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HRD-82-62 1 (1982-05-14)

handle is hein.gao/gaobabdjj0001 and id is 1 raw text is: 



REPORT BY THE US.


General Accounting Office

           RESTRICTED - nc-P to be rel!;ted or-,,        enra

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                                           RELEASED

Rural Health Clinic Services

Act Has Not Met Expectations





The act authorized Medicare and Medicaid
reimbursement for the services of physi-
cian extenders in participating rural health
clinics in medically underserved areas. The
services provided under the act have been
Imuch lower than anticipated. GAO found
that Medicare beneficiaries in the clinic
service areas principally use local physi-
cians, instead of the clinics, to provide their
primary health care. Also, many clinics
have declined to participate or have with-
drawn from the program because the reim-
bursement rates under the Federal guide-
lines are perceived to be too low. Federal
grant funds are a more significant source of
clinic revenue than Medicare and Medi-
caid. Under legislation enacted in
August 1981, these grant funds are to be
included in block grants to be distributed by
,the States.










              M 118662


                 tie  -HR D-82-62
   416cou!                                                     MAY 14,1982

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