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?

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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

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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

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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.)

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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

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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)