Revisioning the Care Delivery Team: The Role of CHWs within State Innovation Models

Authors: Center for Healthcare Research & Transformation, Univ. of Michigan
Year: 2017
State: NatDoc: National Document
Website link:
Publicly Available: Yes
Certification: CHW role scope of practice, Competencies, Lessons learned from other states, Role of state government, Training and training programs
Evidence Generation: Documentation of how CHWs can work within care teams
Policy: General language around CHW WD, Legislative language, Lessons learned from other states
Sustainable Financing: Engaging state partners in general, Expand evidence base, How to engage and work with Medicaid, Reimbursement TA for FQHCs Medicaid etc., Documentation of how CHWs can work within care teams
Workforce Development: CHW training programs (not cert.), Data sharing between social services and clinical teams, General other (including mention of “employment practices”)

Community Health Workers (CHWs) have the potential to reduce health care costs and improve health care access, particularly for people with complex human service needs. As trusted members of the communities they serve, they help create bridges between patients and health systems to better meet patients’ needs. CHWs have been studied since the 1960s, and their effectiveness in diverse settings is well documented. However, until the Affordable Care Act (ACA) was passed in 2010, CHW roles within health care systems were limited. The ACA promoted the broader use of CHWs through a number of initiatives designed to reward health outcomes and value rather than paying providers by volume. One prominent ACA initiative under the Center for Medicare and Medicaid Innovation (CMMI) was the State Innovation Model (SIM) grants to states to design and test new payment and care delivery models. While the political future of the ACA remains uncertain, states continue to use their previously awarded SIM grants to experiment with how CHWs can improve health care outcomes and lower the cost of care. This brief, developed with support from the Commonwealth Fund, highlights the ways that states are using SIM grants to integrate CHWs into value-based health care systems. States can use their SIM experience and momentum from aligning multiple stakeholders to overcome the challenges to diffusing CHWs throughout the health care system.

Download from original source

Download from DRC website