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Second Opinion

Learn about policy issues important to medical schools and teaching hospitals, with Chief Public Policy Officer Atul Grover, MD, PhD

Teaching Hospitals

Coverage and Delivery Reform | GME | HIT | 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:

  • 47 percent of all organ transplant centers;
  • 60 percent of all level-one trauma centers;
  • 67 percent of all burn beds,
  • 22 percent of all cardiac surgeries,
  • 41 percent of Alzheimer's centers, and
  • Provide nearly half of all hospital charity care nationwide.

News and Updates

CMS Will Not Use Star Ratings to Assess Plans in the Dual Eligibles Demonstration Program

November 20, 2015

The Centers for Medicare and Medicaid Services (CMS) Nov. 6 announced that health plans participating in the financial alignment demonstration program for dual eligibles (beneficiaries who are eligible for both Medicare and Medicaid) will not immediately use a star rating system. Instead, beginning in 2016, these plans will have their quality data posted on the Medicare-Medicaid Coordination Office website.

CMS Releases Revisions to Requirements for Discharge Planning Proposed Rule

November 20, 2015

The Centers for Medicare and Medicaid Services (CMS) Nov. 3 released the Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies proposed rule. Comments on the rule are due by Jan. 4, 2016.

House VA Committee Examines Care Consolidation Plan

November 20, 2015

The House Committee on Veterans Affairs Nov. 18 held a hearing titled “Choice Consolidation: Assessing VA’s Plan to Improve Care in the Community.” The hearing follows the Department of Veterans Affairs (VA)’s delivery of the congressionally-mandated report, which AAMC President and CEO Darrell G. Kirch, M.D., praised in a Nov. 5 statement [see Washington Highlights, Nov. 5].

CMS Releases Comprehensive Care for Joint Replacement Payment Final Rule

November 20, 2015

The Centers for Medicare and Medicaid Services (CMS) Nov. 16 released the final rule on the Comprehensive Care for Joint Replacement Payment (CJR) Model, which would mandate participation in a lower extremity joint replacement (LEJR) bundled payment program for certain acute care hospitals beginning April 1, 2016. The CJR program will run for five years through the end of 2020. However, participating hospitals will not face downside risk until January 2017.

AAMC Submit Comment Letter on MACRA RFI

November 20, 2015

The AAMC Nov. 17 submitted a comment letter on the Centers for Medicare and Medicaid Services (CMS)’s request for information (RFI) regarding implementation of the Merit-based Incentive Payment System (MIPS), Promotion of Alternative Payment Models (APMs), and Incentive Payments for Participation in Eligible Alternative Payment Models.

On Government Affairs

Testimony and Correspondence

External Resources