They continue to hire more providers while the providers they have are unable to fill their schedules at the pace they were led to believe would be possible. Many current providers worry they will not fill their schedules in time and the guaranteed incentive pay will run out. They have put a pause on their efforts to get providers licenses in other states (which they advertise as a perk they offer). They have also begun to peel back many other benefits they advertised (eg, changes to maternal leave and health insurance plans). Overall, providers feel pressured to broaden their preferences in order to get more patients, at the expense of building the types of practices they thought they would have the freedom to build. And all with lower than advertised pay (owing to the much slower ramp-up than advertised).