California’s 1115 Waiver Renewal: New York Waiver Workforce Ideas Sunita Mutha, MD, Joanne Spetz,...
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Transcript of California’s 1115 Waiver Renewal: New York Waiver Workforce Ideas Sunita Mutha, MD, Joanne Spetz,...
California’s 1115 Waiver Renewal: New York Waiver
Workforce Ideas
Sunita Mutha, MD, Joanne Spetz, PhD, Janet Coffman, PhD, and Margaret Fix,
MPHCenter for the Health Professions at
UCSF
December 11, 2014
Doctors Across New York State-funded program enacted in 2008
to train and place physicians in a variety of settings and specialties to care for New York's diverse population
Encompasses two financial incentive programs: Physician Loan Repayment Physician Practice Support
What is DANY?
2
Awards to date: 222 Total amount of funding awarded by both
programs: $23,243,066 2009: $9,333,039 2011: $5,005,529 2013: $8,806,392
43% of funding allocated to loan repayment and 57% to practice support
Summary of Funds Awarded
3Source: Center for Health Workforce Studies, DANY Awards, 2009-2013
Up to $150k in loan repayments for qualified educational loans for 5 consecutive years of service in an underserved area
Mean amount of award: $134,875
74 awards to date
Physician Loan Repayment
4
Up to $100K over 2 years for services in an underserved area
Funds are available for Salary enhancements Signing bonuses Income guarantees Other direct payments to physicians
Physician Practice Support
5
Two ways to qualify: 1. Individual physician can apply for funds to
support costs of establishing/ joining a practice in an underserved community
2. General hospitals and other qualified health care providers can apply for funds to help recruit new physicians to underserved communities.
Mean amount of award: $89,610 148 awards to date
Physician Practice Support (cont.)
6
Distribution of Awards by Specialty(n = 222)
* More than half of the other specialists are in emergency medicine, general surgery, or a surgical subspecialty. 7
Source: Center for Health Workforce Studies, DANY Awards, 2009-2013
DANY and SMTLP
8
DANY SMTLP*
Types of awards
Loan repayment & practice support
Loan repayment
Maximum award
$150,000 $105,000
Minimum years of service
5 years 3 years
Eligible specialties
Preference for primary care, OB/GYN, emergency medicine, general surgery, geriatrics, and psychiatry
Preference for primary care, OB/GYN, and geriatrics; psychiatrists eligible for MHLAP (smaller awards)
*SMTLP: Steven M Thompson Loan Program (California)