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Second Opinion

Learn about policy issues important to medical schools and teaching hospitals, with Executive Vice President Atul Grover, M.D., Ph.D.

Medicaid

Coverage and Delivery Reform | HIT

Medicaid is a joint federal and state safety net program that assists over 60 million low-income individuals in receiving access to clinician offices, acute and long term care services. Teaching hospitals treat a disproportionate share of Medicaid patients, with approximately 28% of all Medicaid discharges coming from COTH hospitals.

Medicaid also plays a critical role in funding graduate medical education. State and local governments, through their Medicaid programs, appropriate approximately $5 billion for medical school training annually. Most states choose to allocate a portion of their Medicaid budget to fund direct graduate medical education (DGME), indirect medical education (IME), and other special services related to teaching hospitals. Due to state budget shortfalls and the prevalence of Medicaid managed care organizations, there are serious concerns that fewer Medicaid funds will be available to train future physicians.


News and Updates


CMS Announces New Medicare-Medicaid Accountable Care Organization Model

December 16, 2016

he Centers for Medicare and Medicaid Services (CMS) Dec. 15 announced the Medicare-Medicaid Accountable Care Organization (ACO) Model, which aims to improve care coordination for beneficiaries who are enrolled in both Medicare and Medicaid, otherwise known as dual-eligibles. 


MACPAC Passes Recommendations to Congress on the Future of Children’s Coverage

December 16, 2016

he Medicaid and CHIP Payment and Access Commission (MACPAC) Dec. 15-16 met to discuss the future of the Children’s Health Insurance Program (CHIP) and children’s coverage.


AAMC President Sends Letter to Leaders about ACA Repeal and Replace Efforts

December 16, 2016

AAMC President and CEO Darrel G. Kirch, MD, Dec. 9 sent letters to President-elect Trump and Congressional leaders urging them not to repeal the Affordable Care Act (ACA) without simultaneously enacting legislation that maintains current coverage levels.


HHS Inspector General Releases Annual Report on Medicare and Medicaid Oversight Work Plan

November 18, 2016

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) November 10 released its work plan for fiscal year (FY) 2017. The work plan includes current and new projects that OIG will undertake in the coming year.  The OIG will focus its Medicare oversight efforts on identifying and offering recommendations to reduce improper payments, prevent and deter fraud, and foster economical payment policies.


Senate Finance Members Release Bipartisan Proposals to Improve Chronic Illness

October 28, 2016

Senate Finance Chairman Orrin Hatch, R-Utah, and Ranking Member Ron Wyden, D-Ore., along with Senators Johnny Isakson, R-Ga., and Mark Warner, D-Va., co-chairs of the Finance Committee Chronic Care Working Group, released a discussion draft, framed by several bipartisan proposals and stakeholder feedback, to improve health outcomes for Medicare beneficiaries living with chronic conditions [see Washington Highlights, Jan. 29].


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