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Council of Teaching Hospitals and Health Systems (COTH)

Find out more about COTH Member Services

The AAMC's Council of Teaching Hospitals and Health Systems (COTH) is composed of approximately 400 major teaching hospitals and health systems, including 64 Veterans Affairs Medical Centers. COTH was established in 1965 to provide representation and services related to the special needs, concerns, and opportunities facing major teaching hospitals in the United States and Canada. It serves as the principal source of hospital and health system input into overall AAMC policy and direction.

The Council's activities focus on issues of special and unique interest to the academic community and membership including Medicare direct and indirect medical education payments, disproportionate share payments, teaching physician regulations, coverage of investigational devices, and other focused areas.

On the COTH private site, members receive the full range of AAMC and council-specific services, including:

  • legislative and regulatory monitoring of federal health issues impacting hospital and physician payment, biomedical research, technology, medical education, and the physician workforce;
  • representation and testimony at key congressional hearings;
  • access to the AAMC's numerous databases; and
  • staff support in the interpretation and analysis of national policy issues.

For additional information about COTH, contact Ephonia Green, egreen@aamc.org or 202-828-0491.

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