Graduate Medical Education: Proposals to Modify Medicare Financing
October 23, 2015
William J. Scanlon, PhD, Senior Consultant & Sally Coberly, PhD
Medicare is the primary source of public funding for Graduate Medical Education (GME), the name for the collection of residency programs that train physicians, predominately in hospital settings. The ability of GME to produce the physician supply to meet society's needs—in terms of overall numbers, and numbers of specialty types—has been called into question by numerous entities including the Medicare Payment Advisory Commission (MedPAC) and the Institute of Medicine (IOM). Both have issued recommendations to change how GME payments are allocated to hospitals, and the Ways and Means Committee of the U.S. House of Representatives has introduced legislation that would alter the process Medicare uses to determine hospitals' GME payments. This Forum session provided an overview of GME, reviewed recommendations issued by MedPAC and the IOM, and discussed the implications of potential reforms for residency programs and teaching hospitals.
Mark Miller, PhD (bio)
Executive Director, Medicare Payment Advisory Commission
Gail R. Wilensky, PhD (bio)
Senior Fellow, Center for Health Affairs, Project HOPE
Co-Chair, Committee on Governance and Financing of Graduate Medical Education, Institute of Medicine
Debra F. Weinstein, MD (bio)
Vice President, Graduate Medical Education, Partners Healthcare System (Boston)
Atul Grover, MD, PhD (bio)
Chief Public Policy Officer, Association of American Medical Colleges
Institute of Medicine (IOM), Graduate Medical Education That Meets the Nation’s Health Needs, Jill Eden, Donald Berwick, and Gail Wilensky, eds., July 29, 2014.
Macy Foundation, Ensuring an Effective Physician Workforce for America Recommendations for an Accountable Graduate Medical Education System, Revised November 2011.