Health Affairs March 21, 2024
In its February 2024 cost estimate for Senators Bernie Sanders’ (I-VT) and Roger Marshall’s (R-KS) Bipartisan Primary Care and Health Workforce Act (S.2840)—which proposes to bolster primary care services in the US, including through higher funding for community health centers—the Congressional Budget Office (CBO) reported that additional mandatory spending for community health centers would create savings by lowering federal Medicaid and Medicare expenditures. This estimate by Congress’s official scorekeeper marks the first time that a CBO estimate reflects a body of research that has consistently demonstrated that high-quality primary and preventive care delivered by community health centers to disadvantaged patients lowers Medicaid spending and Medicare costs for emergency departments, hospitalizations, and other high-cost care, for both adults and children. The...