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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


AAMC Opposes Senate Health Care Reform Bill

June 23, 2017

The Senate June 22 released a discussion draft of its health care reform bill, the Better Care Reconciliation Act of 2017 (BCRA). The bill would dramatically restructure Medicaid financing, modify the premium tax credits, and loosen 1332 waiver requirements, among other provisions.


MACPAC Releases June Report to Congress

June 16, 2017

The Medicaid and CHIP Payment Advisory Commission (MACPAC) June 15 released its June 2017 Report to Congress, which includes an analysis of mandatory and optional enrollees and services in Medicaid, how state Medicaid programs are responding to the opioid epidemic, and an examination of program integrity activities in Medicaid managed care.


HHS OIG Releases Updated Work Plan

June 16, 2017

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) June 15 released its updated work plan, which sets forth several different projects – including OIG audits and evaluations that are underway or planned – to be addressed during the fiscal year and beyond by OIG’s Office of Audit Services and Office of Evaluation and Inspections. The work plan was last published November 2016.


AAMC Sends Medicaid Managed Care Letter to CMS Administrator

May 26, 2017

The AAMC May 22 sent a letter to Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma urging the agency not to abandon crucial standards or weaken federal oversight that help safeguard program integrity and the appropriate use of federal dollars.


CBO Releases New Estimates of AHCA Coverage and Federal Budget Impacts

May 26, 2017

The Congressional Budget Office (CBO) May 24 released an estimate of the House-passed American Health Care Act’s (AHCA, H.R. 1628) effects on the federal budget and health insurance coverage.


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