It’s plausible to me that the cost/benefit analysis might be different for different workloads in community health. Of course, splitting off some but not all CH workloads into another organization would be operationally challenging.
In response to footnote 8, I don’t see the upside to any therapists or counselors being part of CEA, EVF, or an independent community health team. As a lawyer, there are rules I have to follow about who the client is to whom I owe loyalty (and I’m required to clearly communicate that if a non-client might think I may be representing them). I’m sure the same applies to other professionals as well.
However, independent practice is common by therapists (i.e., the ops burden is not that high), it’d be inadvisible for the community health organization to bear malpractice risk that it could not effectively monitor, and community health / therapist entanglement could complicate some revenue streams (if the person receiving services has good insurance in the US, might as well bill that first).
It’s plausible to me that the cost/benefit analysis might be different for different workloads in community health. Of course, splitting off some but not all CH workloads into another organization would be operationally challenging.
In response to footnote 8, I don’t see the upside to any therapists or counselors being part of CEA, EVF, or an independent community health team. As a lawyer, there are rules I have to follow about who the client is to whom I owe loyalty (and I’m required to clearly communicate that if a non-client might think I may be representing them). I’m sure the same applies to other professionals as well.
However, independent practice is common by therapists (i.e., the ops burden is not that high), it’d be inadvisible for the community health organization to bear malpractice risk that it could not effectively monitor, and community health / therapist entanglement could complicate some revenue streams (if the person receiving services has good insurance in the US, might as well bill that first).