The hospital referral region encompassing Paducah and its neighboring counties, most in rural Western Kentucky, distinguished itself as one of only a handful of U.S. regions to improve on a majority of measures tracked by the Commonwealth Fund's Scorecard on Local Health System Performance, 2016 Edition. The most striking gains were tied to the state's Medicaid expansion, which added nearly 500,000 low-income adults to the program. Local leaders who were concerned about lack of access to care relied on the expansion to recruit federally qualified health centers to the region, while hospitals and other providers enhanced access through school-based clinics, which offer urgent and behavioral health services.
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