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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.


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

Health Care Bill Stalls on House Floor

March 24, 2017

The House of Representatives March 24 pulled the American Health Care Act (AHCA, H.R. 1628) just ahead of the scheduled floor vote.

MACPAC Releases March 2017 Report to Congress, Recommends CHIP Extension to 2022

March 17, 2017

The Medicaid and CHIP Payment and Access Commission (MACPAC) March 15 released its March 2017 Report to Congress on Medicaid and CHIP, which focuses on providing health insurance to children, making payments to safety-net hospitals, and monitoring access to care under managed care and fee for service.

AAMC Responds to CBO Estimates of AHCA

March 17, 2017

The Congressional Budget Office (CBO) March 13 released an estimate of the American Health Care Act’s effects on the federal budget and health insurance coverage.

House Republican Leadership Introduces and Advances American Health Care Act

March 10, 2017

The House Ways and Means and Energy and Commerce Committees March 6 introduced the American Health Care Act, which repeals significant portions of the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152) and changes the Medicaid financing structure.

MACPAC Discusses Per Capita Caps and State Medicaid Responses to Fiscal Pressures

March 3, 2017

The Medicaid and CHIP Payment and Access Commission (MACPAC) Mar. 2-3 held a meeting to discuss financial and policy issues in implementing a per capita cap model and state Medicaid responses to fiscal pressures.

On Government Affairs

Testimony and Correspondence

External Resources