The health centers' lifeblood is revenue received from Medicaid, the state-federal subsidized health coverage for people with low incomes or disabilities.
One of Montana's largest health clinics that serves people in poverty has cut back services and laid off workers. The retrenchment mirrors similar cuts around the country as safety-net health centers feel the effects of states purging their Medicaid rolls.Billings-based RiverStone Health is eliminating 42 jobs this spring, cutting nearly 10% of its workforce.
'Health centers across the board try to make sure that the patients know they're still there,' said Joe Dunn, senior vice president for public policy and advocacy at the National Association of Community Health Centers.Most centers operate on shoestring budgets, and some started reporting losses as the workforce tightened and the cost of business spiked.Meanwhile, federal assistance — money designed to cover the cost of people who can't afford care —remained largely flat.
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