Federal and State Perspectives on GME Reform
June 22, 2001
This Forum session explored federal and state perspectives on GME reform. After underlining the basis for explicit public financial support of GME, the meeting looked at the impact on a state basis. Contributing to the discussion was an analysis of variations in Medicare GME payments across various states, as well as a look at state Medicaid and discretionary approaches and their relevance to health workforce planning. The session also explored the role of individual hospital variations — the characteristics or practices of individual hospitals that result in different GME payment amounts. These led to discussion among presenters and participants of various proposals for GME reform.
Sheila P. Burke, Under Secretary for American Museums and National Programs, Smithsonian Institution; Thomas R. Oliver, PhD, Associate Professor, Department of Health Policy and Management, School of Hygiene and Public Health, Johns Hopkins University; Atul Grover, MD, Post-Doctoral National Research Service Award Fellow, and PhD Candidate, Department of Health Policy and Management, School of Hygiene and Public Health, Johns Hopkins University; Edward S. Salsberg, Director, Center for Health Workforce Studies, School of Public Health, State University of New York at Albany; Barbara O. Wynn, Senior Policy Analyst, RAND Corporation
More information available in the accompanying publication, Issue Brief No. 764.
See also a report by the California HealthCare Foundation, "Variations in Medicare Payments for Graduate Medical Education in California and Other States" (June 2001).