Highest Need Primary Care Health Professional Shortage Areas (HPSAs) in Virginia
Share this article
ADVERTISEMENT
(comments below)
Comments
Comments
19 responses to “Highest Need Primary Care Health Professional Shortage Areas (HPSAs) in Virginia”
-
Four years ago Virginia enacted Medicaid expansion. One of the concerns I had at the time was that providing healthcare coverage was not the same as providing access, that Virginia was doing little to address the shortage of healthcare practitioners, especially physicians, and that a lot of people still would have trouble finding care. It appears that nothing has changed, although as a partial excuse for the political class, the COVID pandemic did suck all the oxygen out of the healthcare-policy debate.
-
the question is – is no one on Medicaid getting care?
And the answer is obvious. That’s not true.
So what is true?
That perhaps SOME (how many, what percent?) are not?
and without Medicaid – how many who do get care now would not?
-
Not germane. I supported Medicaid expansion. But access is not the same as insurance. Which is the point of the article. I am pointing out that poor people, Medicaid beneficiaries all, in parts of Virginia have no providers for their primary care needs.
-
access is not the same as insurance, I AGREE.
But out of how many Medicaid recipients are not getting care as opposed to those that are – compared to how many would get car without Medicaid at all?
We’re playing half glass here again.
A hell of a lot people ARE getting care now that they do have Medicaid – at the same time some percent are not and should be addressed.
As you answered above, the shortage of primary care in some places is really not directly related to Medicaid. No one , regular insured, Medicare, and Medicaid have access… because of the geographic shortage of primary care.
-
-
-
No one likes to talk about it, but the absolute bane of healthcare providers to Medicaid patients are no-shows. Lots of reasons for that, but it is true. Virginia hires insurance companies to “manage” Medicaid patients, but they don’t manage that.
-
I don’t doubt that is true. IMHO Those in the lower economic tiers tend to not be as dependable for all manner of things from work to keeping their kids in school. One can call it a “culture” thing but it has nothing to do with race and everything to do with poor education and lower economic status. It’s IMHO, I do disclose that I really have no real data or research to back this up. Perhaps others who make such similar claims, do.
–
-
-
-
So why do SOME parts of Virginia not have providers? What is the main reason?
And what exactly would HEZs do to remedy that?
-
A. Because doctors, dentists and psychologists don’t want to work and live there.
B. HEZ’s raise treatment reimbursements, provide cost-free facilities and law enforcement support to office security and increase tuition debt repayment support.-
A – good answer – bigger issue than just Medicaid.
B. – not sure the things named will bring more customers or incentivize a doc to move there.At one time the Feds would classify these places as “underserved’ and would provide incentives to new doctor to locate there for some period of time in exchange for paying some of their loans.
Is that no longer true. Would you offer that in your HEZ? Does Maryland?
-
The question nobody addresses: Is anybody on Medicaid getting healthier? Just like the schools. They don’t want to know. How dare we expect results!
-
I think that’s a legitimate question but why would we expect folks who are on Medicaid and who DO see a doctor, not benefit from doing that like others who also go to a doctor but have other insurance?
Is there an implication that folks with Medicaid don’t get the same level of care if they do get to the Doctor?
is there a feeling that those who have Medicaid (and can get to a doctor) don’t get the same standard of care?
-
-
Feds do offer limited loan forgiveness support. A state HEZ would expand the limits of that forgiveness.
-
And a good thing, agree.
I remember a few years back , West Va having mobile clinics that provided primary care, drugs, dentist, etc.
not sure how follow-up worked.Does Va do that? Would that be a HEZ thing?
-
The private mobile charitable clinics operate regularly. HEZs in Maryland are, as the term indicates, geographic zones. There is no reason, however, that if Virginia found mobile clinics more adaptable to market conditions in certain areas it could not support their operation, probably most efficiently with support to existing charitable operations.
-
-
-
-
-
LG, here is the answer, and thank you, JS, for the observation: “it remains very hard to get health professionals to establish practices in many areas that most need them not only because of financial, but also lifestyle disincentives.” Like, book burning and anti-science attitudes.
-
Yes. But still think younger guys/gals right out of Medical school could be “incentivized” to spend a few years there…. I notice that organizations like UVA now are deploying satellite sites out in the hinterlands – and the docs are not there all days – they commute.
Nothing to do with Medicaid… There are others on Medicare and state/fed health plans also but they are dispersed. There’s just not enough density of patients to make it worthwhile for a doc to be there permanently.
In Fredericksburg, we have the Lloyd Moss ‘free’ Clinic but it’s fees are structured per income level and insurance and it’s staffed by volunteer Docs.
-
Like bad schools.
-
I’d sign up for every single voucher school that served only at-risk kids and provided full transparency on results and if they’re successful – put them everywhere a public school was failing at teaching at-risk.
-
-
PPACA (Obamacare) conflated the lines of having healthcare and access to it. Just because you have “insurance” doesn’t mean you have healthcare. Everyone has always been entitled to healthcare regardless of your ability to pay.
Government intervention is never the solution, especially when they let insurance companies write the damn law.
Leave a Reply
You must be logged in to post a comment.