title: Whether Health Departments Should Provide Clinical Services After the Implementation of the Affordable Care Act.
abstract: I have described a decision support tool that may facilitate local decisions regarding the provision and billing of clinical services. I created a 2 by 2 matrix of health professional shortage and Medicaid expansion availability as of July 2015. I found that health departments in 93% of US counties may still need to provide clinical services despite the institution of the Affordable Care Act. Local context and market conditions should guide health departments' decision to act as safety net providers.
authors.affiliation: Glenn M. Landers is with the Georgia Health Policy Center, Andrew Young School of Policy Studies, Georgia State University, Atlanta.
authors.forename: Glenn M
authors.initials: GM
authors.lastname: Landers
mesh_terms: D003153:Community Health Services / Q000600:supply & distribution*; D003661:Decision Support Techniques; D006297:Health Services Accessibility / Q000191:economics*; D006801:Humans; D009111:Local Government; D008484:Medicaid / Q000191:economics; D058991:Patient Protection and Affordable Care Act; D064876:Safety-net Providers / Q000191:economics*; D014481:United States