Community health clinics, the backbone of Californias health care safety net, likely will treat more Medi-Cal beneficiaries under the Affordable Care Act, but the facilities also could lose patients who obtain private health insurance through the law, notes an article from HealthyCal
Anthony Wright of Health Access California said, "The question for the safety-net providers is whether they are going to try to actively chase those people who are newly insured or focus on the remaining uninsured."
In addition to losing patients, clinics also could experience lower payments because private insurers will not pay safety-net facilities the higher reimbursements that clinics typically receive from the federal government.
Jennifer Morton Kent , executive director of a group representing county managed care plans, said safety-net clinics that want to serve private patients will likely have to shift to a managed care model. Instead of being paid for every doctor visit and procedure, they will be paid a set amount per month per patient.
For more than a year clinics around the state have been working to upgrade their facilities and their care to better serve their patients, most are implementing the medical home model, with the goal to get patients healthy and keep them that way, avoiding expensive hospital visits, and return visits, whenever possible...