Secretary Sebelius Releases $7.6 Million in Recovery Act Funds to Support Health Professionals Serving in High Need Areas

The grant awarded to Georgia under this announcement was to State Medical Education Board of Georgia.

HHS Secretary Kathleen Sebelius yesterday announced 63 awards totaling more than $7.6 million to help states recruit new health care clinicians and alleviate their debt burden. The funds are part of the $500 million appropriated to HHS’ Health Resources and Services Administration (HRSA) by the American Recovery and Reinvestment Act (ARRA) to address workforce shortages and encourage diversity in the health professions.

“These funds will help place full-time primary care health professionals in shortage areas and help hundreds of thousands of Americans get primary care they might not otherwise receive,” said Secretary Sebelius.

Eighteen grantees will receive $5.8 million under the State Loan Repayment Program, which provides grants to states to fund loan repayment programs designed to increase the availability of primary health service providers in health professional shortage areas in the state. Health professionals receiving these funds incur a minimum two-year service obligation, but in some cases elect to serve longer. In return for their service in shortage areas, the state repays their qualifying loans. States must provide a dollar-for-dollar match in funding.

In addition, 45 grantees will receive $1.8 million under the State Primary Care Office program to help recruit new National Health Service Corps (NHSC) clinicians. On June 5, Secretary Sebelius announced the availability of $200 million in ARRA workforce funds, of a total $300 million, to expand HRSA’s National Health Service Corps, which provides scholarships and loan repayment for primary care providers who serve in health professional shortage areas. The funds will repay the qualifying student loans of primary care medical dental and mental health clinicians who wish to practice, for a minimum of two years, in NHSC sites that treat underserved and uninsured people.

“Recruiting and training health professionals to serve in shortage areas is critical as we work to provide quality health care to more and more people in need,” said HRSA Administrator Mary Wakefield, Ph.D., R.N.

Yesterday’s awards follow a Sept. 11 announcement by Secretary Sebelius of $33 million in Recovery Act funds to train a variety of health professionals. Also, on Aug. 12, HHS Deputy Secretary Bill Corr announced awards of $13.4 million in Recovery Act funds for loan repayments to nurses who agree to practice in facilities with critical shortages and for schools of nursing to provide loans to students who will become nurse faculty.

HRSA also received $2 billion through the ARRA to expand health care services to low-income and uninsured individuals through its health center program. To date, more than $1.4 billion of these funds have been awarded to community-based organizations across the country. HRSA-supported health centers treated 17 million patients in 2008, 40 percent of whom have no health insurance.

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Secretary Sebelius Announces Medicare to Join State-Based Healthcare Delivery System Reform Initiatives

Health and Human Services Secretary Kathleen Sebelius, along with Vermont Governor Jim Douglas and Director of the White House Office of Health Reform Nancy-Ann DeParle today announced an initiative that will allow Medicare to join Medicaid, and private insurers in state-based efforts to improve the way health care is delivered. Innovative models of delivering primary care around the country are examples of the types of programs that will be part of the President's health reform plan. These are models that improve care for patients, give primary care providers better information about their patients and achieve greater value for the health dollars spent.

The new demonstration will build on a model being tested in Vermont. Under the Vermont model, private insurers work in cooperation with Medicaid to set uniform standards for "Advanced Primary Care (APC) models" also known as medical homes. These models provide incentives for doctors to spend more time with their patients and offer better coordinated higher-quality medical care.

"These demonstrations will strengthen our health care system and allow public and private providers to better work together," said Sebelius. "When Medicare, Medicaid and private insurance companies coordinate their efforts, we can improve the quality of care for Medicare
beneficiaries. As we have seen in Vermont, improved efficiencies in the system mean doctors can spend more time with their patients, provide high quality care and better coordinate that care with other medical professionals."

"The Medicare pilot program announced today will help states like Vermont achieve our vision of high quality, affordable health care for all our residents," said Douglas. "This is something we had been pushing for in Vermont for quite some time and I'm thrilled that Secretary Sebelius and her team have made it happen."

In Advanced Primary Care models, physicians are given supplemental payments for achieving nationally-recognized quality standards, coordinating care across a multidisciplinary team and monitoring patients' care outside the physician's office or hospital using health information technology.

This demonstration will mark the first time Medicare will be a full partner in these experiments and the practice model would, for the first time, align compensation offered by all insurers to primary care physicians. Instead of each third party payer and public program adopting different approaches, using different ways of measuring performance and creating different payment incentives, multi-payer programs will join together to work toward common goals to improve the delivery of care.

States wishing to participate in the new demonstration must:
* certify they have already established similar cooperative agreements
between private payers and their Medicaid program;
* demonstrate a commitment from a majority of their primary care doctors
to join the program;
* meet a stringent set of qualifications for doctors who participate;
* integrate public health services to emphasize wellness and prevention
strategies.

The demonstration's design will include mechanisms to assure it generates savings for the Medicare trust funds and the federal government overall.

The Centers for Medicare & Medicaid Services will develop application materials later this fall with the expectation that the demonstration programs begin next year.

"This is a jump start on health insurance reform," said DeParle. "These demonstration projects will foster innovation, support change at the local level and help us build a better 21st century health care system."

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