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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

AAMC Submits Comment Letter on Draft Hospital Co-Location Guidance

July 12, 2019

The AAMC July 2 submitted a comment letter on the Centers for Medicare and Medicaid Services’ (CMS) draft guidance for hospital co-location with other hospitals and healthcare facilities.

AAMC Submits Comment Letter on IPPS FY 2020 Proposed Rule

June 28, 2019

The AAMC June 24 submitted a comment letter on the Centers for Medicare and Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) fiscal year (FY) 2020 proposed rule.

Senate HELP Committee Advances Lower Health Care Costs Act

June 28, 2019

The Senate Health, Education, Labor, and Pensions (HELP) Committee June 26 convened a markup and passed the Lower Health Care Costs Act (S. 1895), a bipartisan package of bills that is focused on reducing health care costs, in a 20-3 vote [see Washington Highlights June 14, June 21].

MedPAC Releases June 2019 Report to Congress

June 21, 2019

The Medicare Payment Advisory Commission (MedPAC) June 14 released its June 2019 Report to Congress. In its report, MedPAC examines the use of scholarships and loan forgiveness programs to ensure an adequate supply of primary care physicians. Additionally, MedPAC makes one recommendation on slowing the growth of Medicare fee-for-service spending for emergency department (ED) services and examines restructuring Medicare Part D for the era of specialty drugs, as well as strategies to improve price competition and value for Part B drugs.

On Government Affairs

Testimony and Correspondence

External Resources