author: Christie Provost Peters

Issue Brief No. 823August 1, 2007
Shrinking Inpatient Psychiatric Capacity: Cause for Celebration or Concern?
Authors: Eileen Salinsky & Christopher W. Loftis, PhD

Forum SessionJuly 20, 2007
Behavioral Health in the Workplace: How are Employers Managing Mental Health and Disability?
Author: Christopher W. Loftis, PhD

WorkshopJune 28, 2007
Completing the Recipe for Children's Health: New Variations on Key Ingredients
Author: Jennifer Ryan

Background PaperMay 9, 2007
The Prescription Drug Safety Net: Access to Pharmaceuticals for the Uninsured
Author: Jack Hoadley, PhD

Forum SessionApril 27, 2007
Ten Years After Welfare Reform: How Is TANF Working for Needy Families?
Author: Judith D. Moore

Forum SessionApril 20, 2007
Not All Smiles: Access to Oral Health Care for Low-Income Children
Author: Jessamy Taylor

Issue Brief No. 821April 19, 2007
What Have You Done for Me Lately? Assessing Hospital Community Benefit
Author: Eileen Salinsky

Site VisitApril 3–5, 2007
Competition and Collaboration: The Spirit of St. Louis
Authors: Laura A. Dummit & Lisa Sprague

Forum SessionMarch 9, 2007
Implementing School Health Programs for Better Child Health and Academic Success
Author: Christopher W. Loftis, PhD

Forum SessionFebruary 16, 2007
Completing the Recipe for Children's Health: Ingredients Beyond Health Insurance and Health Care
Author: Jessamy Taylor

Forum SessionJanuary 12, 2007
Effects of Food Marketing on Kids' Diets: I'm Lovin' It?
Author: Eileen Salinsky

Forum SessionDecember 8, 2006
Children with Special Health Care Needs and the Role of Medicaid's Early and Periodic Screening, Diagnosis and Treatment Program
Author: Christie Provost Peters

Background PaperNovember 27, 2006
Medicare and Mental Health: The Fundamentals
Authors: Christopher W. Loftis, PhD & Eileen Salinsky

Issue Brief No. 819November 20, 2006
EPSDT: Medicaid's Critical but Controversial Benefits Program for Children
Author: Christie Provost Peters

Issue Brief No. 814August 15, 2006
Effects of Food Marketing to Kids: I'm Lovin' It?
Author: Eileen Salinsky

Forum SessionJuly 27, 2006
Canary in the Coal Mine or Crying Wolf? Examining Crowding in America's Emergency Departments
Author: Jessamy Taylor

Issue Brief No. 811July 7, 2006
Don't Bring Me Your Tired, Your Poor: The Crowded State of America's Emergency Departments
Author: Jessamy Taylor

Forum SessionJune 20, 2006
Health Care for All in Massachusetts: Implications for a Changing Safety Net
Authors: Laura A. Dummit & Lisa Sprague

Forum SessionJune 14, 2006
“Mental Health: Progress and Pitfalls,” the Health Affairs Special Issue—A Discussion of Trends in Mental Health Services
Author: Christopher W. Loftis, PhD

Site VisitApril 18–20, 2006
LA Story: Improving Care Management for the Chronically Ill and Chronically Underserved
Authors: Eileen Salinsky & Jessamy Taylor

Special BriefingApril 5, 2006
Improving Care Management in Los Angeles: A Site Visit Overview
Authors: Eileen Salinsky, Jessamy Taylor & Judith D. Moore

Forum SessionMarch 14, 2006
Caring for “Ryan White”: Balancing Quality, Access, Equity, and Finite Resources
Author: Jessamy Taylor

Forum SessionOctober 7, 2005
Mental Health and Juvenile Justice: Moving Toward More Effective Systems of Care
Author: Jane Koppelman, Consultant

Forum SessionSeptember 30, 2005
Local Coverage Initiatives: Solution or Band-Aid for the Uninsured?
Author: Jennifer Ryan

Background PaperAugust 22, 2005
Caring for "Ryan White": The Fundamentals of HIV/AIDS Treatment Policy
Author: Jessamy Taylor

Issue Brief No. 805July 22, 2005
Mental Health and Juvenile Justice: Moving Toward More Effective Systems of Care
Author: Jane Koppelman, Consultant

Forum SessionJuly 8, 2005
Parity Is in the Eye of the Beholder: Evaluation of Mental Health Parity Under the FEHB Program
Author: Eileen Salinsky

Issue Brief No. 803June 29, 2005
Local Coverage Initiatives: Solution or Band-Aid for the Uninsured?
Author: Jennifer Ryan

Background PaperJune 27, 2005
Children with Special Health Care Needs: Minding the Gaps
Author: Christie Provost Peters

SimulationJune 24, 2005
Walk in My Shoes™: Navigating the Health Care System
Author: Jennifer Ryan

Site VisitMarch 29–31, 2005
Exploring California's Rural Health System: From the Redwood Forests to the Baja Border
Authors: Eileen Salinsky & Jessamy Taylor

Forum SessionNovember 30, 2004
Children with Mental Disorders: Finding Effective Care Within the Systems That Serve Them
Author: Jane Koppelman, Consultant

Issue Brief No. 801October 26, 2004
The Provider System for Children's Mental Health: Workforce Capacity and Effective Treatment
Author: Jane Koppelman, Consultant

Forum SessionSeptember 30, 2004
Community Health Centers: Strategies for Success
Author: Jessamy Taylor

Background PaperAugust 31, 2004
Fundamentals of Community Health Centers
Author: Jessamy Taylor

Issue Brief No. 799June 4, 2004
Children with Mental Disorders: Making Sense of Their Needs and the Systems That Help Them
Author: Jane Koppelman, Consultant

Forum SessionApril 2, 2004
Necessary but Not Sufficient? Physician Volunteerism and the Health Care Safety Net
Author: Eileen Salinsky

Issue Brief No. 796April 1, 2004
Veterans' Health Care: Balancing Resources and Responsibilities
Author: Lisa Sprague

Background PaperMarch 10, 2004
Necessary but Not Sufficient? Physician Volunteerism and the Health Care Safety Net
Author: Eileen Salinsky

Site VisitFebruary 17–19, 2004
The Health Care Safety Net in South Carolina: A Test of Tenacity
Authors: Jennifer Ryan & Randy A. Desonia

Forum SessionNovember 25, 2003
Expanding Community-Based Care: Is the Olmstead Decision Making a Difference?
Author: Randy A. Desonia

Forum SessionSeptember 29, 2003
Checking the Vital Signs of the Health Care Safety Net
Author: Eileen Salinsky

Forum SessionSeptember 8, 2003
The New Freedom Vision: Transforming the Mental Health System
Author: Eileen Salinsky

Background PaperAugust 14, 2003
WIC Reauthorization: Opportunities for Improving the Nutritional Status of Women, Infants, and Children
Authors: Harriette B. Fox, Margaret A. McManus & Harry J. Schmidt, Consultants

Background PaperJuly 11, 2003
Obesity in America: A Growing Threat
Authors: Eileen Salinsky & Wakina Scott

Background PaperJune 13, 2003
Improving Oral Health: Promise and Prospects
Author: Jennifer Ryan

Forum SessionJune 6, 2003
Depression in Primary Care: Making Good Care Good Business
Author: Veronica V. Goff, Consultant

Forum SessionMay 2, 2003
Reauthorizing Head Start: The Future Federal Role in Preschool Programs for the Poor
Author: Jane Koppelman, Consultant

Small-Group SessionApril 24, 2003
TANF Redux: Update on Implementation of the Temporary Assistance for Needy Families Program in Three Communities.
Author: Randy A. Desonia

Issue Brief No. 789April 11, 2003
Reauthorizing Head Start: The Future Federal Role in Preschool Programs for the Poor
Author: Jane Koppelman, Consultant

Forum SessionApril 9, 2003
"Medicaidization" of Mental Health
Author: Ginger P. Parra

Background PaperMarch 12, 2003
Is Community Care a Civil Right? The Unfolding Saga of the Olmstead Decision
Author: Randy A. Desonia

Issue Brief No. 786November 22, 2002
Depression: A Decade of Progress, More to Do
Author: Veronica V. Goff, Consultant

Issue Brief No. 780July 22, 2002
Federal Child Care Funding for Low-Income Families: How Much Is Needed?
Author: Jane Koppelman, Consultant

Forum SessionJuly 16, 2002
Welfare Reform and American Indians: A Briefing for Policymakers
Authors: Judith D. Moore & Wakina Scott

Issue Brief No. 778June 19, 2002
Welfare Reform and American Indians: Critical Issues for Reauthorization
Author: Wakina Scott

Forum SessionMarch 15, 2002
Promoting Marriage as Welfare Policy: Looking at a Public Role in Private Lives
Author: Jane Koppelman, Consultant

Issue Brief No. 771March 7, 2002
Welfare Reform and Substance Abuse: Innovative State Strategies
Author: Ginger P. Parra

Site VisitFebruary 20–22, 2002
Welfare Reform in Maryland: Flexibility in Action
Authors: Jennifer Ryan & Judith D. Moore

Issue Brief No. 770February 15, 2002
Promoting Marriage as Welfare Policy: Looking at a Public Role in Private Lives
Author: Jane Koppelman, Consultant

Site VisitJanuary 14–16, 2002
Help Before There's Hurt: Integrating Child Welfare and Welfare Reform to Assist Families
Author: Randy A. Desonia

Forum SessionOctober 23, 2001
Terrorism and Mental Health: Private-Sector Responses and Issues for Policymakers
Author: Veronica V. Goff, Consultant

Site VisitAugust 20–22, 2001
Mission Possible? Maintaining the Safety Net in Urban and Rural Colorado
Author: Karen Matherlee

Site VisitAugust 6–8, 2001
W-2 in 2001: Wisconsin Works at Welfare Reform
Authors: Jennifer Ryan & Randy A. Desonia

Issue Brief No. 766July 25, 2001
Income Support Policy and the U.S. Child Support System
Author: Jane Koppelman, Consultant

Forum SessionJuly 25, 2001
Income Support Policy and the U.S. Child Support System
Author: Jane Koppelman, Consultant

Forum SessionJune 5, 2001
Perspectives on the Financial Underpinnings of the Safety Net: No Margin, No Mission
Author: Richard Hegner

Background PaperJune 2001
Youth Violence Prevention: How Does the Health Care Sector Respond?
Author: Anthony S. Raden, Consultant

Forum SessionMay 3, 2001
Perspectives on the Safety Net: Providers and Patients in Jeopardy
Author: Richard Hegner

Site VisitApril 18–20, 2001
TANF and Work Support Services: On the Job in Greater Philadelphia
Authors: Lisa Sprague & Randy A. Desonia

Background PaperApril 2001
The Health Care Safety Net in a Time of Fiscal Pressures
Author: Richard Hegner

Issue Brief No. 761March 23, 2001
Welfare Reform and the Well-Being of Families: Successes to Date and Challenges Ahead
Author: Jane Koppelman, Consultant

Forum SessionMarch 23, 2001
Welfare Reform and the Well-Being of Families: Successes to Date and Challenges Ahead
Author: Jane Koppelman, Consultant

Forum SessionSeptember 26, 2000
Bad News/Good News in the Asthma Epidemic: Prevalence Jumps Sharply, But Symptoms Can Be Controlled
Author: Richard Hegner

Background PaperSeptember 2000
The Asthma Epidemic: Prospects for Controlling an Escalating Public Health Crisis
Author: Richard Hegner

Issue Brief No. 757July 11, 2000
Outpatient Commitment in Mental Health: Is Coercion the Price of Community Services?
Author: Coimbra Sirica, Consultant

Forum SessionJuly 11, 2000
Outpatient Commitment in Mental Health: Is Coercion the Price of Community Services?
Author: Richard Hegner

Issue Brief No. 754April 14, 2000
Dispelling the Myths and Stigma of Mental Illness: The Surgeon General's Report on Mental Health
Author: Richard Hegner

Forum SessionApril 14, 2000
Dispelling the Myths and Stigma of Mental Illness: The Surgeon General's Report on Mental Health
Author: Richard Hegner

Background PaperApril 2000
Applying Science to Public Policy: The Context of the Surgeon General's Report on Mental Health
Author: Richard Hegner

Forum SessionFebruary 22, 2000
Growing Up in Urban America: Implications for Child Health and Welfare
Author: Richard Hegner

Site VisitJanuary 11–14, 2000
Site Visit to Arizona — Managed Medicaid: Arizona's AHCCCS Experience
Authors: Nora Super, Lisa Sprague & Judith D. Moore

Issue Brief No. 746September 13, 1999
The Nursing Center in Concept and Practice: Delivery and Financing Issues in Serving Vulnerable People
Author: Karen Matherlee

Forum SessionSeptember 13, 1999
The Nursing Center in Concept and Practice: Delivery and Financing Issues in Serving Vulnerable People
Author: Karen Matherlee

Issue Brief No. 745July 20, 1999
Mental Health Coverage Parity: Separating Wheat from Chaff
Author: Karl Polzer

Forum SessionJuly 20, 1999
Mental Health Coverage Parity: Separating Wheat from Chaff
Author: Karl Polzer

Issue Brief No. 737April 15, 1999
Substance Abuse Prevention: Could an Improved D.A.R.E. Program Help Bridge the Gap between Research and Practice?
Author: Coimbra Sirica, Consultant

Forum SessionApril 15, 1999
Substance Abuse Prevention: Could an Improved D.A.R.E. Program Help Bridge the Gap between Research and Practice?
Author: Coimbra Sirica, Consultant

Issue Brief No. 732February 26, 1999
Welfare Reform and Its Impact on Medicaid: An Update
Author: Judith D. Moore

Forum SessionFebruary 26, 1999
Welfare Reform and Its Impact on Medicaid: An Update
Author: Judith D. Moore

Site VisitOctober 27–30, 1998
Site Visit to Utah and Nevada — Essential Community Health Services on the Frontier
Authors: Karen Matherlee & Michael Anzick

Site VisitMay 26–28,1998
Site Visit to New Jersey — State and County Experiences with Welfare Reform and Access to Health Care
Authors: Michael Anzick & Richard Hegner

Issue Brief No. 718April 14, 1998
Dual Diagnoses: The Challenge of Serving People with Concurrent Mental Illness and Substance Abuse Problems
Author: Richard Hegner

Forum SessionApril 14, 1998
Dual Diagnoses: The Challenge of Serving People with Concurrent Mental Illness and Substance Abuse Problems
Author: Richard Hegner

Issue Brief No. 717April 3, 1998
Increasing the Federal Cigarette Tax: A Means of Reducing Consumption?
Authors: Lauren Tran & Richard Hegner

Forum SessionApril 3, 1998
Increasing the Federal Cigarette Tax: A Means of Reducing Consumption?
Authors: Lauren Tran & Richard Hegner

Site VisitMarch 30–31, 1998
Site Visit to Philadelphia — Providing Community-Based Primary Care: Nursing Centers, CHCs, and Other Initiatives
Author: Karen Matherlee

Issue Brief No. 716March 25, 1998
Restructuring the VA Health Care System: Safety Net, Training, and Other Considerations
Author: Barbara Skydell

Forum SessionMarch 25, 1998
Restructuring the VA Health Care System: Safety Net, Training, and Other Considerations
Author: