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Teaching Physicians

Coverage and Delivery Reform

A teaching physician is a physician other than a resident who involves residents in the care of his or her patients as part of an accredited residency program.  Through its medical schools and teaching hospitals and health systems, the AAMC represents 128,000 faculty members and 110,000 resident physicians. 

Teaching physicians are commonly organized into faculty practice plans that allow them to provide care to patients, who often come from vulnerable populations or benefit from specialized care that is not available elsewhere.

Although Medicare makes special payments to teaching hospitals, teaching physicians are paid according to the same Medicare fee schedule applicable to all other physicians.  However, provided that certain rules are followed, Medicare allows teaching physicians to bill for clinical care in which residents are involved. 

Beyond payment, other areas of interest to teaching physicians include physician quality and value initiatives, models of team-base care, and health information technology (HIT). 

Related: Medicare

News and Updates

MedPAC Recommends Changes to Physician Payments and Hospital Payment Updates

January 18, 2019

The Medicare Payment Advisory Commission (MedPAC) met Jan. 17-18 to approve recommendations on physician payments and hospital payment updates. The commission also discussed Medicare prescription drug pricing and performance in the Medicare Shared Savings Program (MSSP).

AAMC Submits Comment Letter on Proposed Public Charge Rule

December 14, 2018

The AAMC Dec. 11 submitted a comment letter to the Department of Homeland Security (DHS) on its proposed rule, “Inadmissibility on Public Charge Grounds.” The letter urges DHS not to finalize the proposal and to defer to the Department of State’s public charge determinations instead.

HHS Issues RFI on Modifying HIPAA to Improve Coordinated Care

December 13, 2018

The Department of Health and Human Services (HHS) Office for Civil Rights Dec. 12 issued a Request for Information (RFI) seeking input on how the Health Insurance Portability and Accountability Act (HIPAA, P.L. 104-191) can be modified to promote coordinated, value-based care.

MedPAC Discusses Payment Adequacy and Updating Services and Redesigning the Hospital Quality Incentive Program

December 7, 2018

The Medicare Payment Advisory Commission (MedPAC) met Dec. 6-7 to discuss payment adequacy and updates to payments for professional, inpatient, and outpatient services, as well as redesigning Medicare’s hospital quality incentive program. The commission discussed several draft recommendations, which will be voted upon at the January 2019 meeting.

CMS Proposes Changes to Medicare Advantage and Part D Formulary Requirements

November 30, 2018

The Centers for Medicare and Medicaid Services (CMS) Nov. 26 released a proposed rule that would establish exceptions to formulary requirements for protected drug categories and classes under Medicare Advantage (MA) and Medicare Part D, as well as expand the use of step therapy and prior authorization. CMS also proposed requiring the inclusion of drug pricing information in the Part D Explanation of Benefits that beneficiaries receive.

On Government Affairs

Testimony and Correspondence