YVFWCYakima Valley Farm Workers Clinic (Washington)
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In other words, the opportunities abound to increase their patient base, but those opportunities are constrained by the fact that the vast majority of new patients YVFWC might attract will be Medicaid enrollees or potential Medicaid enrollees, and nearly all of those will be in Medicaid managed care, one of the most resource-limited populations to care for.
Still, there is right now a genuine opportunity to increase the insured patient base in the Yakima Valley, and the YVFWC's leaders are doing everything possible to build that base.
Both Washington and Oregon have gone ahead and expanded their Medicaid programs, and with 70 percent of YVFWC's patients being Medicaid enrollees, there is a great deal of potential for the clinic going forward, he says, though he immediately notes that many of those patients are already on a sliding fee scale because of their low incomes, and also, very importantly, that essentially, the Medicaid program is increasingly becoming, state by state, essentially a large managed care program, overall.