Design of Integrated Care and Expansion of Health Insurance for the Underserved and Medically Indigent Population
The US health-care system fails to deliver integrated care through community health centers. The Medicaid crisis encountered by every state is pervasive and has adversely affected emergency departments’ operation and function. The proposed managed care plan for Medicaid beneficiaries is an attempt to develop fundamental principles of reengineering or restructuring the community-based delivery system with applications of health information technology (HIT). This chapter illustrates important integrated care principles for restructuring community health centers to serve the underserved population in the United States. We present a schema for employing health-care information technologies in the design of a community-based delivery system. Based on the best practices of community health centers, we analyze the factors influencing their effectiveness and efficiency. The principles of an integrated care management plan are formulated. Expected outcomes of the HIT-based delivery system are discussed.
KeywordsIndigent care Medicaid Health information technology Community-based care Integrated care Community health center
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