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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 teaching 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

MedPAC Releases March 2018 Report to Congress, Recommends Annual Medicare Payment Adjustments

March 16, 2018

The Medicare Payment Advisory Commission (MedPAC) March 15 released its March 2018 Report to Congress, which includes recommended annual adjustments for Medicare’s various payment systems.

CMS Outlines 2018 Priorities at NQF’s Annual Conference

March 16, 2018

The Centers for Medicare and Medicaid Services (CMS) Director of the Center for Clinical Standards and Quality (CCSQ) and Chief Medical Officer Kate Goodrich, MD Mar. 13 provided details on CMS’ priorities for 2018 during a presentation to the National Quality Forum (NQF) annual conference in Washington D.C. Dr. Goodrich followed up on CMS Administrator Seema Verma’s announcement of new CMS interoperability initiatives in remarks to the Health Information and Management Systems Society (HIMSS) annual conference last week.

CMS Announces MACRA Funding Opportunity to Develop Measures for the Quality Payment Program

March 9, 2018

The Centers for Medicare and Medicaid Services (CMS) Mar. 5 announced a Medicare Access and CHIP Reauthorization Act of 2015 (MACRA, P.L. 114-10) Funding Opportunity: Measure Development for the Quality Payment Program available on

MACPAC Discusses Supplemental Payments to Hospitals

March 5, 2018

The Medicaid and CHIP Payment and Access Commission (MACPAC) met March 1 to discuss the role of supplemental payments to hospitals.

MedPAC Discusses Payment for Hospital Emergency Department Services, Post-Acute Care, and Population-Based Quality Measures

March 5, 2018

The Medicare Payment Advisory Commission (MedPAC) Mar. 1-2 met to discuss Medicare payment issues, including hospital emergency department services, post-acute care, and population-based quality measure among other topics in advance of MedPAC’s June 2018 report.

On Patient Care

Testimony and Correspondence