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Medicare

The Medicare program, run by the Centers for Medicare and Medicaid Services (CMS), provides health insurance to the aged, disabled, and individuals who have end stage renal disease (ESRD).  Medicare, however, also plays a special role funding Graduate Medical Education (GME) at teaching hospitals. 

Medicare Disproportionate Share (DSH) payments compensate certain hospitals for the higher operating costs they incur in treating a large share of low-income patients, which teaching hospitals do. These hospitals often face substantial financial pressure, as they may provide significant amounts of care to the poor and lack the revenue needed to underwrite the costs associated with the provision of services.

Other areas of Medicare of interest to teaching hospitals and physicians include:


News and Updates


House Democratic Leaders Introduce Legislation to Reduce Prescription Drug Costs

September 20, 2019

House Democratic Leaders introduced a sweeping drug pricing bill aimed at lowering the cost of prescription drugs. 


MedPAC Discusses IME Payment Policy and Other Medicare Policy Topics

September 6, 2019

The Medicare Payment Advisory Commission (MedPAC) met September 5-6 to kick off a new working year for the Commission.


Court of Appeals Issues Ruling on Counting Third-Party Payments in Medicaid DSH Definition

August 16, 2019

A federal appellate court issued an Aug. 13 decision on the treatment of third-party payments in the Medicaid disproportionate share hospital (DSH) shortfall definition.


CMS Releases Coverage Decision for CAR T-Cell Therapy

August 8, 2019

The Centers for Medicare and Medicaid Services (CMS) Aug. 8 released the coverage decision for chimeric antigen receptor (CAR) T-cell therapy. Medicare will cover all Food and Drug Administration (FDA) approved uses for CAR T-cell therapy and off-label uses recommended by CMS-approved compendia.


CMS Issues Proposed Medicare Physician Fee Schedule and Quality Payment Program Rule

August 2, 2019

The Centers for Medicare and Medicaid Services (CMS) July 29 released the calendar year (CY) 2020 Medicare Physician Fee Schedule (MPFS) and Quality Payment Program (QPP) proposed rule.


On Government Affairs



Testimony and Correspondence





External Resources