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Enrollment and Access

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Aspen County Access and Enrollment Assistance
Aspen County has opted not to participate in the expansion of the Medicaid program in the state. There was strong support of dropping the Medicaid program from commissioners of the county, and citizens who want less government involvement in their lives. Additionally, healthcare providers in the county are reporting that they are seeing more Medicaid, Medicare and uninsured patients, and delivering higher levels of uncompensated care. With that, the largest primary care practice in the county, Basalt, has decided to terminate its Medicaid and uninsured patients. They can no longer afford being uncompensated for care.
There are several issues that are important in evaluating the state of health care in Aspen County and evaluation of if obtaining a grant from the government for enrollment assisters to help patients enroll in Medicare, Medicaid or purchase insurance coverage. There is the potential to benefit the county's medical groups positively if patients have insurance and they can be compensated for their care. The stakeholders here are the healthcare facilities, county commissioners, citizens and the public health department. Most of the stakeholders in this situation are in support of dropping Medicaid, which needs to be delicately addressed. Leaving 1/3 of the population or more without coverage or help needs to be emphasized and the advantages of providing services for citizens to get coverage explained efficiently. My recommended course of action would be for the county to secure the grant, helping those uninsured get coverage, providing more reimbursable services for the providers and improving the overall health status of the

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