by John Davidson, Emily Poirier
Texas Public Policy Foundation
January 09, 2014
Rather than addressing the problem of indigent care and high ER costs by expanding Medicaid, state lawmakers and county officials should explore ways to provide indigent populations with medical homes and access to primary care physicians based on models that have been shown to reduce ER use and provide quality care at a lower cost to taxpayers than Medicaid. County-level programs described in this paper make comprehensive care accessible to defined indigent populations, with primary and specialty care provided, in most cases, in physicians’ regular office settings.



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