By NextBestFitExpand capacity before demand peaks
Year 0 onward; continuous · HRSA; UHA; states (scope of practice)Discuss this step
Utilization rises by $349.6B a year at steady state. Without more clinicians and facilities, that demand turns into longer waits. This step funds training slots, scope-of-practice changes, and facilities in shortage areas.
Legal vehicle
Universal Health Act, Title VIII; Public Health Service Act Titles VII & VIII; Medicare GME (SSA §1886(h)).
Who does it
HRSA; UHA; states (scope of practice)
When
Year 0 onward; continuous
One-time cost
$50.0B
Recurring, per year
+$12.0B
$50.0B one-time capital in the transition table, plus $12.0B a year recurring in the ledger line 'Workforce capacity investment'.
In this step
Tasks
8 tasks
Costs & calculations
5 cost items, each with its calculation
Trade-offs
2 pros · 2 cons · 2 trade-offs
Risks
2 risks with mitigations
What changes in the system
7 existing laws, programs, or institutions changed
Other countries
6 comparisons
Cost items
- Workforce capacity investment$12.0B
- Rural & safety-net capital fund$20.0B
- Capacity expansion in shortage areas$30.0B
- Jobs created: Clinical & direct-care jobs demanded by higher utilization$0.0B
- How much waits grow if demand outpaces capacity (queueing model)$0.0B
Biggest risk for this step
Wait times rise and the employer-insured revolt. See risks.
Depends on
Nothing: this step can start first.
Steps that depend on this one
None.