tlw 
Member since Jun 19, 2014


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Re: “The expansion of Medicaid is changing trends at hospitals

I moved from Colorado Springs to Columbus, Ohio, to take a job at Lower Lights Christian Health Center, a faith-based nonprofit Federally Qualified Health Center. The role of an FQHC is to provide care to all who need it, regardless of their ability to pay. Ohio is also one of the states that has expanded Medicaid; therefore, many of our uninsured patients (which constitutes almost 50% of our patient base) were eligible for Medicaid enrollment.

Because of our FQHC structure and the fact that we are also a designated Patient Centered Medical Home--Level 3 status, LLCHC is eligible for a slightly higher reimbursement rate from Medicaid--therefore allowing us to continue to welcome additional Medicaid and uninsured patients. Unfortunately, in a normal for-profit business model, most Primary Care providers and hospitals are not able to sustain a business model that has a large number of Medicaid patients. The expansion of Medicaid will not help these providers--even though the number of Medicaid Patients is increasing.

I would recommend that all hospitals and private practices that operate under the traditional business model refer patients to Federally Qualified Health Centers for appropriate primary care and follow-up care. FQHCs are designed to take on more Medicaid and uninsured patients and can financially sustain this model. Just FYI... :-)

8 likes, 5 dislikes
Posted by tlw on 06/19/2014 at 8:59 AM

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