The constraints that matter for CHCs are constraints on the funding of Community Health Centers. No training design such as Teaching CHCs can help as long as Medicaid pays less than costs of delivery for this 50% of Medicaid patients.
No training intervention can overcome CMS with 1.4 trillion a year voted against basic, cognitive, office, basic health access services. These distort MD DO NP PA and RN away from lowest valued CHC and other practices predominantly Medicare, Medicaid, Dual, and other worst paying health insurance plans. All of the HRSA tens of billions are no match for the 1.4 trillion a year from CMS.
Poor support translates to team members too few and team members with numerous dimensions of deficits in experience and continuity.
All specialties are complex and all need most and best team members to share that complexity. Primary care and other basics are denied most and best and the CHCs that do have higher complexity have the fewest and least by design. Most and best team members are required and are denied by the financial design.
No training design can overcome concentrations of the worst public and private health insurance plans
HRSA and CHCs and most Americans most behind are not valued, especially regarding basic health access.
I have studied basic health access for decades. More types of graduates, massive expansions, special schools and programs, and pipelines are all training interventions that have all failed for 40% of Americans most behind, for CHCs, and for others with worst quality health insurance that directly or indirectly reduce access to care.
Delays in approval of reauthorization and Teaching Health Center (THC) funding has caused programs to take extreme measures impacting current and future health care workforce. Congressional reauthorization and renewed appropriation are essential to preventing closure of these programs. Read the Forefront article: https://bit.ly/4aVtDu7
Multi-lingual professional registered RN, educator, with broad range of skills, and knowledge in ObGyn, pediatrics, parenting, mental, family health & public health. Leverage knowledge to grow healthy communities.
1wWell done!