Original ArticlesCharacterizing the Uptake of Newly Opened Health Centers by Individuals Dually Enrolled in Medicare and MedicaidWright, Brad PhD; Akiyama, Jill MSPH; Potter, Andrew J. PhD; Sabik, Lindsay M. PhD; Stehlin, Grace G. MS; Trivedi, Amal N. MD, MPH; Wolinsky, Fredric D. PhD, ScD Author Information Department of Health Services Policy and Management, University of South Carolina, Columbia (Dr Wright); Department of Health Policy and Management, Gillings School of Public Health, UNC-Chapel Hill, Chapel Hill, North Carolina (Ms Akiyama); Department of Political Science & Criminal Justice, The California State University, Chico (Dr Potter); Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Sabik); The Cecil G. Sheps Center for Health Services Research, UNC-Chapel Hill, Chapel Hill, North Carolina (Ms Stehlin); Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, Rhode Island (Dr Trivedi); and Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City (Dr Wolinsky). Correspondence: Brad Wright, PhD, Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, 915 Greene St, Ste 355, Columbia, SC 29208 ([email protected]). Research reported in this publication was supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under award number R01MD011513. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no conflicts to disclose. Journal of Ambulatory Care Management: January/March 2023 - Volume 46 - Issue 1 - p 2-11 doi: 10.1097/JAC.0000000000000440 Buy Metrics Abstract Federally qualified health centers (FQHCs) increasingly provide high-quality, cost-effective primary care to individuals dually enrolled in Medicare and Medicaid. However, not everyone can access an FQHC. We used 2012 to 2018 Medicare claims and federally collected FQHC data to examine communities where an FQHC first opened and determine which dual eligibles used it. Overall uptake was 10%, ranging from 6.6% among age-eligible urban residents to 14.8% among disability-eligible rural residents. Community-level uptake ranged from 0% to 76.4% (median = 5.5%; interquartile range = 2.8%-11.3%). Certain subpopulations of dual eligibles are significantly more likely to use FQHCs. Our findings should inform the targeting of future FQHC expansions. © 2022 Wolters Kluwer Health, Inc. All rights reserved.