Think Outside of the RHC Box

Barry MartinPrimary Care Centers of Eastern Kentucky

October 17, 2019

The Premise of RHCs

The RHC program primary purpose is to increase access to primary care services for patients in rural areas. RHCs can be public, nonprofit, or for-profit healthcare facilities. RHCs must be located in rural underserved areas. A RHC must be staffed at least 50% of the time with a NP, PA, or CNM in addition to a supervising physician. RHCs are required to provide outpatient medical services and basic laboratory services.

Advantages of Expanding Services

Provide a variety of care for rural communities Increase revenue sources Decrease transportation costs to patients and

health insurance providers Strengthen alliances and partnerships in your

area

Some Ways to Expand

Incorporate into current services provided Contract services under your RHC Lease space to other organizations Create additional companies to provide

expanded services

Potential Opportunities

Find partners with mutual interests inside and outside the community. For example: hospitals, health departments, community care/mental health organizations, specialists, etc.

Nurture partnerships with the goal to keep the patient at the center of attention.

Believe it or not…..For-profits can access grant funds!!

USDA Telehealth equipment KORE – MATs, Peer Support, etc University of Kentucky – Opioid Addicted Pregnant

Mothers

Contract Services

Contract services from other health care organizations such as hospitals, health departments, etc. For example: OB/GYN, podiatry, radiology (specifically mammography), etc.

Lease Space

Specialists such as cardiologists, optometrists, nerve conduction studies, chiropractors, etc.

Other services like pharmacies, home health agencies, DME, dentistry, etc.

Community Care services such as therapy, counseling, addiction medicine, etc.

Be sure to properly account for income and expenses for non-RHC related services on your cost report.

Create Additional Companies

Pharmacy Addiction Medicine Dentistry High Complexity Lab Therapy/Counseling/Case Management

Incorporating Services Moderate Complexity Lab Radiology (Mammography, U/S, Dexa, etc) Diabetes Quality Improvement Chronic Care Management Behavioral Health Dentistry Hepatitis School Health Tele-health

Questions?

Thank You