Workforce Serving Pregnant and Postpartum Medicaid Enrollees at Community Health Centers, 2016 to 2021

Community Health Centers (CHCs) serve nearly 1 in 6 Medicaid enrollees and provide perinatal care to about 560,000 people, playing a critical role in prenatal and postpartum care for disadvantaged populations. While 41% of CHCs—often larger centers with multidisciplinary teams—offer prenatal care to higher proportions of non-White or non-English-speaking patients, little is known about the…

Obstetrician-Gynecologists’ Telehealth Provision at the Beginning, During, and Latter Stages of the COVID-19 Pandemic

Appropriate prenatal care is critical to ensuring safe childbirth, but many populations face barriers that create inequities in maternal health outcomes. During the COVID-19 pandemic, telehealth emerged as a promising way to expand access, therefore driving its rapid adoption. This shift highlights the need to better understand the workforce providing telehealth for pregnancy care. This…

Current Approaches to Addressing Burnout and Moral Injury: Experiences From 4 Community Health Centers

Burnout among community health center providers has worsened post-COVID-19, exacerbated by understaffing and heightened recruitment challenges due to competition from higher-paying hospitals and private practices. This article examines how 4 community health centers, recognized by their peers as leaders in addressing burnout and moral injury, are working to tackle these challenges.

Increased Utilization of Overtime and Agency Nurses and Patient Safety

Extensive research has established a strong link between overall nurse staffing levels and certain patient safety outcomes. In contrast, the impact of agency nurse staffing on patient outcomes has been studied less frequently, with inconsistent results. US studies examining agency hours often rely on cross-sectional designs, which, along with similarly limited research on overtime hours,…

Medicaid Billing for Community Health Worker Services Growing, but Remains Low, 2016-2020

Community Health Workers (CHWs) are increasingly recognized as essential healthcare providers in the United States. Valued for their deep understanding of the communities they serve, CHWs play a crucial role in building high-impact partnerships with low-income, underserved, and racial and ethnic minority populations. Despite the recognized value of CHWs in improving health outcomes, the integration…

Health Care Provider Movement Increased Through COVID-19

COVID-19 placed unprecedented strain on the health workforce. Early in the pandemic, providers faced a novel, highly infectious pathogen, and while some areas experienced increased health care demands, others saw limits in nonessential services and decreased patient visits, leading to financial pressures and layoffs. This Health Affairs Scholar article explores the use of the publicly…

Pediatric Medical Subspecialist Use in Outpatient Settings

Pediatric medical subspecialists offer care to children with uncommon or atypical health issues, those who haven’t responded well to standard primary care treatments, or those requiring specialized diagnostic or therapeutic procedures. Evaluating whether the number and distribution of these subspecialists meet the needs of the nation’s children is difficult due to a lack of evidence…

Black and Hispanic Representation Declined After Increased Degree Requirements for Physician Assistants

The physician assistant (PA) profession is among the least racially and ethnically diverse health professions requiring advanced education. Between 1995 and 2020, the percentage of Black PA graduates fell from 7% to 3.1%, while Hispanic representation increased from 4.5% to 7.9%. PA programs that transitioned from bachelor’s to master’s degrees experienced a 5.3% point decline…

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