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Community Health Centers: a Key Partner to Achieve Medicaid Expansion.

Publication ,  Journal Article
Rieselbach, R; Epperly, T; McConnell, E; Noren, J; Nycz, G; Shin, P
Published in: Journal of general internal medicine
October 2019

Medicaid expansion is an important feature of the "Affordable Care Act" and also is proposed as a component of some incremental plans for universal healthcare coverage. We describe (1) obstacles encountered with Medicaid coverage, (2) their potential resolution by federally qualified community health centers (CHCs), (3) the current status and limitations of CHCs, and (4) a proposed mega CHC model which could help assure access to care under Medicaid coverage expansion. Proposed development of the mega CHC model involves a three-component system featuring (1) satellite neighborhood outreach clinics, with team care directed by primary care nurse practitioners, (2) a hub central CHC which would closely correspond to the logistics and administration of current CHCs, and (3) a teaching hospital facilitating subspecialty care for CHC patients, with high-quality and cost-effectiveness. We believe that this new model, designated as a mega CHC, will demonstrate that CHCs can achieve their potential as a key partner to insure care under Medicaid expansion.

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Published In

Journal of general internal medicine

DOI

EISSN

1525-1497

ISSN

0884-8734

Publication Date

October 2019

Volume

34

Issue

10

Start / End Page

2268 / 2272

Related Subject Headings

  • United States
  • Primary Health Care
  • Patient Protection and Affordable Care Act
  • Medicaid
  • Humans
  • Health Services Accessibility
  • General & Internal Medicine
  • Community Health Centers
  • Child
  • Academic Medical Centers
 

Citation

APA
Chicago
ICMJE
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Rieselbach, R., Epperly, T., McConnell, E., Noren, J., Nycz, G., & Shin, P. (2019). Community Health Centers: a Key Partner to Achieve Medicaid Expansion. Journal of General Internal Medicine, 34(10), 2268–2272. https://doi.org/10.1007/s11606-019-05194-1
Rieselbach, Richard, Ted Epperly, Eleanor McConnell, Jay Noren, Greg Nycz, and Peter Shin. “Community Health Centers: a Key Partner to Achieve Medicaid Expansion.Journal of General Internal Medicine 34, no. 10 (October 2019): 2268–72. https://doi.org/10.1007/s11606-019-05194-1.
Rieselbach R, Epperly T, McConnell E, Noren J, Nycz G, Shin P. Community Health Centers: a Key Partner to Achieve Medicaid Expansion. Journal of general internal medicine. 2019 Oct;34(10):2268–72.
Rieselbach, Richard, et al. “Community Health Centers: a Key Partner to Achieve Medicaid Expansion.Journal of General Internal Medicine, vol. 34, no. 10, Oct. 2019, pp. 2268–72. Epmc, doi:10.1007/s11606-019-05194-1.
Rieselbach R, Epperly T, McConnell E, Noren J, Nycz G, Shin P. Community Health Centers: a Key Partner to Achieve Medicaid Expansion. Journal of general internal medicine. 2019 Oct;34(10):2268–2272.
Journal cover image

Published In

Journal of general internal medicine

DOI

EISSN

1525-1497

ISSN

0884-8734

Publication Date

October 2019

Volume

34

Issue

10

Start / End Page

2268 / 2272

Related Subject Headings

  • United States
  • Primary Health Care
  • Patient Protection and Affordable Care Act
  • Medicaid
  • Humans
  • Health Services Accessibility
  • General & Internal Medicine
  • Community Health Centers
  • Child
  • Academic Medical Centers