.... This article reviews alternative approaches to graduate medical education financing and finds no compelling reason to shift from the present system. A number of issues provide an impetus for evaluation of alternative approaches to the financing of graduate medical education (GME). Health...

... acknowledges. Fox has a valid point, however, when it comes to the politics sur- rounding what is now perhaps the most important government program affecting the size and specialty mix of the physician workforce—the financing of graduate medical education (GME) by the federal Medicare program...

... rationing has shifted from medical school education to gradu- ate medical education (GME), which is also the route of entry of IMGs. However, GME rationing has been seized upon less as a means of sustaining quality than as a way to limit the supply...

... Reform Act (HCRA) of 1996, legislation that had deregulated hospital rates in New York. HCRA established two pots of money that are vital to hospitals— the Graduate Medical Education (GME) pool, which reimburses teaching hospitals for some of the extra costs...

... to measure community charac- teristics that may affect demand for community benefits. Data from the Centers for Medicare and Medicaid Services on hospital Medicare DSH status and on hospital Medicare payments for graduate medical education (GME) were also obtained. Finally, InterStudy data were used...

... substantially opaque even to those who transact them as they endlessly seek to enlarge, juggle, and recoup losses in revenues derived from grants, contracts, GME (graduate medical education) payments, patient revenues, philanthropy, and taxes on physician practices. The institutional precincts of the AMC...

... accumulated responsibilities for a half- dozen functions that are arguably outside of its original core mission. Medical Education. Medicare has provided support to teaching hospitals that run graduate medical education (GME) programs since its enactment in 1965...

..., such areas are more likely to receive compensation for medi- cal residents through graduate medical education supplements (GME) or through the disproportionate-­share hospitals (DSH) program for facilities treating low-­income patients. Thus one can write regional expenditures as reflecting...

... its graduate medical education (GME) program, it also offers a very gener- ous indirect add-on to all Medicare payments per discharge, depending on the facility’s resident-to-bed (IRB) ratio. For teaching hospitals in New York City that rely on IMGs more than most areas to fill residency slots...

... Population # % Total 620,631 100.0 Federal 16,947 2.7 Nonfederal GME...

... is unlikely to induce them [medical schools] to change their course” (1993: 327). Federal programs encouraging physician specialization are far more influential than the small primary care grant programs. The two biggest programs involve federal subsidies to graduate medical education (GME...

... analysis of this issue, see R. Feldman and S. Yoder, “A Theoretical Analysis of GME Financing,” in Medical Education Financing, ed. J. Hadley (New York: Prodist, 1%0). 4. See Knapp and Butler, “Financing Graduate Medical Education,” p. 752. 5. Ibid., p. 750. 6. See J. Hadley...

... and Medicaid Guide (CCH) 1 15,560 (1979). 26. Health Resources Administration (HRA), “Report of GMENAC to the Secretary: GMENAC Members Commentaries and Appendix,” (November 1980), p. 26. GME- NAC did not get a renewed charter. 27. Schweitzer and Record, “Third Party Payments,” p. 127...

... (Politzer et al. 1991). The largest source of federal support for medical education does not go to professional schools but rather to hospitals. Under the Graduate Medi- cal Education (GME) reimbursement system of Medicare, teaching hos- pitals currently receive about $1.8 billion annually to pay...