InCharge HEALTHCARE 2019 Medicaid Expansion Tennessee is one of 14 states that hasn’t adopted Medicaid expansion under the Affordable Care Act, and according to Regional One Health and Saint Francis Healthcare, this poses challenges for them to provide adequate care for lower-income patients. Despite the lack of expansion, Gregory is hopeful that lower-cost insurance providers may enter the Memphis market in 2019. “The ACA has led to the most significant expansion of access to healthcare since Medicare and Medicaid,” Gregory said. “Without expansion in Tennessee, it has created challenges related to access to care for patients in the Memphis area. We’re encouraged that lower cost alternatives such as Oscar and Bright Health may become available in the Mid-South.” Challenging Hiring Market With a nationwide physician shortage, Memphis-area hospitals and medical clinics face a fierce challenge to recruit quality physicians, especially in primary care. According to Dunning, VA Memphis struggles to recruit for medical positions in the Memphis area. He has received funding to hire 130 full-time equivalence positions next year, which according to Dunning, will contribute $13 million to the Shelby County economy. “Memphis is a medically rich community,” Dunning said. “It’s a very competitive, high-quality job market. Many hospitals in the area are competing for the same people. We need additional primary care providers, which is a struggle for all medical employers. We’ve had some success recruiting outside the Memphis market.” Constant Change Healthcare executives say that they are prepared to meet the upcoming healthcare challenges in the upcoming year. Dr. Gubin says change is the only constant and the medical community must be one step ahead. “The healthcare market is always changing and the medical community has to be willing to change with it and offer better and more cost efficient solutions for patients,” he said. “It’s important to turn challenges into opportunities and provide high-quality healthcare at a lower cost.”
WILLIAM SCHNAPP, MD, MOACIR SCHNAPP, MD, RYAN MCGAUGHEY, MD, KIT S. MAYS, MD, BETHANY OWEN, MD
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Memphis Medical News InCharge 2019