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President Carter signing the Rural Health Clinic Services Act of 1977. A rural health clinic (RHC) is a clinic located in a rural, medically under-served area in the United States that has a separate reimbursement structure from the standard medical office under the Medicare and Medicaid programs.
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Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 85 million low-income and disabled people as of 2022; [3] in 2019, the program paid for half of all U.S. births. [4]
Medicaid was instituted for the very poor in 1965. Since enrollees must pass a means test, Medicaid is a social welfare or social protection program rather than a social insurance program. Despite its establishment, the percentage of US residents who lack any form of health insurance has increased since 1994. [ 63 ]
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An additional 4.8 million joined Medicaid. [3] Enrollment for 2015 began on November 15, 2014, and ended on December 15, 2014. [4] As of April 14, 2020, 11.41 million people had signed up through the health insurance marketplaces. [5] Private non-ACA health care exchanges also exist in many states, responsible for enrolling 3 million people. [6]
Health Information Exchange (HIE) refers to the electronic mobilization of health care information across organizations within a region, community, or hospital system. The participants in data exchange are collectively called Health Information Networks (HIN).
EBT cards from several states. Electronic benefit transfer (EBT) is an electronic system that allows state welfare departments to issue benefits via a magnetically encoded payment card used in the United States.