التفاصيل البيبلوغرافية
| العنوان: |
Financing Thresholds for Sustainability of Community Health Worker Programs for Patients Receiving Medicaid Across the United States. |
| المؤلفون: |
Basu, Sanjay, Patel, Sadiq Y., Robinson, Kiiera, Baum, Aaron |
| المصدر: |
Journal of Community Health; Aug2024, Vol. 49 Issue 4, p606-634, 29p |
| مصطلحات موضوعية: |
MEDICAID, COMMUNITY health services, RESEARCH funding, FEE for service (Medical fees), EVALUATION of human services programs, EVALUATION of medical care, WAGES, DESCRIPTIVE statistics, CONFIDENCE intervals, MEDICAL care costs, ECONOMICS |
| مصطلحات جغرافية: |
WASHINGTON (State), UNITED States, SOUTH Dakota |
| مستخلص: |
States have turned to novel Medicaid financing to pay for community health worker (CHW) programs, often through fee-for-service or capitated payments. We sought to estimate Medicaid payment rates to ensure CHW program sustainability. A microsimulation model was constructed to estimate CHW salaries, equipment, transportation, space, and benefits costs across the U.S. Fee-for-service rates per 30-min CHW visit (code 98960) and capitated rates were calculated for financial sustainability. The mean CHW hourly wage was $23.51, varying from $15.90 in Puerto Rico to $31.61 in Rhode Island. Overhead per work hour averaged $43.65 nationwide, and was highest for transportation among other overhead categories (65.1% of overhead). The minimum fee-for-service rate for a 30-min visit was $53.24 (95% CI $24.80, $91.11), varying from $40.44 in South Dakota to $70.89 in Washington D.C. The minimum capitated rate was $140.18 per member per month (95% CI $105.94, $260.90), varying from $113.55 in South Dakota to $176.58 in Washington D.C. Rates varied minimally by metro status but more by panel size. Higher Medicaid fee-for-service and capitated rates than currently used may be needed to support financial viability of CHW programs. A revised payment estimation approach may help state officials, health systems and plans discussing CHW program sustainability. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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