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Table 2 - Changes in Generalist Physician Staffing Patterns - Six Scenarios

Scenario
Description
1. Status Quo
Continuance of the health care insurance coverage and staffing that existed in 1995.
2. Baseline Insurance Projections
Reasonably expected increases in managed care, coupled with reductions in the uninsured population. No change in health care staffing patterns for each established mode of delivery (staff HMO, IPA HMO, fee-for-service).
3. High Managed Care
Greater-than-expected growth in managed care penetration, with no change in staffing patterns for each mode of delivery.
4. Universal Coverage
Managed care extended to 100 percent of the population with staffing levels increased to reflect higher expected utilization by the previously uninsured.
5. Equal Access And Universal Coverage
Same as Scenario 4 with improved access, and therefore increased staffing, in medically underserved areas and to underserved populations.
6. Doubled Non-Physician Provider Use
Same as Scenario 2 with staffing levels adjusted to reflect a doubling in the use of non-physician providers (nurse practitioners, physician assistants, etc.) in place of physicians.

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Last Updated December 6, 2001

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