Supporting the Nontraditional Workforce: Community Health Workers and Promotores
Year: February 2020
Publicly Available: Yes
Billing and Reimbursement:
Policy: General other
Sustainable Financing: How to engage and work with Medicaid, Education to HC orgs on payment options bundled etc., MCO or bundled payment reimbursement models, Documentation of how CHWs can work within care teams, ROI and bundled payment successes/challenges
Community health workers and promotores (CHW/Ps) have been part of the health care landscape in the United States for decades. Payers and providers increasingly recognize their essential role in supporting patients with complex medical and social needs. With support from the California Health Care Foundation, the Center for Health Care Strategies (CHCS) is examining the critical value that CHW/Ps bring to the health care system and identifying new opportunities for using and financing this workforce in California and across the nation.
Especially in California, there are key opportunities to advance the use of CHW/Ps under CalAIM: California Advancing and Innovating Medi-Cal, the state’s five-year blueprint for its Medicaid program. Similarly, in other states, CHW/Ps are filling a key gap on care management teams to address the day-to-day needs of patients.