Community health fee structure

While community health workers (CHWs) provide a range of services to improve a rural community's health and social needs, few formal payment mechanisms exist for these services.
Due to the limited funding and payment mechanisms for CHW services, one of the most common challenges for these programs is financial sustainability.

The financial viability of rural healthcare facilities depends on payment for healthcare services provided.
Payers for these services include:

Thus, for now, hospitals and health systems must exist in both the fee-for-service and value-based worlds.
Specifically, they need to continue to serve and operate under the traditional, siloed payment systems, such as:

In the fee-for-service, traditional health care payment model, each covered service is paid for separately, and payment is made after the service is provided and billed to the health plan.
This model gives an incentive to provide more services because payment is based on quantity or volume, rather than quality or value.

It is difficult to accurately quantify spending on community health services because of gaps and inconsistencies in national data

Most estimates suggest that around £10 billion of the NHS budget is spent on community services each year