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Work group flags clinician‑count methodology and retention of new residency slots
Summary
Members urged HCAI to refine clinician counts beyond licensure rosters—using plan rosters and claims to identify clinicians actually practicing primary care—and asked HCAI to track retention of new residency slots to measure rural workforce impact.
HCAI proposed three workforce indicators for 2026: primary care clinicians per 100,000 population (stratified by clinician type), new primary care residency positions in California, and the share of residents trained in community‑based settings. Kevin raised concerns about the limitations of standard counts. "When you look at much more functional counts, when you pull claims data to see who's actually billing in a way that represents primary care services, the counts drop substantially from what we traditionally are counting," he said.
Raul emphasized retention: creating new residency slots is only the first step; tracking whether physicians remain in underserved or rural areas after training is essential to assess equity impacts. Staff acknowledged these methodological challenges and said they are working with HCAI workforce specialists and HPD teams to develop more precise approaches for future snapshots.
