ArticleJournal of community health2018
Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes.
Article in Journal of community health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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The trial behind it
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Who cites it
19 citing papers in PubMed.
- Integrating community health workers into HIV care clinics: a qualitative study with health system leaders and clinicians in the Southern United States.BMC health services research · 2024Article
- ARCHWAy: an innovative educational program advancing the public health workforce.Archives of public health = Archives belges de sante publique · 2024Article
- An expanded chronic care management approach to multiple chronic conditions in Hispanics using community health workers as community extenders in the Rio Grande Valley of Texas.Preventive medicine · 2024Article
- A qualitative inquiry into the patient-related barriers to linkage and retention in HIV care within the community setting.Exploratory research in clinical and social pharmacy · 2023Article
- Physician awareness of social determinants of health documentation capability in the electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Expert Perspectives on Effective Community-Based Pediatric Healthcare for Low-Income Latino Families: Persistent Issues over Time.Journal of racial and ethnic health disparities · 2022Article
- Community health worker team integration in Medicaid managed care: Insights from a national study.Frontiers in public health · 2022Article
- Primary care-based interventions to address the financial needs of patients experiencing poverty: a scoping review of the literature.International journal for equity in health · 2021Article
- The Direct Clinic-Level Cost of the Implementation and Use of a Protocol to Assess and Address Social Needs in Diverse Community Health Center Primary Care Clinical Settings.Journal of health care for the poor and underserved · 2021Article
- A Century Later: Rural Public Health's Enduring Challenges and Opportunities.American journal of public health · 2020Article
- A mixed methods evaluation of the feasibility, acceptability, and impact of a pilot project ECHO for community health workers (CHWs).Pilot and feasibility studies · 2020Article
- Community Health Workers in the Emergency Department-Can they Help with Chronic Hypertension Care.Current hypertension reports · 2019Review
- Disparities in Emergency Department Visits Among Collocated Racial/Ethnic Medicare Enrollees.Annals of emergency medicine · 2019Article
- International priorities for home care education, research, practice, and management: Qualitative content analysis.Nurse education today · 2019Article
- Roles and Functions of Community Health Workers in Primary Care.Annals of family medicine · 2018Review
- Universal Screening for Social Needs in a Primary Care Clinic: A Quality Improvement Approach Using the Your Current Life Situation Survey.The Permanente journal · 2018Article
- Community Health Workers as Trust Builders and Healers: A Cohort Study in Primary Care.Annals of family medicineArticle
- Mechanisms for Community Health Worker Action on Patient-, Institutional-, and Community-Level Barriers to Primary Care in a Safety-Net Setting.The Journal of ambulatory care managementArticle
- Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System.The Journal of ambulatory care managementArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Patient-Centered Medical Home (PCMH) model demonstrated that processes of care can be improved while unnecessary care, such as preventable emergency department utilization, can be reduced through better care coordination. A complementary model, the Integrated Primary Care and Community Support (I-PaCS) model, which integrates community health workers (CHWs) into primary care settings, functions beyond improved coordination of primary medical care to include management of the social determinants of health. However, the PCMH model puts downward pressure on the panel sizes of primary care providers, increasing the average fixed costs of care at the practice level. While the I-PaCS model layers an additional cost of the CHWs into the primary care cost structure, that additional costs is relatively small. The purpose of this study is to simulate the effects of the PCMH and I-PaCS models over a 3-year period to account for program initiation to maturity. The costs and cost offsets of the model were estimated at the clinic practice level. The studies which find the largest cost savings are for high-risk, paneled patients and therefore do not represent the effects of the PCMH model on moderate-utilizing patients or practice-level effects. We modeled a 12.6% decrease in the inpatient hospital, outpatient hospital and emergency department costs of high and moderate risk patients. The PCMH is expected to realize a 1.7% annual savings by year three while the I-PaCS program is expected to a 7.1% savings in the third year. The two models are complementary, the I-PaCS program enhancing the cost reduction capability of the PCMH.
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