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Forging a Community Health Partnership: Hillsborough County, Florida

Dennis H. Penzell, DO, MS; Marlene Rivera, RN, MA; Bert Parmer, MHA
JAMA. 1995;273(15):1173. doi:10.1001/jama.1995.03520390031016.
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To the Editor.  —We read with great interest the recent Special Communication entitled "Health Reform and The Health of The Public: Forging Community Health Partnerships."1We believe it is important and timely to describe a unique and successful health care program for medically indigent citizens of Hillsborough County, Florida. The Hillsborough County Health Care Plan (HCHCP), implemented in 1992, has been developed through the collaboration of private hospitals, the county health department, federally funded community and migrant health centers, and a public teaching hospital.The HCHCP is a managed care program that promotes access to primary and specialty health care services through coordinated efforts between health and social service agencies. The mission and ultimate goal of the HCHCP is improving the health of the citizens and reducing the spiraling cost of health care.Historically, the Florida State Legislature passed Senate Bill 156 in 1990 allowing counties to levy a


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