Recognizing and Sustaining the Value of Community Health Workers and Promotores

Year: 2020
State: CA
Website link:
Publicly Available: Yes
Billing and Reimbursement: Engaging state partners in general
Certification: Lessons learned from other states
Evidence Generation:
Policy: Building partnerships, General language around CHW WD, General other, Lessons learned from other states, National guidance especially in new policy areas
Sustainable Financing: General other, How to engage and work with Medicaid, Including community-based CHWs, MCO or bundled payment reimbursement models, Results from pilots studies etc. that aren't published in formal literature, ROI and bundled payment successes/challenges, Surveys and assessment tools to define and develop workforce
Workforce Development: CDC expand CHW work into SDOH, Chronic Disease, CHW training programs (not cert.), Data sharing between social services and clinical teams, General other (including mention of “employment practices”), Outreach education and TA to employers on CHW generally, Promotores, Recruiting and convening CHWs stakeholders

Community health workers and promotores (CHW/Ps) can play a key role in the health care system by supporting health care organizations’ efforts to care for a broad range of patients. This brief, made possible by the California Health Care Foundation, explores how this workforce is currently contributing to the health care system both in California and around the country. It highlights examples of the value that CHW/Ps provide and how their work is financed, as well as emerging opportunities to scale and sustain that work within California. This topic has particular relevance to the Medi-Cal Healthier California for All initiative, formerly known as California Advancing and Innovating Medi-Cal (CalAIM), a multi-year delivery system and payment reform initiative designed to improve the quality of life and health outcomes of the state’s Medicaid population. A future brief will examine the California context in greater depth, including existing and emerging policy options to support CHW/Ps. Although both briefs view this issue through a California lens, the insights are applicable to any state seeking to strengthen its health care workforce.

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