Financing thresholds for sustainability of community health worker programs across the United States

Sanjay Basu, Sadiq Y. Patel, Kiiera Robinson, Aaron Baum Clinical Product Development, Waymark Care, San Francisco, California

Importance: States have turned to novel financing mechanisms to pay for community health worker (CHW) programs, often through fee-for-service payments for CHWs visiting patients, or through capitated payments for CHWs to care for a panel of patients as part of a managed care organization or alternative payment model.

Objective: To estimate payment rates to ensure sustainability of CHW programs.