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Preparing for Health Reform Health Care 2020: a Synopsis

Preparing for Health Reform Health Care 2020: a Synopsis. April 23, 2013 Cynthia Boddie-Willis, MD, MPH Medicaid Matters Maryland: Affordable Care Act Workforce Development Forum . Background.

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Preparing for Health Reform Health Care 2020: a Synopsis

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  1. Preparing for Health Reform Health Care 2020: a Synopsis April 23, 2013 Cynthia Boddie-Willis, MD, MPH Medicaid Matters Maryland: Affordable Care Act Workforce Development Forum

  2. Background • By 2020, approximate 360,000 new insured individuals in Maryland are expected to use primary care services as a result of coverage expansions authorized under the Affordable Care Act (ACA). • The Governor’s Workforce Investment Board (GWIB) engaged Maryland stakeholders in a strategic planning process to assist the state in preparing itself for the anticipated increase in primary care service utilization. • The process culminated in the publication of Preparing Maryland’s Workforce for Health Reform: Health Care 2020. http://www.gwib.maryland.gov/pub/healthreformcare2020.pdf

  3. Backgroundcontinued • Regional listening tours were conducted in the Baltimore and Washington DC metropolitan areas as well as in eastern, southern, and western Maryland. • Input also was gathered through key informant interview with personnel from agencies, institutions, and organizations directly tied to primary care education, pre-practice training, recruitment, retention, compensation, and distribution.

  4. Background continued • In addition to information gathered during regional listening tours and key informant interviews, two documents produced under the auspices of the Maryland Health Care Reform Coordinating Council (HCRCC) provided the underpinning for GWIB’s strategic plan: • Health Care Workforce Workgroup: White PaperOctober 2010 • Final Report and RecommendationsJanuary 2011

  5. Unifying Themes: Lack of Data and Discrepancy between Sources • Lack of usable data was a unifying theme among stakeholders. • Maryland Health Care Commission (MHCC) ordered a study in May 2011 entitled Maryland Physician Workforce Study: Applying the Health Resources and Services Administration Method to Maryland Data. http://mhcc.dhmh.maryland.gov/workforce/Documents/sp.mhcc.maryland.gov/workforce/physician_workforce_study_20110513.pdf • The study explored discrepancies between the methodologies used by the U.S. Health Resources and Services Administration (HRSA), the Maryland State Medical Society/Maryland Hospital Association (MedChi/MHA), and the American Association of Medical Colleges (AAMC).

  6. Unifying Themes continued • “None of these methodologies is sufficient in accurately projecting future supply and demand of primary care practitioners.” http://www.gwib.maryland.gov/pub/healthreformcare2020.pdf

  7. Strategic Goals • Comprehensive primary care workforce planning and analysis • Strengthen primary care workforce capacity • Primary care workforce distribution and reduction in service shortage areas • Compensation for primary care practitioners

  8. Strategic Objectives Goal 1: Comprehensive primary care workforce planning and analysis • By January 2012, designate a new or existing agency or organization with responsibility for primary care workforce data collection, analysis, and reporting • By July 2012, develop and implement a statewide program for data collection, analysis, and reporting to inform comprehensive and coordinated primary care workforce planning and development …

  9. Strategic Objectives continued … Goal 1 continued • By January 2013, issue an initial annual report on primary care workforce planning and development • By January 2013, establish a comprehensive primary care workforce website that includes data, maps, training education tools, recruitment and retention incentives, and job opportunities

  10. Strategic Objectives continued Goal 2: Strengthen primary care workforce capacity • By January 2014, develop and implement a program that promotes and sustains opportunities for nontraditional paths to primary care workforce development • By July 2014, devise mechanisms to expand and support Maryland’s health care workforce pipeline

  11. Strategic Objectives continued Goal 3: Primary care workforce distribution and reduction in service shortage areas • By January 2012, develop and initiate a comprehensive plan to halve the number of state-designated health profession shortage areas in Maryland by 2014 • By July 2012, explore feasible mechanisms to ensure full use of innovative state and federal opportunities for primary care workforce development • By January 2013, launch an initiative to reduce and/or eliminate practice barriers

  12. Strategic Objectives continued Goal 4: Practitioner compensation for high-quality care • By January 2013, explore ways to expand the state’s patient-centered medical home programs through Maryland • By January 2013, develop and implement a multifaceted plan to improve primary care compensation and reimbursement under Medicaid beyond 2014

  13. About The Hilltop Institute The Hilltop Institute at UMBC is a non-partisan health research organization—with an expertise in Medicaid and in improving publicly financed health care systems—dedicated to advancing the health and wellbeing of vulnerable populations. Hilltop conducts research, analysis, and evaluations on behalf of government agencies, foundations, and nonprofit organizations at the national, state, and local levels. Hilltop is committed to addressing complex issues through informed, objective, and innovative research and analysis. www.hilltopinstitute.org

  14. Contact Information Cynthia Boddie-Willis, MD, MPH Director, Health Services Policy and Research The Hilltop Institute University of Maryland, Baltimore County (UMBC) 410.455.6518 cboddie-willis@hilltop.umbc.edu

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