Photo by Jay Stone
Continued from previous page For now, at least, that leaves residents of counties like Webster with no choice but to go out of town. These conditions aren’t lost on the Georgia legislature. Rural health care was a key component of the HRDC report filed in December. The council’s report noted: “Rural populations on the whole are sicker, have less or no access to prevention and services, are more likely to suffer from mental illness and chronic diseases, have higher rates of teen pregnancy and higher mortality rates.” Testimony in the HRDC hearings indicated emerging practices that could ease the healthcare burden on rural communities, including care delivery through telehealth, where computer networking is used to support long-distance health care, as well as innovative organizational structure to expand rural access to health care. The HRDC’s other co-chair, Rep. Terry England (R-Auburn), summed up a key financial component for hospital finances – managing payments the hospital receives from Medicaid. “If they’re taking Medicaid, there’s
Long-time Webster County Farm Bureau Director Bill Minick made numerous visits to Stewart Webster Hospital before it closed in 2013. His treatment options are now more limited.
billing platform for Medicaid would lessen the burden on that local hospital so they don’t have as many back-office folks doing paperwork or going to different computer programs to file billing. If they can narrow down the number of people back there, that means they can put that many more folks out front helping take care of people.” The HRDC report made several recommendations to stabilize rural healthcare, adSee HRDC page 30
now four care management organizations (CMOs) in the state in the Medicaid business,” England said, noting that the state just went from three to four. “With three, there were 42 separate billing platforms that a hospital has to use for every Medicaid patient. If a patient walks in and they meet certain criteria, then they’ve got to use one particular platform to bill Medicaid. If the next patient is a little bit different, then they’ve got to use a different platform. A unified
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February-March 2018 / 9