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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

Senate Appropriations Subcommittee Emphasizes Mental Health Workforce Needs

February 17, 2017

At a Feb. 15 Senate Appropriations Subcommittee on Labor, Health and Human Services, and Education hearing titled, “Mental Health Care: Examining Treatments and Services,” both witnesses and Senators expressed concern over mental health workforce challenges.

Senate Finance Committee Holds CMS Administrator Confirmation Hearing

February 17, 2017

The Senate Finance Committee Feb. 16 held a confirmation hearing for President Trump’s Centers for Medicare and Medicaid (CMS) Administrator nominee, Seema Verma.

House Expected to Move Forward with ACA Repeal

February 17, 2017

House Republicans are expected to begin their efforts to repeal the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152) through the budget reconciliation process when Congress returns from its Presidents Day recess period. However, Republican House and Senate leaders are still trying to determine which provisions of the health care law will be targeted and what, if anything, will replace it. The discussions are ongoing and will continue to evolve over the coming weeks.

MACPAC Commissioners Discuss Block Grants, Alternative Funding Options

February 3, 2017

The Medicaid and CHIP Payment and Access Commission (MACPAC) discussed a range of alternative Medicaid financing options, including block grants, capped allotments, and per capita caps at its Jan. 26 meeting.

House Energy and Commerce Committee Holds Medicaid Hearings

February 3, 2017

As part of Affordable Care Act (ACA) repeal and replace and Medicaid reform debates on Capitol Hill, two House Energy and Commerce Subcommittees held hearings focused on oversight and strengthening the Medicaid program.

On Government Affairs

Testimony and Correspondence

External Resources