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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


President Ends Cost-Sharing Reduction Payments, Signs Executive Order on ACA

October 13, 2017

President Trump Oct. 12 announced his administration would stop paying cost-sharing reduction (CSR) payments effectively immediately.


Bipartisan Group of 221 Representatives Send Letter Requesting Medicaid DSH Cuts Delay

September 29, 2017

A bipartisan group of 221 representatives sent a Sept. 28 letter to House leadership requesting a two-year delay of the Medicaid disproportionate share hospital (DSH) payment cuts.


Senate Pulls Graham-Cassidy Proposal

September 29, 2017

Senate leadership Sept. 26 announced the Senate will not vote on the Graham-Cassidy proposal introduced earlier this summer by Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.).


Senate Moves Closer to Vote on Graham-Cassidy

September 22, 2017

Senate Majority Leader Mitch McConnell (R-Ky.) Sept. 20 announced his intent to bring to the floor for a vote a proposal introduced by Sens. Lindsey Graham (R-S.C.), Bill Cassidy (R-La.), Dean Heller (R-Nev.) and Ron Johnson (R-Wis.), that would repeal and replace large portions of the Affordable Care Act (ACA).


Senators Graham and Cassidy Introduce Bill to Repeal and Replace the ACA

September 15, 2017

Senators Lindsay Graham (R-S.C.) and Bill Cassidy (R-La.) September 13 introduced legislation to repeal and replace the Affordable Care Act (ACA).


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