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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

MACPAC Releases March 2018 Report to Congress

March 16, 2018

The Medicaid and CHIP Payment and Access Commission (MACPAC) released their March 2018 Report to Congress. The report focused specifically on managed care and telehealth, but also provided a chapter on Medicaid disproportionate share hospital (DSH) allotments, which is required by statute annually.

President Trump Releases FY 2019 Budget Proposal

February 16, 2018

The White House Feb. 12 released the president’s FY 2019 Budget proposal, An American Budget, as well as an addendum intended to account for higher discretionary spending caps enacted just days earlier [see Washington Highlights, Feb. 9].

Sec. Alex Azar Testifies Before Congress on President’s Proposed Budget

February 16, 2018

Department of Health and Human Services (HHS) Secretary Alex Azar Feb. 14-15 testified about the president’s proposed fiscal year (FY) 2019 budget in front of the Senate Finance Committee, House Ways and Means Committee and House Energy and Commerce Committee. Secretary Azar discussed the President’s goals in crafting the budget, which include combatting the opioid epidemic and enhancing and protecting the well-being of the American people.

President Signs Budget Deal Raising Spending Caps, Delaying DSH Cuts

February 9, 2018

President Trump Feb. 9 signed into law the Bipartisan Budget Act of 2018 (H.R. 1892), the product of bipartisan negotiations to provide sequestration relief over two years for discretionary spending, address a number of expired health care provisions, and temporarily continue funding for the federal government, among other provisions. 

Azar Enters, Fitzgerald Exits HHS

February 2, 2018

Alex Azar Jan. 29 was sworn in as Secretary of the Department of Health and Human Services (HHS).

On Government Affairs

Testimony and Correspondence

External Resources