Wisconsin's Health Professions Loan Assistance Program

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General Overview of the state loan repayment program for health care professionals serving 3 years in an underserved area in Wisconsin.

See www.worh.org for more details.

Published in: Health & Medicine, Education
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Wisconsin's Health Professions Loan Assistance Program

  1. 1. Presentation to the Legislative Council Study Committee Review of Higher Education Financial Aid Programs October 7, 2010 John Eich Wisconsin Office of Rural Health
  2. 2. • Federally created and funded program; one in each state • Located in the UW School of Medicine and Public Health • Started in 1975 • “We seek to improve the access to, and quality of, rural healthcare.”
  3. 3. • Created in 1989 to address workforce shortages in underserved rural and urban communities • Repays educational loans in return for three years of service in an underserved area • Study: Loan repayment programs result in higher service completion rates and longer retention after obligations completed, compared to other financial support for service programs
  4. 4. • Physician (MD or DO), Nurse Practitioner, Physician Assistant, Nurse Midwife providing primary, pediatric or obstetric care • Dentist or Dental Hygienist practicing general or pediatric dentistry • Psychiatrist • Working full time in a Health Professional Shortage Area, a federally qualified health center or tribal health center
  5. 5. Federal designation based on data provided by the Wisconsin Department of Health Services Designation based on: • Population : Provider Ratio • Poverty level • Distance to nearest provider • Specific need factors (high % elderly, alcohol use, etc.) The majority are rural.
  6. 6. Competitive program; applications ranked by independent review committee Review criteria: • HPSA score • Likelihood of retention • Loan balance • Service provision to patients on medical assistance • Community per capita income • Length of service • Geographic distribution of awards • Community and employer support
  7. 7. Primary Care Shortage Areas 600,305 residents (11%) live in 118 Primary Care Shortage Areas 268 providers needed to achieve federal target ratios Identified by the HRSA Office of Shortage Designation. HRSA’s target population/provider ratios are 2,000:1 for Primary Care, 3,000:1 for Dental and 10,000:1 for Mental Health
  8. 8. Dental Shortage Areas 450,621 Residents (8%) live in 76 Dental Shortage Areas 134 Providers needed to achieve federal target ratios
  9. 9. Mental Health Shortage Areas 1,841,376 residents (33%) live in 111 Mental Health Shortage Areas 158 providers needed to achieve federal target ratios
  10. 10. Future Need for Providers Wisconsin’s rural population will become increasingly elderly, with greater health care needs
  11. 11. Family Medicine 78 50 rural 27 HPSA Internal Med 40 22 rural 11 HPSA Pediatric Med 7 3 rural 0 HPSA Ob/Gyn 11 5 rural 1 HPSA “Rural” is defined as a 4 or greater coding on the Rural-Urban Commuting Area scale. * “Openings” are available jobs, which is not the same as “Need” – HPSA formulas are better assessments of that.
  12. 12. •Physicians, Dentists: $50,000 or 75% of outstanding education loan debt •Nurse Practitioners, Physician Assistants, Nurse Midwives, Hygienists: $25,000 or 75% of outstanding debt
  13. 13. •AB 770, passed April 2010 •Allocates $250,000/year to supplement HPLAP •Physicians in a rural HPSA can receive up to a $50,000 supplement; potential maximum of $100,000 •Physicians in rural, non-HPSA can receive $50,000
  14. 14. State HPLAP Budget $445,500 (Indian Gaming Funds) Federal State Loan Repayment Grant $300,000 Hospital Assessment $250,000 Total Annual Award Funds $995,500
  15. 15. 2005 2006 2007 2008 2009 Physicians 9 6 6 4 8 Dentists 2 1 7 8 2 NPs, PAs, CNMs 3 7 4 6 6 Hygienists 3 1 1 Rural 14 14 13 17 14 Urban 3 4 2 3
  16. 16. The Road To Making A Rural Doctor Community Scholarships & encouragement Health & Science Camps, Career Day, Mentoring Undergrad programs (Eg: RUSCH*) * The aim of RUSCH is to select and nurture undergraduates who come from diverse backgrounds and show an interest in practicing medicine in rural and urban underserved areas of the state. Med School: WI Academy of Rural Medicine (WARM) Rural Residencies and Rotations Loan Repayment (NHSC and HPLAP) Primary Care reimbursement, good colleagues, call schedules, continuing ed., good schools, etc) Peds patient
  17. 17. John Eich, Director Wisconsin Office of Rural Health University of Wisconsin School of Medicine and Public Health eich@wisc.edu HPLAP Program Manager: Kevin Jacobson kmjacobson2@wisc.edu

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