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Introduced for Medicaid in 1989 and Medicare in 1990, this designation allowed HRSA-funded health centers to receive cost-based reimbursement rates. Covered services included those provided by physicians, physician assistants, nurse practitioners, certified nurse midwives, clinical psychologists, and clinical social workers.
As of 2018, there were approximately 4,300 RHCs across 44 states in the U.S. [1] RHCs facilitate 35.7 million visits per year and provide services for millions of people, including 8 million Medicare beneficiaries. [2] As primary care facilities, RHCs are essential to the health care safety net in rural America. [3]
A free clinic or walk in clinic is a health care facility in the United States offering services to economically disadvantaged individuals for free or at a nominal cost. The need for such a clinic arises in societies where there is no universal healthcare, and therefore a social safety net has arisen in its place. [ 1 ]
Along with the introduction of private insurance, Medicare, and Medicaid during the 1980s, [7] by the time 1994 arrived, 94% of the revenue came from patient care. [6] However, in 1996, approximately 43 million people (one-fifth of the U.S. population under age 65) had no medical insurance and an additional 29 million were underinsured.
Community health centers primarily provide health care to patients who are uninsured or covered by Medicaid. [22] In 2007, almost 40% of all CHC patients lacked insurance, and 35% were Medicaid patients. [5] In 2008, 1,080 CHCs provided comprehensive primary care to more than 17.1 million people. [4]
Under funding from the CMS, PACE provides all services covered by the Medicare and Medicaid. [9] PACE may also cover services outside the scope of Medicare and Medicaid funding, as long as the providers deem the service necessary. [9] Most PACE participants have co-morbidities, including cardiovascular diseases, diabetes, and hypertension. [10]
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