Medicaid Is Preferred Here

"Instead, when I spoke recently with the clinic's founder and owner, P. J. Parmar, they were far from his mind. Medicaid's practices-and patients' coverage-already fluctuate enough that he and his staff are used to weathering such unpredictable forces. Even if 15 percent of his patients fell off Medicaid because of the cuts, his practice would be fine, he said, showing me his calculations."

"For starters, Parmar eliminated scheduled appointments, which he called "an exercise in craziness." In theory, appointments ensure that people don't have to wait long to see their doctor, but Parmar found scheduling to be so inherently erratic-some patients need only a few minutes, others half an hour; many don't show up at all-that he could see more patients, while keeping wait times short, by simply having them walk in."

"On a road in Aurora, Colorado, lined with used-car dealers and pawnshops sits a tan, low-rise building called Mango House. Inside, among international-food stalls and ethnic-clothing shops, is a family-medicine clinic that serves a largely refugee and immigrant community. Improbably, the clinic makes enough money to sustain itself and pay staff well without relying on grants or donations. And it does so through Medicaid."

A family-medicine clinic inside Mango House in Aurora, Colorado serves a largely refugee and immigrant community and sustains itself financially without grants or donations. The clinic relies primarily on Medicaid and consistently makes enough revenue to pay staff well. Founder P. J. Parmar opened Ardas Family Medicine in 2012 and redesigned clinic operations to maximize efficiency and access. Parmar removed scheduled appointments in favor of walk-in care, arguing that scheduling is erratic and walk-ins allow more patients to be seen while keeping waits short. The clinic is resilient to fluctuations in Medicaid coverage and can absorb patient losses.

Read at The Atlantic