Community Health Centers and the Affordable Care Act

The Affordable Care Act (also known as Obamacare or the ACA) of 2010 garnered international attention when it famously mandated that small business owners with 50 or more full-time employees would be required to provide health insurance coverage for their full-time staff. Though the long-term effects of the law remain to be seen, the Affordable Care Act did establish the Small Business Health Options Program (SHOP), which allows small business owners to directly compare different public health insurance coverage plans. These are large-scale effects, however. How does the Affordable Care Act change how community health centers operate, if at all? What will the ACA mean for municipalities where CHC(community health center) provide the bulk of healthcare services rendered?

Since much of the Affordable Care Act is concerned with expanding access to healthcare services, community health centers have seen a large increase in the number of patients enrolled since the law was enacted. Total patients served annually have increased from 17 million in 2009 to over 20 million in 2012, and community health centers have added over 35,000 new staff positions in the same period (including over 7,500 physicians).

The ACA has also provided significant funding for centers (CHC) (as of 2013) over the next five years, designating more than $11 billion for the maintenance and renovation of existing health centers. A portion of this amount will be used to create new in medically underserved areas (MUAs). As one might expect, medically underserved areas are localities in which the physician-to-population ration is far below the national average. Residents may not have access to even very basic healthcare services, hospital procedures, or professional medical consultation, so community health centers represent their best chance at receiving the care they need.

Physicians and public health advocates alike continue to promote the development of CHC across the country, as they represent an affordable solution to the lack of hospital care for millions of residents. CHC’s are also particularly adept at addressing several different health conditions, given that they often house professional medical staff with diverse medical backgrounds. The Affordable Care Act will allow these vital community programs to expand and further evaluate local demographics and their medical needs. Should more specialized services be required, the community health center provides a gateway for policymakers to assess how future federal funding should best be spent in the area.

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App Fog Genius Lessons From A Successful Entrepreneur

App Fog Business Startup Lessons from a Lucrative Entrepreneur

Lucas Carlson is a successful startup entrepreneur. When he first started however, he made a few bad choices that almost cost him big time.

Don’t Skip Business Setup Planning

At first he was just programming an idea for App Fog. He didn’t have a landing page, any bank account, brain storming ideas, or thinking about the ideal customers. Skipping key steps really put him back for years. He would program for weeks, and then finish the app idea. Then program for weeks and finish the idea. He couldn’t get people interested in the idea that was created.

Creating a Landing Page

Finally, he decided to create a landing page one night when he was too tired to sleep or even tell his wife about the programming idea. The app idea was PHP Fog. He tried putting it up on a site before that called Heroku.com. He registered the PHP Fog website and just simply wrote “it’s like Heroku for PHP”. Heroku’s site only allowed for Rudy on Rails applications so he couldn’t put the applications on that site.

Living the Dream

The next morning he woke up and had eight hundred people on his website! He didn’t market it anywhere else. All he did was put one link on Hacker News network. Also, he described the website in more depth. It turned out that the idea was a “hair on fire” idea without even the creation of the project! This gave him assurance that if the effort is put in, the results will be desired. After programming for two weeks. he just only had a prototype and the traffic went from 800 to 4,000 unique visitors per day!

Hair on Fire Problem Equals Confidence

He had identified a “hair on fire” problem. This gave him confidence to program the solution. This changed his life forever! He realized the difference between having a problem that people know they have versus the problems that people don’t know they have. PHP Fog wound up being AppFog. It raised $10 billion dollars and was later bought out.

No Marketing Expenses

He didn’t spend a dime on marketing! It wasn’t an accident. People already wanted the idea and were looking for it. He learned that he could find what people already wanted and then program an application based on what they wanted. He wasn’t taking a “shot in the dark” anymore.

Don’t be Intimidated

Creating a landing page or micro-website is very scary for most people. They don’t want to know if others like their great idea or not. There is a denial psychological part to this way of thinking. It can be self-defeating to the creation of an idea. They will think “Well I believe in the idea so much, that I don’t care what other people think about it”. This philosophy will kill a great idea. Put your “right foot first” and see what people need.