Medicaid expansion boosts membership, but watch for pent-up demand for services.

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Abstract

Community health center-owned plan reshapes itself to tackle expanding Medicaid population, but providers suffer growing pains. To rescue its ailing plan and boost enrollment, Neighborhood Health Plan of Rhode Island pursued the uninsured and the Children's Health Insurance Program (CHIP). Learn how the provider plan changed its image and added 5,000 members, and what challenges its owner health centers still face. And in a related story, find out why CHIP rapidly is becoming a potentially attractive market for Medicaid providers.

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医疗补助计划的扩大扩大了会员人数,但要注意被压抑的服务需求。
社区卫生中心拥有的计划重塑自己,以应对不断扩大的医疗补助人口,但提供者遭受成长的痛苦。为了挽救其境况不佳的计划并提高入学率,罗德岛州的社区健康计划推行了未参保者和儿童健康保险计划(CHIP)。了解提供者计划如何改变其形象并增加5,000名会员,以及其所有者健康中心仍然面临的挑战。在一个相关的故事中,找出为什么CHIP迅速成为医疗补助提供者潜在的有吸引力的市场。
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Reach out to community to develop culturally sensitive patient care. CA study finds some challenges in Medicaid may be universal. Troubled PHO reveals Medicare risk contracting strategy. Model for PCP contracts offers right incentives for Medicare, Medicaid providers. Collect data, monitor claims receipts to ensure prompt Medicare, Medicaid payment.
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