Does Rural Health Clinic certification guarantee a better financial return?
Whereas RHC revenues can rely heavily on reimbursement for services provided to Medicare and Medicaid beneficiaries, to be economically viable an RHC must have a diverse payer mix that includes the privately insured. Maximizing financial return is vital to ensure the clinic’s sustainability. Ideally Medicare should consist of approximately 20% of total visits, Medicaid about 30% and “other” including private pay, 50%.
