Transcript The Michigan Primary Care Consortium and its Initiative

The Michigan Primary Care
Consortium
Declining Primary Care Workforce
March 2010
National MD Experience
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Michigan DO Experience
Number of Residents 2000 to 2005
800
600
Primary Care
400
Non-Primary Care
200
0
2000 2001 2002 2003 2004 2005
Primary Care
367.5
318.5
281.5
289.5
261.5
276
Non-Primary Care
499.5
493.5
530.5
593.5
629.5
703
*Combined Primary Care/Specialty Residents, e.g. FM/ER, are Counted as a .5 FTE, all FM & IM Emphasis and Track Interns are Included in these Numbers as well as MDs who
participate in SCS programs. Traditional interns are not included.
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Michigan’s Primary Care Status
Ideal: 50% Primary Care Physicians
(Pew Commission Report on Health Care Workforce)
Michigan: 34% Primary Care Physicians,
of which 38% will retire within ten years
(MDCH Survey of Physicians 2005)
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Medical School Perspective
• $150,000 - $200,000 Debt
• Three Years GME @ $40-45,000/Year
Take Your Choice!
Starting Salaries:
Family Practice
$120,000 - $150, 000
Internal Medicine
$120,000 - $175,000
Pediatrics
$110,000 - $125,000
Orthopedic Surgery
Cardiology
$250,000 - $400,000
$250,000 - $400,00
(Medical Opportunities in Michigan 2006 Data)
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How does Michigan’s reimbursement compare
to inflation?
Year
Inflation
Medicaid
2005
3.39
-2%
2004
2.68
2003
Medicare
BCBSM
1.5%
2%
0
1.5%
2%
2.27
0
1.4%
2%
2002
1.59
11%*
-4.8%
2%
2001
2.83
0
5.0%
2%
2000
3.38
0
5.5%
1.5%
1999
2.19
0
2.3%
1.6% (2% for 8 months)
1998
1.55
0
2.3%
.8%
1997
2.34
0
.6%
2.4%
1996
2.93
0
.8%
2%
Totals
25.1%
9%
16.1%
18.3%
(-4% for 6 months)
*Medicaid HMOs received an 11% increase for physician services.
The amount that flowed to physicians is unknown.
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Primary Care Score
Primary Care Score vs. Health
Care Expenditures, 1997
FIN
Per Capita Health Care Expenditures
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Primary Care is the Foundation of
the Health Care System
More Primary Care Physicians / 100,000
Lower Cost
•
Higher Quality
•
(2003 Medicare Data on “General Practitioners”)
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Contributors to Health
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