Transcript Physician Workforce Issues Alliance for Health Reform Washington DC November 15, 2010 Edward Salsberg Director, National Center for Health Workforce Analysis Department of Health and Human.

Physician Workforce Issues
Alliance for Health Reform
Washington DC
November 15, 2010
Edward Salsberg
Director, National Center for Health Workforce Analysis
Department of Health and Human Services (DHHS)
Health Resources and Services Administration (HRSA)
Bureau of Health Professions
Overview (1)
 An adequate supply and distribution of health workers,
including physicians, is essential to assuring access
 Even before the Affordable Care Act, the nation was
facing shortages due to a growing and aging population
and increasing array of interventions
 Programs and policies supported by the Affordable Care
Act and American Recovery and Reinvestment Act will
increase access and reduce the likelihood of shortages in
the future
Overview (2)
 The nation faces both general shortages and distribution
problems
 There are some significant gaps in our data systems; better
data is needed to assess current and future workforce needs
and better information is needed to guide the workforce
marketplace
 Increasing the supply alone will not be sufficient to assure
access. Redesigning the delivery system to make more
effective use of our health workforce is critical. The
Affordable Care Act includes numerous provisions to
encourage innovation and systems redesign
Data and Information to Inform Workforce
Policies and Investments
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National Health Care Workforce Commission
National Center for Health Workforce Analysis
State Health Workforce Development Grants
Health Care Workforce Program Assessment
National Center for Health Workforce
Analysis
• Develop data, information and projections on
health care workforce
• Widely disseminate the data, information and
findings on the health workforce
• Support research to better understand current
and future workforce needs
• Establish performance measures and evaluate
Title VII programs
• Coordinate with the Commission and assist
State Health Workforce Grantees
Physician Workforce Issues
– Projected general shortages
– Projected shortage of primary care
practitioners
– Mal-distribution
– Inadequate diversity
American Recovery and
Reinvestment Act (ARRA)
• $200 million for Health Professions
• $47.6 million for Training in Primary Care Medicine
& Dentistry
• $10.5 million for Public Health
• $39.5 million for Nursing
• $52.4 million for Diversity Programs
• $1.5 million for Licensure Portability
• $50 million for Equipment
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Increasing Supply of Primary Care Workforce
(ACA)
Practitioner Initiative
Total Funding
Program Expansion
(2015 Impact)
Primary Care Physicians
$167.3M
82 schools,
increase of 500 residents
Advanced Practice
Nurses
$31M
26 schools,
Increase of 600
NPs and NMWs
Physician Assistants
$30.1M
28 schools,
increase of 600 PAs
Other Workforce Provisions
 National Health Service Corps Expansion
• $142m in FY2010 – 1,099 new loan repayment awards
• $300m from Recovery Act – 4,000 new loan repayment awards (FY09-11)
 Community Health Centers Expansion
• $11 billion in Affordable Care Act funds authorized through 2015
 Oral/Behavioral Health Expansion
• $23.9 million for oral health workforce development FY2010
($6.7m Recovery Act)
• $26.2 million for behavioral health
 Higher Medicare reimbursement rates for primary care/general
surgeons and other bonuses in shortage areas
 Increase in Medicaid rates for primary care
 Teaching health centers
 Support for HIT/HER
 Insurance billing simplification
Closing Comment
• Assuring an adequate supply and
distribution of health workers will be a
challenge for the nation
• The Affordable Care Act provides the
nation with new and stronger tools to help
assure an adequate supply
Contact Information
Edward Salsberg
Director,
National Center for Health Workforce Analysis
Bureau of Health Professions
Health Resources and Services Administration
[email protected]
301-443-9355