TY - JOUR
T1 - Local health departments as essential community providers for health benefits exchange plans
AU - Costich, Julia F.
PY - 2014/4
Y1 - 2014/4
N2 - The Affordable Care Act requires health plans' networks to include "essential community providers" (ECPs). Local health departments (LHDs) can be ECPs, typically for tuberculosis and sexually transmitted disease- related services or family planning. An ECP status may be controversial if it jeopardizes core population health services or competes with community partners. Some LHDs already bill for ECP services, but independent billing functions could exceed projected revenue. Thus, LHDs may wish to investigate contractual arrangements as alternatives to billing multiple issuers.
AB - The Affordable Care Act requires health plans' networks to include "essential community providers" (ECPs). Local health departments (LHDs) can be ECPs, typically for tuberculosis and sexually transmitted disease- related services or family planning. An ECP status may be controversial if it jeopardizes core population health services or competes with community partners. Some LHDs already bill for ECP services, but independent billing functions could exceed projected revenue. Thus, LHDs may wish to investigate contractual arrangements as alternatives to billing multiple issuers.
UR - http://www.scopus.com/inward/record.url?scp=84896510256&partnerID=8YFLogxK
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U2 - 10.2105/AJPH.2013.301830
DO - 10.2105/AJPH.2013.301830
M3 - Article
C2 - 24524488
AN - SCOPUS:84896510256
SN - 0090-0036
VL - 104
SP - e12-e14
JO - American Journal of Public Health
JF - American Journal of Public Health
IS - 4
ER -
