Forefront: Direct Care Workers, Health-Related Social Needs & More
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Thursday, May 18, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

On May 23, Health Affairs will host a Lunch and Learn focused on racial
equity in scholarly publishing, featuring Michelle Ko, a member of the
Health Affairs Health Equity Advisory Committee, and Tulane University
Assistant Professor Andrew Anderson, a recent graduate of the Health
Affairs Health Equity Fellows Training (HEFT) program.

The event is open to all. Register today
<[link removed]>.

Home Care Workforce

In the United States, home and community-based services (HCBS) are the
primary approach to delivering long-term services and supports (LTSS).
Medicaid is the primary payer for LTSS and its expansion of HCBS
coverage has shifted LTSS out of institutions and into homes.

In an article published this month, Amanda Rae Kreider and Rachel Werner
examine trends in the supply of home care workers
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relative to Medicaid HCBS enrollment from 2008 to 2020.

Analyzing national data on home care workers and Medicaid HCBS
participants in the United States, the authors find that the home care
workforce grew by 76,000 workers per year between 2008-2013, but after
2013, growth slowed to 33,000 workers per year.

Conversely, Medicaid HCBS participation grew continuously from 2008-2020
and accelerated between 2013-2020.

The growth in HCBS participation increased overall demand for paid
home-based care without an increased workforce capacity, resulting in a
11.6 percent decline in the number of home care workers per 100 HCBS
participants between 2013 and 2019, "with preliminary estimates
suggesting further declines in 2020," Kreider and Werner report.

Read More
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Share This Post!

Tell your network about this important work

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Elsewhere At Health Affairs

Today in Forefront, we kick off a short series to lay the foundation for
more robust research regarding the earliest stages of the diagnostic
journey. The first article from Michael Gluck and co-authors discusses
building evidence to ensure timely, accurate diagnoses
<[link removed]>.

Also, Denise Brown and colleagues propose an innovative approach to
investing in the professional development of direct care workers
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through recruitment, retention, and career advancement opportunities.

And, Hoangmai Pham and coauthors argue for transformational - in lieu
of incremental - strategies to address health-related social needs
<[link removed]>.

Read more on Forefront
<[link removed]>
and learn more about how you can contribute
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to the publication.

Daily Digest

The Home Care Workforce Has Not Kept Pace With Growth In Home And
Community-Based Services
<[link removed]>

Amanda R. Kreider and Rachel M. Werner

Moving From Incremental To Transformational Strategies To Address
Health-Related Social Needs
<[link removed]>
Hoangmai Pham et al.

Workforce Development For Direct Care Workers Could Help Stabilize The
Long-Term Care Industry
<[link removed]>
Denise Brown et al.

Building The Evidence To Ensure Accurate And Timely Diagnosis
<[link removed]>
Michael Gluck et al.

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During May, we're highlighting influential Asian American, Native
Hawaiian, and Pacific Islander voices and organizations who have made an
impact on health equity and policy.

The National Asian American Pacific Islander Mental Health Association
<[link removed]> (NAAPIMHA) is committed to promoting the
mental health and well-being of Asian American, Native Hawaiian, and
Pacific Islander (AANHPI) communities.

Since 2001, NAAPIMHA has empowered AANHPI communities by providing
resources, promoting suicide prevention, and improving access to quality
and affordable mental health services.

 

[link removed]

Test your knowledge today on the question below:

Which of the following factors will CMS use in negotiating the maximum
fair price for prescriptions?

* Evidence on the clinical benefit of the selected drugs

* Public opinion

* Manufacturer annual earnings

Answer <[link removed]>

 

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Health Affairs is launching a contest! The premise is simple. Finish the
statement "You're A Health Policy Wonk If..."

We'll share some of the submissions on Forefront in July, and the
first-place winner of the contest will receive a Health Affairs tumbler
and a free Unlimited membership
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for a year. Submit by May 31
<[link removed]>.


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mailto:[email protected]

About Health Affairs

Health Affairs is the leading peer-reviewed journal
<[link removed]> at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org <healthaffairs.org>, Health Affairs Today
<[link removed]>, and Health Affairs Sunday
Update <[link removed]>.  

Project HOPE <[link removed]> is a global health and
humanitarian relief organization that places power in the hands of local
health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

Health Affairs, 1220 19th Street, NW, Suite 800, Washington, DC 20036, United States

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