Julia F. Costich is with the University of Kentucky College of Public Health, Lexington, KY.
Am J Public Health. 2014 Apr;104(4):e12-4. doi: 10.2105/AJPH.2013.301830. Epub 2014 Feb 13.
The Affordable Care Act requires health plans' networks to include "essential community providers" (ECPs). Local health departments (LHDs) can be ECPs, typically for tuberculosis and sexually transmitted disease-related services or family planning. An ECP status may be controversial if it jeopardizes core population health services or competes with community partners. Some LHDs already bill for ECP services, but independent billing functions could exceed projected revenue. Thus, LHDs may wish to investigate contractual arrangements as alternatives to billing multiple issuers.
平价医疗法案要求医疗计划网络纳入“基本社区提供者”（ECP）。地方卫生部门（LHD）可以是 ECP，通常用于结核病和性传播疾病相关服务或计划生育。如果 ECP 地位危及核心人群健康服务或与社区伙伴竞争，可能会引起争议。一些 LHD 已经对 ECP 服务收费，但独立计费功能可能超过预期收入。因此，LHD 可能希望调查合同安排作为向多个发行者收费的替代方案。
