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Teaching Hospitals

Coverage and Delivery Reform | GME | IPPS | OPPS | Patient Care Quality

Millions of Americans turn to teaching hospitals for specialized surgeries, life-saving care, and complex treatments. Teaching hospitals serve critical and unique community services, such as trauma and burn centers. These institutions are leaders in developing new cures and treatments and are continually improving medical education for future physicians. They are the training ground for more than 100,000 new physicians and other health professionals each year. And they are a vital part of America's safety net, providing care to millions of the country’s uninsured population.

The AAMC represents the nation's nearly 400 major teaching hospitals and health systems and their associated clinical physicians. AAMC members operate:

  • 71 percent of all level-one trauma centers;
  • 71 percent of all burn beds;
  • 61 percent of pediatric intensive care unit beds;
  • 88 percent of the nation's 41 Comprehensive Cancer Centers; and
  • Provide 35 percent of all hospital charity care nationwide.

News and Updates


CMS to Allow Medicare Advantage Plans to Use Step Therapy for Medicare Part B Drugs

August 9, 2018

The Centers for Medicare and Medicaid Services (CMS) announced Aug. 7 that Medicare Advantage (MA) plans will be able to apply step therapy for physician-administered drugs and other Medicare Part B drugs beginning Jan. 1, 2019. Step therapy is a utilization management tool that requires patients to try a less expensive drug before being given the drug that was prescribed.


CMS to Allow Medicare Advantage Plans to Use Step Therapy for Medicare Part B Drugs

August 9, 2018

The Centers for Medicare and Medicaid Services (CMS) announced Aug. 7 that Medicare Advantage (MA) plans will be able to apply step therapy for physician-administered drugs and other Medicare Part B drugs beginning Jan. 1, 2019. Step therapy is a utilization management tool that requires patients to try a less expensive drug before being given the drug that was prescribed.


CMS Releases FY 2019 IPPS Final Rule

August 3, 2018

The Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2019 Inpatient Prospective Payment System (IPPS) final rule. The rule will be published in the federal register on August 17, 2018.

Significantly, CMS finalized its proposal to continue incorporating Worksheet S-10 data to determine uncompensated care payments for FY 2019. Additionally, CMS finalized its removal of 18 quality measures and “de-duplicating” another 25 measures.


Energy and Commerce Committee Requests More Information on 340B Contract Pharmacies

August 3, 2018

House Energy and Commerce Committee Chair Greg Walden (R-Ore.), Health Subcommittee Chair Michael Burgess, MD, (R-Texas), and Oversight and Investigations Subcommittee Chair Gregg Harper (R-Miss.) Aug. 1 sent letters to nine pharmacies that have contract pharmacy arrangements with 340B covered entities. The letters request more information about their participation in the 340B Drug Pricing Program.


Senate HELP Committee Holds Hearing on Administrative Health Care Spending

August 3, 2018

The Senate Health, Education, Labor, and Pensions (HELP) Committee July 31 held a hearing titled, “Reducing Health Care Costs: Decreasing Administrative Spending.” It is one in a series of hearings examining health care costs and follows a July 20 hearing on eliminating excess health care spending while improving value and quality [see Washington Highlights, July 20].

On Government Affairs



Testimony and Correspondence





External Resources