Goshen Health Clinic Offers Alternative Ways To Pay For Care


NEWSDESK.”
I’M JOE HREN. I’M JOE HREN.
THE PASSAGE AND THE THE PASSAGE AND THE
IMPLEMENTATION OF THE AFFORDABLE IMPLEMENTATION OF THE AFFORDABLE
CARE ACT SPARKED CONTROVERSIAL CARE ACT SPARKED CONTROVERSIAL
DEBATES ABOUT THE AFFORDABILITY DEBATES ABOUT THE AFFORDABILITY
AND ACCESS TO HEALTHCARE IN OUR AND ACCESS TO HEALTHCARE IN OUR
COUNTRY. COUNTRY.
BUT IN GOSHEN, INDIANA, THE BUT IN GOSHEN, INDIANA, THE
MAPLE CITY HEALTH CLINIC CAME UP MAPLE CITY HEALTH CLINIC CAME UP
WITH A NEW WAY FOR THE WITH A NEW WAY FOR THE
LOW-INCOME PATIENTS TO PAY FOR LOW-INCOME PATIENTS TO PAY FOR
CLAIRE. CLAIRE.
CLAIRE McINERNEY LOOKS AT THE CLAIRE McINERNEY LOOKS AT THE
UNIQUE APPROACH TO SERVING ITS UNIQUE APPROACH TO SERVING ITS
PATIENTS. PATIENTS.
>>PALOMA QUINTANA WAS 14 WHEN >>PALOMA QUINTANA WAS 14 WHEN
SHE FOUND OUT SHE WAS PREGNANT SHE FOUND OUT SHE WAS PREGNANT
WITH HER FIRST CHILD. WITH HER FIRST CHILD.
THE STRESS WAS OVERWHELMING. THE STRESS WAS OVERWHELMING.
QUINTANA BECAME DEPRESSED AND QUINTANA BECAME DEPRESSED AND
BEGAN DRINKING. BEGAN DRINKING.
SHE NEEDED HELP FOR HERSELF AND SHE NEEDED HELP FOR HERSELF AND
UNBORN BABY BUT DOORS KEPT UNBORN BABY BUT DOORS KEPT
GETTING SLAMMED IN HER FACE. GETTING SLAMMED IN HER FACE.
>>BECAUSE I WAS REALLY DRUNK >>BECAUSE I WAS REALLY DRUNK
AND NOBODY WANTED ME TO, YOU AND NOBODY WANTED ME TO, YOU
KNOW — IN THEIR CLINIC BECAUSE KNOW — IN THEIR CLINIC BECAUSE
THEY THOUGHT THEY WERE GOING TO THEY THOUGHT THEY WERE GOING TO
GET IN TROUBLE FOR A 14-YEAR-OLD GET IN TROUBLE FOR A 14-YEAR-OLD
AND PREGNANT, YOU KNOW. AND PREGNANT, YOU KNOW.
SO WE TALK AND DR. JAMES, I SO WE TALK AND DR. JAMES, I
THINK, WAS THE ONE WHO SAID, THINK, WAS THE ONE WHO SAID,
WELL, YEAH. WELL, YEAH.
LET’S DO IT. LET’S DO IT.
AND SO SHE CAN HAVE, YOU KNOW — AND SO SHE CAN HAVE, YOU KNOW —
I GET PREGNANCY AND ALL THAT. I GET PREGNANCY AND ALL THAT.
I HELP YOUR PREGNANCY. I HELP YOUR PREGNANCY.
>>IMPROVING HEALTH, ALMOST >>IMPROVING HEALTH, ALMOST
INVARIABLY MEANS SIGNIFICANT INVARIABLY MEANS SIGNIFICANT
CHANGE IN HOW WE FUNCTION, ONE CHANGE IN HOW WE FUNCTION, ONE
WAY OR ANOTHER. WAY OR ANOTHER.
>>GINGRICH CALLS IT INTEGRATED >>GINGRICH CALLS IT INTEGRATED
HEALTHCARE, NOT JUST STREETING HEALTHCARE, NOT JUST STREETING
THE SYMPTOMS BUT LOOKING AT THE THE SYMPTOMS BUT LOOKING AT THE
PATIENT’S ENTIRE LIFE. PATIENT’S ENTIRE LIFE.
LIKE QUINTANA, A LOT OF PREGNANT LIKE QUINTANA, A LOT OF PREGNANT
WOMEN OR NOT PREPARED TO GIVE WOMEN OR NOT PREPARED TO GIVE
BIRTH AND BE MOTHERS. BIRTH AND BE MOTHERS.
ONE THE REQUIREMENTS OF MAPLE ONE THE REQUIREMENTS OF MAPLE
CITY’S PRENATAL CARE IS CITY’S PRENATAL CARE IS
ATTENDING GROUP SESSIONS WITH ATTENDING GROUP SESSIONS WITH
OTHER PREGNANT WOMEN TO TALK OTHER PREGNANT WOMEN TO TALK
ABOUT EXPECTATIONS AND TO ABOUT EXPECTATIONS AND TO
PREPARE FOR MOTHERHOOD. PREPARE FOR MOTHERHOOD.
>>WE TALK ABOUT BABY NAMES AND >>WE TALK ABOUT BABY NAMES AND
LABOR AND ABOUT WHAT WE WANTED LABOR AND ABOUT WHAT WE WANTED
TO HAVE HAPPEN OR HOSPITAL ROOM, TO HAVE HAPPEN OR HOSPITAL ROOM,
YOU KNOW, THE HOSPITAL. YOU KNOW, THE HOSPITAL.
AND WE WANTED TO HAVE A BATH, I AND WE WANTED TO HAVE A BATH, I
DON’T KNOW, IN THE ROOM. DON’T KNOW, IN THE ROOM.
YEAH. YEAH.
AND HOW YOUR WATER WORKS WHEN AND HOW YOUR WATER WORKS WHEN
YOU ARE PREGNANT. YOU ARE PREGNANT.
>>AND TO HELP THE PATIENTS WITH>>AND TO HELP THE PATIENTS WITH
FINANCING THEIR HEALTH CARE, FINANCING THEIR HEALTH CARE,
MAPLE CITY USES A SLIDING FEE MAPLE CITY USES A SLIDING FEE
DISCOUNT SYSTEM BASED ON INCOME DISCOUNT SYSTEM BASED ON INCOME
AND SIZE OF FAMILY. AND SIZE OF FAMILY.
WHETHER THEY HAVE INSURANCE OR WHETHER THEY HAVE INSURANCE OR
NOT. NOT.
WHEN THE RECESSION HIT, GINGRICH WHEN THE RECESSION HIT, GINGRICH
SAID PATIENTS WITH DISCOUNTED SAID PATIENTS WITH DISCOUNTED
COPAYS AND MEDICATIONS STOPPED COPAYS AND MEDICATIONS STOPPED
COMING ALL TOGETHER. COMING ALL TOGETHER.
>>WE WERE SITTING AROUND AS A >>WE WERE SITTING AROUND AS A
STAFF TALKING ABOUT THIS AND STAFF TALKING ABOUT THIS AND
SUDDENLY ONE OF OUR STAFF SUDDENLY ONE OF OUR STAFF
MEMBERS ASKED 9 QUESTION, THE MEMBERS ASKED 9 QUESTION, THE
SIMPLE QUESTION: IF THESE SIMPLE QUESTION: IF THESE
PEOPLE DON’T HAVE MONEY, WHAT DO PEOPLE DON’T HAVE MONEY, WHAT DO
THEY HAVE? THEY HAVE?
AND THE OBVIOUS ANSWER WAS TIME. AND THE OBVIOUS ANSWER WAS TIME.
THEY UNEMPLOYED. THEY UNEMPLOYED.
>>BUT HOW DO YOU USE FREE TIME >>BUT HOW DO YOU USE FREE TIME
TO PAY FOR HEALTH CARE? TO PAY FOR HEALTH CARE?
BY VOLUNTEERING. BY VOLUNTEERING.
GINGRICH AND HIS STAFF PARTNERED GINGRICH AND HIS STAFF PARTNERED
WITH LOCAL CHARITIES LIKE THE WITH LOCAL CHARITIES LIKE THE
WINDOW, A CENTER THAT PROVIDES WINDOW, A CENTER THAT PROVIDES
BASIC NEED SERVICES TO ACCEPT BASIC NEED SERVICES TO ACCEPT
MAPLE CITY PATIENTS AS MAPLE CITY PATIENTS AS
VOLUNTEERS. VOLUNTEERS.
>>WHAT HAPPENS IS THEY WILL >>WHAT HAPPENS IS THEY WILL
COME FROM MAPLE CITY HEALTH COME FROM MAPLE CITY HEALTH
CENTER, AND THEY HAVE A CERTAIN CENTER, AND THEY HAVE A CERTAIN
AMOUNT OF HOURS THAT THEY HAVE AMOUNT OF HOURS THAT THEY HAVE
TO WORK OFF. TO WORK OFF.
AND FOR EVERY HOUR, THEY GET $10 AND FOR EVERY HOUR, THEY GET $10
OFF THEIR BILL. OFF THEIR BILL.
>>NOT ONLY DOES THIS PROGRAM >>NOT ONLY DOES THIS PROGRAM
HELP PATIENTS PAY FOR CARE, BUT HELP PATIENTS PAY FOR CARE, BUT
IT’S HAVING AN IMPACT ON THE IT’S HAVING AN IMPACT ON THE
ENTIRE GOSHEN COMMUNITY. ENTIRE GOSHEN COMMUNITY.
>>OUR COMMUNITY IS IN GREAT >>OUR COMMUNITY IS IN GREAT
NEED. NEED.
UNEMPLOYMENT HAS BEEN HIGH IN UNEMPLOYMENT HAS BEEN HIGH IN
OUR AREA AND THERE’S A LOT OF OUR AREA AND THERE’S A LOT OF
PEOPLE THAT ARE OUT OF WORK AND PEOPLE THAT ARE OUT OF WORK AND
THEY FIND THAT THEY ARE THEY FIND THAT THEY ARE
STRUGGLING TO PAY SOMETHING LIKE STRUGGLING TO PAY SOMETHING LIKE
A MEDICAL BILL THAT OTHERS ARE A MEDICAL BILL THAT OTHERS ARE
JUST TAKE FOR GRANTED TO BE ABLE JUST TAKE FOR GRANTED TO BE ABLE
TO PAY AND SO TO OFFER THAT AND TO PAY AND SO TO OFFER THAT AND
OFFER IT TO THE COMMUNITY TO OFFER IT TO THE COMMUNITY TO
COME OUT AND HELP THOSE PEOPLE COME OUT AND HELP THOSE PEOPLE
BY DOING SOME VOLUNTEER WORK, BY DOING SOME VOLUNTEER WORK,
THAT’S — I GUESS, THAT’S THE THAT’S — I GUESS, THAT’S THE
IMPACT THAT IT SEEMS LIKE IT HAS IMPACT THAT IT SEEMS LIKE IT HAS
FOR THE COMMUNITY. FOR THE COMMUNITY.
>>THIS SYSTEM IS ANOTHER WAY >>THIS SYSTEM IS ANOTHER WAY
THE CLINIC ENGAGES PATIENTS LIKE THE CLINIC ENGAGES PATIENTS LIKE
QUINTANA INTO OWNING THEIR QUINTANA INTO OWNING THEIR
HEALTHCARE. HEALTHCARE.
SHE SAYS WITHOUT THE SUPPORT SHE SAYS WITHOUT THE SUPPORT
FROM MAPLE CITY DURING HER FROM MAPLE CITY DURING HER
PREGNANCY, HER 3-YEAR-OLD PREGNANCY, HER 3-YEAR-OLD
DAUGHTER AND ONE AND A DAUGHTER AND ONE AND A
HALF-YEAR-OLD SON WOULD NOT BE HALF-YEAR-OLD SON WOULD NOT BE
HEALTHY TODAY. HEALTHY TODAY.
SHE RECEIVED COUNSELING TO COPE SHE RECEIVED COUNSELING TO COPE
WITH THE STRESS OF MOTHERHOOD WITH THE STRESS OF MOTHERHOOD
AND NOW WORKS WITH A AND NOW WORKS WITH A
NUTRITIONIST TO MANAGE HER NUTRITIONIST TO MANAGE HER
WEIGHT. WEIGHT.
AND BECAUSE SHE’S PAYING A AND BECAUSE SHE’S PAYING A
SLIDING SCALE. SLIDING SCALE.
SHE DOESN’T FEEL LIKE SHE’S SHE DOESN’T FEEL LIKE SHE’S
RECEIVING A FREE HANDOUT. RECEIVING A FREE HANDOUT.
>>THEY HELPED ME AND THEY GIVE >>THEY HELPED ME AND THEY GIVE
ME A LOT OF CHANCES AND ME A LOT OF CHANCES AND
OPPORTUNITIES, YOU KNOW, TO PAY OPPORTUNITIES, YOU KNOW, TO PAY
MY BILL SOMETIMES. MY BILL SOMETIMES.
AND NOT TO WORRY ABOUT I’M GOING AND NOT TO WORRY ABOUT I’M GOING
TO, YOU KNOW — NOT GOING TO TO, YOU KNOW — NOT GOING TO
COME ANYMORE HERE TO BRING MY COME ANYMORE HERE TO BRING MY
KIDS. KIDS.
>>QUINTANA IS WORKING ON HER >>QUINTANA IS WORKING ON HER
G.E.D. AND SAYS SHE WANTS TO G.E.D. AND SAYS SHE WANTS TO
EVENTUALLY BECOME A NURSE. EVENTUALLY BECOME A NURSE.
REPORTER CLAIRE McINERNEY REPORTER CLAIRE McINERNEY
JOINS US NOW WITH MORE. JOINS US NOW WITH MORE.
IF THE CLINIC ALLOWS THEIR IF THE CLINIC ALLOWS THEIR
PATIENTS TO PAY BILLS BY DOING PATIENTS TO PAY BILLS BY DOING
COMMUNITY SERVICE, THEN HOW DOES COMMUNITY SERVICE, THEN HOW DOES
THE CLINIC ACTUALLY MAKE MONEY? THE CLINIC ACTUALLY MAKE MONEY?
>>SURE. >>SURE.
AND JUST TO BE CLEAR, THE AND JUST TO BE CLEAR, THE
CHARITIES THEMSELVES ARE NOT CHARITIES THEMSELVES ARE NOT
PAYING A WAGE TO THE PATIENTS OR PAYING A WAGE TO THE PATIENTS OR
WRITING A COLLECT THEMSELVES TO WRITING A COLLECT THEMSELVES TO
MAPLE CITY. MAPLE CITY.
THE ONE HOUR OF COMMUNITY THE ONE HOUR OF COMMUNITY
SERVICE FOR $10 ON YOUR BILL IS SERVICE FOR $10 ON YOUR BILL IS
MORE OF A WAY TO ENGAGE THE MORE OF A WAY TO ENGAGE THE
PATIENTS IN THEIR CARE, AND MAKE PATIENTS IN THEIR CARE, AND MAKE
SURE THAT THEY ARE WORKING HARD SURE THAT THEY ARE WORKING HARD
FOR THAT CARE THAT THEY GET, FOR THAT CARE THAT THEY GET,
EVEN IF THEY DIDN’T PROVIDE EVEN IF THEY DIDN’T PROVIDE
MONEY. MONEY.
SO JUST LIKE — THEY ARE NOT A SO JUST LIKE — THEY ARE NOT A
FREE CLINIC. FREE CLINIC.
THEY ARE A FAMILY PRACTICE. THEY ARE A FAMILY PRACTICE.
SO NOT EVERYONE THERE IS LOW SO NOT EVERYONE THERE IS LOW
INCOME. INCOME.
THERE ARE PEOPLE THERE WITH THERE ARE PEOPLE THERE WITH
INSURANCE THAT CAN PAY THEIR INSURANCE THAT CAN PAY THEIR
COPAYS AND MEDICATIONS IN FULL COPAYS AND MEDICATIONS IN FULL
AND THOSE PEOPLE OFFSET THE COST AND THOSE PEOPLE OFFSET THE COST
OF THE PEOPLE WHO QUALIFY FOR OF THE PEOPLE WHO QUALIFY FOR
THE SLIDING SCALE. THE SLIDING SCALE.
THEY ALSO HAVE RECENTLY STARTED THEY ALSO HAVE RECENTLY STARTED
GETTING MORE GRANTS AND, YOU GETTING MORE GRANTS AND, YOU
KNOW, FEDERAL FUNDING BECAUSE KNOW, FEDERAL FUNDING BECAUSE
THEY HAVE SUCH A UNIQUE MODEL THEY HAVE SUCH A UNIQUE MODEL
AND PEOPLE ARE REWARDING IT. AND PEOPLE ARE REWARDING IT.
THAT’S HOW THEY ARE DOING IT. THAT’S HOW THEY ARE DOING IT.
DR. GINGRICH TOLD ME ONCE THEY DR. GINGRICH TOLD ME ONCE THEY
STARTED THE MORE THAN MONEY STARTED THE MORE THAN MONEY
PROGRAM, THEY ACTUALLY SAW THEIR PROGRAM, THEY ACTUALLY SAW THEIR
PROFITS RISE BECAUSE IF SOMEONE PROFITS RISE BECAUSE IF SOMEONE
WAS UNEMPLOYED AND QUALIFIED FOR WAS UNEMPLOYED AND QUALIFIED FOR
THE SLIDING SCALE, WHEN THEY THE SLIDING SCALE, WHEN THEY
WERE EMPLOYED AGAIN AND HAD THE WERE EMPLOYED AGAIN AND HAD THE
MONEY, THEY CAME BACK AND PAID MONEY, THEY CAME BACK AND PAID
MORE BECAUSE THEY WERE SO MORE BECAUSE THEY WERE SO
GRATEFUL THEY WERE ABLE TO GET GRATEFUL THEY WERE ABLE TO GET
THE CARE WHEN THEY NEEDED IT. THE CARE WHEN THEY NEEDED IT.
>>NOW, IS THIS PAYMENT MODEL >>NOW, IS THIS PAYMENT MODEL
THAT MAPLE CITY USES SCALABLE? THAT MAPLE CITY USES SCALABLE?
MEANING THAT CAN THIS BE MEANING THAT CAN THIS BE
DEVELOPED IN CITIES LIKE DEVELOPED IN CITIES LIKE
INDIANAPOLIS? INDIANAPOLIS?
>>IT’S A TRICKY QUESTION AND I >>IT’S A TRICKY QUESTION AND I
ASKED EVERYONE UP IN GOSHEN THAT ASKED EVERYONE UP IN GOSHEN THAT
I TALKED TO THE SAME QUESTION. I TALKED TO THE SAME QUESTION.
AND THE SYSTEM SIMPLE ANSWER IS, AND THE SYSTEM SIMPLE ANSWER IS,
YES, BUT… IS WHAT EVERYONE YES, BUT… IS WHAT EVERYONE
SAID. SAID.
DR. GINGRICH SAID, YES, BUT YOU DR. GINGRICH SAID, YES, BUT YOU
CAN’T TAKE THEIR MODEL AND IT CAN’T TAKE THEIR MODEL AND IT
APPLY IT ANYWHERE. APPLY IT ANYWHERE.
YOU HAVE TO KNOW THE NEEDS OF YOU HAVE TO KNOW THE NEEDS OF
YOUR COMMUNITY, AND THE YOUR COMMUNITY, AND THE
STRUGGLES OF YOUR COMMUNITY. STRUGGLES OF YOUR COMMUNITY.
HE HAS LIVED IN GOSHEN FOR YEARS HE HAS LIVED IN GOSHEN FOR YEARS
AND WORKED THERE AND SERVED AND WORKED THERE AND SERVED
PATIENTS FOR A LONG TIME. PATIENTS FOR A LONG TIME.
SO HE KNEW WHAT WAS NEEDED, WHAT SO HE KNEW WHAT WAS NEEDED, WHAT
STRUGGLES HIS PATIENTS WENT STRUGGLES HIS PATIENTS WENT
THROUGH. THROUGH.
WOULD YOU HAVE TO ADAPT THE WOULD YOU HAVE TO ADAPT THE
MODEL TO WHATEVER CITY AND MAYBE MODEL TO WHATEVER CITY AND MAYBE
NOT DO VOLUNTEER TO PAY IT OFF NOT DO VOLUNTEER TO PAY IT OFF
BUT SOMETHING DIFFERENT. BUT SOMETHING DIFFERENT.
>>NOW, YOU BRIEFLY MENTIONED >>NOW, YOU BRIEFLY MENTIONED
THE PREGNANCY GROUP. THE PREGNANCY GROUP.
ARE THERE OTHER ACTIVITIES LIKE ARE THERE OTHER ACTIVITIES LIKE
THAT, THAT THEY PROVIDE? THAT, THAT THEY PROVIDE?
>>YEAH, THEY HAVE HEALTHY >>YEAH, THEY HAVE HEALTHY
LIVING GROUPS. LIVING GROUPS.
THEY TAKE PEOPLE TO THE FARMER’S THEY TAKE PEOPLE TO THE FARMER’S
MARKET. MARKET.
THEY DO COOKING CLASSES. THEY DO COOKING CLASSES.
THEY DO SOMETHING CALLED WARM THEY DO SOMETHING CALLED WARM
HANDOFFS WHERE IT’S A — A HANDOFFS WHERE IT’S A — A
PATIENT COMES IN AND THEY ARE PATIENT COMES IN AND THEY ARE
PREDIABETIC INSTEAD OF SAYING GO PREDIABETIC INSTEAD OF SAYING GO
HOME AND LOSE WEIGH AND HOME AND LOSE WEIGH AND
EXERCISE, THEY SAY YOU NEED TO EXERCISE, THEY SAY YOU NEED TO
EXERCISE AND LOSE WEIGHT, BUT EXERCISE AND LOSE WEIGHT, BUT
HERE’S A NUTRITIONIST TO GIVE HERE’S A NUTRITIONIST TO GIVE
YOU MEAL PLANS AND HERE’S A YOU MEAL PLANS AND HERE’S A
COUNSELOR IF YOU ARE DEPRESSED COUNSELOR IF YOU ARE DEPRESSED
ABOUT BEING PREDIABETIC AND ABOUT BEING PREDIABETIC AND
THAT’S PART OF THEIR CARE AND THAT’S PART OF THEIR CARE AND
FREE. FREE.
>>WE HAVE BEEN HEARING A LOT >>WE HAVE BEEN HEARING A LOT
ABOUT THE AFFORDABLE CARE ACT ABOUT THE AFFORDABLE CARE ACT
IMPLEMENTATION. IMPLEMENTATION.
DOES IT HAVE ANY IMPACT ON THE DOES IT HAVE ANY IMPACT ON THE
PROGRAMS THAT THEY ARE OFFERING. PROGRAMS THAT THEY ARE OFFERING.
>>IT SHOULDN’T. >>IT SHOULDN’T.
THE AFFORDABLE CARE ACT IS THE AFFORDABLE CARE ACT IS
PROVIDING INSURANCE FOR PEOPLE PROVIDING INSURANCE FOR PEOPLE
WITHOUT INSURANCE. WITHOUT INSURANCE.
SO IF ONE OF THE PEOPLE WHO SO IF ONE OF THE PEOPLE WHO
DIDN’T HAVE INSURANCE BEFORE DIDN’T HAVE INSURANCE BEFORE
SUDDENLY IS COVERED, THAT JUST SUDDENLY IS COVERED, THAT JUST
MEANS THEY MIGHT NOT HAVE TO USE MEANS THEY MIGHT NOT HAVE TO USE
THE SLIDING SCALE THINKMORE. THE SLIDING SCALE THINKMORE.
OR THEY MIGHT NOT HAVE TO OR THEY MIGHT NOT HAVE TO
PARTICIPATE IN MORE THAN MONEY. PARTICIPATE IN MORE THAN MONEY.
SO IT’S ONLY A POSITIVE BUT EVEN SO IT’S ONLY A POSITIVE BUT EVEN
IF THEY ARE COVERED, I THINK IF THEY ARE COVERED, I THINK
IT’S IMPORTANT TO SAY THEY DON’T IT’S IMPORTANT TO SAY THEY DON’T
DISCOUNT INSURANCE COMPANIES. DISCOUNT INSURANCE COMPANIES.
THEY DISCOUNT WHAT THE PATIENT THEY DISCOUNT WHAT THE PATIENT
IS RESPONSIBLE FOR. IS RESPONSIBLE FOR.
SO A COPAY OR SOMETHING. SO A COPAY OR SOMETHING.
>>WELL, THANK YOU VERY MUCH, >>WELL, THANK YOU VERY MUCH,
CLAIRE, FOR THAT

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