Member and Provider Services Unit: Provider Member Relations

Access to Care: # of cardiologists per 2000 Medicaid members

2.97Oct 2020

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Notes on Methodology
                                         
  Access to Care:  # of Cardiologists per 2000 Medicaid Members   
    SFY20 SFY21  
  May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20  
  County #
Medicaid Members
# cardio # cardio per 2000 members #
Medicaid Members
# cardio # cardio per 2000 members #
Medicaid Members
# cardio # cardio per 2000 members #
Medicaid Members
# cardio # cardio per 2000 members #
Medicaid Members
# cardio # cardio per 2000 members #
Medicaid Members
# cardio # cardio per 2000 members  
  Addison 8359 3 0.72 8473 3 0.71 8622 3.00 0.70 8718 3.00 0.69 8806 3 0.68 8877 3 0.68  
  Bennington 12108 51 8.42 12228 53 8.67 12368 55.00 8.89 12431 56.00 9.01 12562 58 9.23 12610 58 9.20  
  Caledonia 10590 9 1.70 10685 9 1.68 10773 9.00 1.67 10829 9.00 1.66 10954 9 1.64 10972 9 1.64  
  Chittenden 32091 61 3.80 32409 61 3.76 32888 62.00 3.77 33193 63.00 3.80 33700 64 3.80 34010 64 3.76  
  Essex 2288 0 0.00 2317 0 0.00 2332 0.00 0.00 2347 0.00 0.00 2356 0 0.00 2390 0 0.00  
  Franklin 14385 4 0.56 14535 4 0.55 14643 3.00 0.41 14754 3.00 0.41 14933 3 0.40 14999 3 0.40  
  Grand Isle 1853 10 10.79 1871 11 11.76 1884 11.00 11.68 1896 11.00 11.60 1921 11 11.45 1932 11 11.39  
  Lamoille 7339 0 0.00 7425 0 0.00 7549 0.00 0.00 7605 0.00 0.00 7708 0 0.00 7760 0 0.00  
  Orange 8101 68 16.79 8167 70 17.14 8249 71.00 17.21 8309 73.00 17.57 8443 75 17.77 8504 75 17.64  
  Orleans 11068 2 0.36 11181 2 0.36 11295 2.00 0.35 11370 2.00 0.35 11482 2 0.35 11566 2 0.35  
  Rutland 18721 9 0.96 18894 9 0.95 19141 9.00 0.94 19280 9.00 0.93 19500 9 0.92 19658 9 0.92  
  Washington 14863 6 0.81 14993 6 0.80 15196 6.00 0.79 15323 6.00 0.78 15511 6 0.77 15569 6 0.77  
  Windham 12552 23 3.66 12706 23 3.62 12867 25.00 3.89 12981 25.00 3.85 13199 25 3.79 13291 26 3.91  
  Windsor 16813 1 0.12 17022 1 0.12 17205 1.00 0.12 17318 1.00 0.12 17533 1 0.11 17691 1 0.11  
  Total 171,131 247 2.89 172,906 252 2.91 175,012 257 2.94 176,354 261 2.96 178,608 266 2.98 179,829 267 2.97  
                                         
Partners
  • DVHA Data Unit
  • Vermont Medical Society
Story Behind the Curve

Vermont is experiencing a physician shortage in key specialty areas. DVHA has chosen to monitor 5 key groups with dwindling provider counts in order to work with multi agencies to address issue proactively:  behavior and mental health and substance abuse providers, cardiologists, dentists, pharmacies, and primary care providers (PCPs).

Cardiology is a complicated field and is influenced by many internal and external factors. This said, there are five megatrends that will have the greatest impact on cardiology supply and demand in Vermont over the next decade. They are:

  • Aging and growing population
  • Prevalence of chronic diseases
  • Changes in cardiology testing & procedure utilization
  • Aging cardiology workforce
  • Projected primary care shortages

The National Institute of Health suggests due to the nature of cardiology work that the adequate patient to member ratio should be 1 Cardiologist to every 2,000 members in a 60 mile radius. While this may be easier to achieve when a cardiologist is attached to Hospital Referral, regions of Vermont suffer overall from a shortage of specialists, especially in rural areas. Due to the lack of specialists, there is often a long wait time for appointments and many members must drive long distances to see a specialist. Hospitals are actively recruiting for cardiologists, however there isn’t much desire to move to Vermont. VDH and hospitals are working together to enlist these providers.

Last updated: 10/15/2020

Strategy
  • In collaboration with VDH and the Vermont Medical Society, PMR is outreaching to underutilized providers and providers not accepting Medicaid to solicit more participation. 
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy