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ncluded in these Numbers as well as MDs who participate in SCS programs. Traditional interns are not included. 2022 2022 2022 2022 2022 2022 0 200 400 600 800 Primary Care NonPrimary Care Primary Care 276 NonPrimary Care 703 10 Michigan DO Experience ? $150,000 $200,000 Debt ? Three Years GME @ $4045,000/Year What would be YOUR choice? Starting Salaries: Family Practice $120,000 $150,000 Internal Medicine $120,000 $175,000 Pediatrics $110,000 $125,000 Orthopedic Surgery $250,000 $400,000 Cardiology $250,000 $400,000 Medical Opportunities in Michigan, 2022 Data 11 Medical School Perspective Ideal: 50% Primary Care Physicians (Pew Commission Report on Health Care Workforce) Of 29,000 Michigan MD/DO’s providing patient care ? 35% are in primary care specialties ? 43% of all current physicians plan to retire or stop practicing in the next 1 – 10 years ? Less than 5% of new grads in nation apply for primary care residencies 12 Michigan’s Primary Care Physicians The Michigan Primary Care Consortium BACKGROUND In 202206, 130+ Michigan professionals developed strategic remendations to address the crisis in primary care. Five barriers to effective primary care identified: ? Misaligned reimbursement system ? Underuse of patient registries, other HIT ? Underuse of evidencebased guidelines ? Underuse of munity resources to assist patients ? Practices poorly designed to deliver effective chronic care 14 The Mission of the MPCC ? The MPCC is a collaborative partnership of anizations concerned about the survival of primary care ? The MPCC was created to improve preventive and chronic care ? The MPCC is mitted to aligning existing QI initiatives, addressing gaps, and engaging in problemsolving Michigan Primary Care Consortium The MPCC spent its early years: ? Convening anizations concerned about the rising incidence of preventable health conditions, spiraling health care costs, and the survival of primary care ? Gathering information on the huge challenges of inadequate reimbursement for primary care services and the looming workforce shortages ? Building consensus on the actions needed 15 Strategies to Solve Michigan’s Primary Care Crisis (2022) ? Transform practices to PatientCentered Medical Homes (PCMH) ? Increase reimbursement for Primary Care Professionals in PCMH practices ? Rebuild the supply of MDs/DO’s, NP’s, and PA’s working in Primary Care ? Activate consumers for selfcare 17 ? Professional amp。 Trade Associations (15) ? Insurers and Payers (11) ? Health Systems and C