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GME & IME Payments

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Medicare Prescription Drug Law's Impact on Medicare IME Payments
Section 502 of the ''Medicare Prescription Drug, Improvement and Modernization Act of 2003,'' which was signed into law on December 9, 2003, increases the IME adjustment from 5.5 to 6.0 percent on April 1, 2004; 5.8 percent in FY 2005; and 5.55 percent in FY 2006. In FY 2007, IME payments are reduced to 5.35 percent before being set at 5.5 percent in FY 2008 and beyond. (See table). It is estimated that this provision will provide $400 million to teaching hospitals over ten years. More >>

Medicare Inpatient PPS Proposed Rule
Each year, the Centers for Medicare & Medicaid Services (CMS) publishes a regulation that contains changes to the Medicare inpatient prospective payment system (PPS) for hospitals. Regulatory changes affecting Medicare DGME and IME payments often are included in the annual Medicare inpatient PPS regulation. CMS publishes the regulation in the spring with interested parties given 60 days to submit comments; the final regulation is published no later than August 1. The changes are effective at the beginning of the next federal fiscal year, which begins on October 1.

On August 1, 2002, The Centers for Medicare and Medicaid Services (CMS) published its final rule [67 FR 49982] which makes changes to the Inpatient Prospective Payment System (PPS) for federal fiscal year 2003. The AAMC will be preparing a complete summary and analysis of the final rule. More >>

"All-Payer" GME Trust Fund Legislation
Two bills creating a trust fund to ensure that all payers of health care contribute to the costs of graduate medical education have been introduced in both the Senate and the House. More >>

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