Care coordination is seen as essential for allowing health systems to adapt to new payment models and policies. However, implementation of care coordination is rarely standardized and can be organized in many different ways. This article describes a study that conducted interviews with leadership and staff at four different health systems participating in new payment…
Over the last 2 decades, community health centers (CHCs) have grown in number and capacity to meet the needs of the uninsured and Medicaid populations. This growth has been accelerated by the Affordable Care Act (ACA), which extended Medicaid eligibility beginning January 1, 2014 to include those with family incomes of less than 138% of…
In recent years, the next generation accountable care organization (Next Gen ACO) model has emerged as a solution for lowering costs and increasing quality of care. However, there is little understanding about how workforce roles differ in this new model of care. This report describes a study that conducted interviews with leadership at eighteen different…
Few studies have examined practice redesign to understand how staffing changed with the adoption of patient-centered medical homes (PCMH), and whether these staffing changes impacted utilization. This article examines the workforce transformation occurring in community health centers that have achieved PCMH status and assesses the relationship of those changes to utilization, as measured by the…
The rate of Medicare recipients seeking care in health professional shortage areas (HPSAs) has been increasing. The National Health Survey Corps (NHSC) has been important for helping to staff HPSAs, but little is known about the role of these providers in caring for Medicare recipients. This abstract describes a study that used Medicare billing data…
Federal programs such as the National Health Survey Corps (NHSC) are important for ensuring an adequate supply of primary care professionals in underserved areas. However, we know little about how much NHSC clinicians expand patient capacity at the organizations in which they serve. This article describes a study that examined longitudinal administrative data at more…
The National Health Service Corps (NHSC) is a federal program aimed at increasing the number of health professionals in underserved communities. The program’s ability to influence the capacity of community health centers (CHCs) has not yet been investigated. This study examines the role of NHSC clinicians in improving staffing and patient care capacity in primary,…
Many healthcare organizations are rethinking provider roles and responsibilities to help their workforce best serve the needs of their patients. At the same time, regulations at the state and organizational levels restrict providers scope of practice. This article discusses potential adjustments to scope of practice regulations to allow healthcare organizations to provide the best possible…
As health workforce shortages become more common in the United States, the use of temporary health care providers has increased. Federally qualified health centers (FQHCs) often experience staffing shortages and barriers to recruitment, but their use of temporary health care providers is not well understood. This article describes a study that analyzed data from 2013-2017…
In order for the current health workforce to meet the increasing demand brought about by the pandemic, health care delivery organizations, educators, and government leaders will need to work together to adapt regulations to expand workforce capacity. Strategies such as expanding scopes of practice, developing cross-state licensure programs, and increasing telehealth services are essential. This…
