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WHY DOES THIS MATTER TO PUBLIC HEALTH? <br />CLINICAL SERVICES & COST SETTLEMENT <br /> <br />•DHHS envisions that “Advanced Medical Homes” will coordinate services <br />for Medicaid patients <br /> <br />•Unclear if all health departments will qualify for that designation (Primary <br />Care) <br /> <br />•Barriers for seeing Medicaid patients and achieving historical revenues, <br />including cost settlement, would again compromise capacity and staffing <br />(particularly for uninsured patients)