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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.


GME | Hospital Quality and Payment | Physician Quality and Payment

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:

  • the Inpatient Prospective Payment System (IPPS) and Outpatient Prospective Payment System (OPPS);
  • the Medicare Physician Fee Schedule (PFS);
  • the Center for Medicare and Medicaid Innovation (CMMI); and
  • the Medicare Payment Advisory Commission (MedPAC).

Payments: DSH | Geographic Variations | HIT | Coverage and Delivery Reform

News and Updates

CMS Releases the FY 2018 IPPS Final Rule

August 4, 2017

The Centers for Medicare and Medicaid Services (CMS) August 2 released the Inpatient Prospective Payment System (IPPS) fiscal year (FY) 2018 final rule in which CMS finalized changes to the Medicare payment rate and policies update for FY 2018. The rule increases payment rates by 1.2 percent for FY 2018. 

Senate Fails to Pass Repeal Legislation

July 28, 2017

The Senate July 28 failed to pass legislation to repeal the Affordable Care Act (ACA, P.L. 111-148 and P.L 111-152).

Senate Continues its Efforts to Repeal the Affordable Care Act

July 21, 2017

n response to continued opposition to the Senate health care reform bill, the Better Care Reconciliation Act (BCRA), Senate Majority Leader Mitch McConnell (R-Ky.) July 18 announced his intent to vote on an updated version of a 2015 repeal of the Affordable Care Act (ACA), the Obamacare Repeal Reconciliation Act (ORRA).

Medicare Hospital Trust Fund Solvent Until 2029

July 14, 2017

The Social Security and Medicare board of trustees Thursday released an annual report indicating that Medicare’s hospital trust fund will be depleted by 2029, a year later than predicted in their 2016 report.

AAMC Submits Letter to CMS on Reducing Regulatory Burdens Imposed by ACA

July 14, 2017

The AAMC July 12 submitted a comment letter to CMS in response to a request for information to reduce regulatory burdens imposed by the Affordable Care Act (ACA). 

On Government Affairs

Testimony and Correspondence

External Resources