Community health workers, who often help patients get to their appointments and pick up prescriptions for them, have increasingly been recognized as an integral part of treating chronic illnesses. But state-run Medicaid programs don’t always reimburse them equally, usually excluding those who work on tribal lands.
Community paramedicine is expanding nationwide, including in rural areas, as health care providers, insurers, and state governments recognize its potential to improve health and save money.
Responding to covid has taken so much attention and energy that some public health workers believe it pushed tuberculosis off people’s radar.
Some community health groups are training Latino teens to conduct outreach and education, particularly in places where covid vaccine fears linger.
Nonprofit federally funded health centers are a linchpin in the nation’s health care safety net because they treat the medically underserved. The average profit margins is 5%, but some have recorded margins of 20% or more in three of the past four years.
A 124-year-old hospital in a midsize Rust Belt city in Indiana will soon be torn down, despite protests from residents and city officials decrying the loss of local health services. The Catholic hospital system said it is downsizing the 226-bed hospital because of a lack of demand for inpatient care, as the organization has been building new hospitals in wealthier suburbs.
Illinois used federal pandemic money to hire community health workers who connect people with food banks and rental assistance programs, just like public health officials have long hoped to do. What will happen to the community trust that has been built up when the federal money runs out and the workers disappear?
Membership-based villages help arrange services for seniors — such as handyman help or transportation to appointments — and provide social connections through classes, leisure opportunities, or community events. Despite great promise, they have been slow to expand because of difficulties raising funding and keeping people interested.
In poor neighborhoods and desert towns, community activists — some unpaid — are signing up hard-to-reach people for vaccination appointments. Experts say these campaigns are key to building the country’s immunological armor against new outbreaks.
As the pandemic brings long-standing health disparities into sharper view, community health workers are being asked to help the public health response. This fast-growing workforce helps fill the gaps between health care providers and low-income communities by offering education, advocacy and outreach.
