Issue Brief

No. 764

Federal and State Perspectives on GME Reform
June 22, 2001


Karen Matherlee


This issue brief examines financial support of graduate medical education (GME), a standard budget item in the federal Medicare program and in some state Medicaid programs. It looks at objections to the way in which GME dollars are distributed, especially in terms of variations in Medicare GME payments across states. It explores various reform proposals that are circulating to address this and other GME problems and the odds for major reform.

Related Materials

See also the entry for the related Forum Session.

In addition, see a report by the California HealthCare Foundation, "Variations in Medicare Payments for Graduate Medical Education in California and Other States" (June 2001).

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