I work at a non-profit in CA. The way it works here is that patients are treated regardless of ability to pay. While they are here, representatives of a company we've hired come into their rooms and help them register for medi-cal (California's medicaid) and when they are accepted (usually a month or so down the road) we get paid. We pay that company 10% of our reimbursement for each patient that they get registered.
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