California

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Californias 1115 Waiver Renewal New York Waiver
Workforce Ideas

• Sunita Mutha, MD, Joanne Spetz, PhD,
• Janet Coffman, PhD, and Margaret Fix, MPH
• Center for the Health Professions at
  UCSFDecember 11, 2014

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What is DANY?

• 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

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Summary of Funds Awarded

• 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

Source Center for Health Workforce Studies, DANY
Awards, 2009-2013
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Physician Loan Repayment

• 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

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Physician Practice Support

• 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

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Physician Practice Support (cont.)

• Two ways to qualify
• Individual physician can apply for funds to
  support costs of establishing/ joining a practice
  in an underserved community
• 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

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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.
Source Center for Health Workforce Studies, DANY
Awards, 2009-2013
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DANY and SMTLP
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)