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Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid

by

Authors: Aliza S Gordon, Allison H Oakes, Rebeca Allender, Lucida Vang, Beau Hennemann, Winnie C Chi

The primary goal of this study was to evaluate the impact of a generalized (i.e., not disease-specific) health plan-led CHW program on overall healthcare use and spending. Retrospective cohort study data was utilized from adult members who received the CHW intervention and compared with data from those who were identified for participation but could not  be reached. The outcome measures of interest, evaluated after 6 months follow-up, included healthcare utilization, emergency department visits, and outpatient visits. Subsequent results demonstrated that program participants experienced a greater increase in outpatient evaluation and management visits than the comparison group during the first six months of the program. This successful increase implies that health plans may be particularly well positioned to finance, sustain, and scale programs, including those related to CHWs, that address social drivers of health. 

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Link: Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid

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Resource Topic: CHW, Intervention, Medicaid

Resource Type: Research

Year: 2023

Region: North America (U.S. and Canada)

Country: United States of America

Publisher May Restrict Access: No

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