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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


CMS Administrator Announces Changes to Medicaid Program

November 10, 2017

Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma Nov. 7 announced that CMS wants to give states more freedom under the Medicaid program to design innovative programs that best meet the needs of the people they serve.


MACPAC Discusses Future of CHIP Funding, DSH Payments

October 27, 2017

The Medicaid and CHIP Payment and Access Commission (MACPAC) met Oct. 26-27 to discuss a variety of issues, including an updated on the Children’s Health Insurance Program (CHIP), opioid use disorders, and Medicaid disproportionate share hospital (DSH) payments.


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.).


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