Medicare: Graduate Medical Education Payment Policy Needs to Be Reexamined

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Premium Download PDF Now (32 pages)

Report Type	Reports and Testimonies
Report Date	May 4, 1994
Report No.	HEHS-94-33
Subject	Health care cost control Health insurance cost control Health maintenance organizations Hospital care services Hospitals Medical economic analysis Medical education Medical services rates Medicare Physicians Clinton Health Care Plan HCFA Hospital Cost Report Information System HCFA Intern and Resident Information System HCFA Second National Graduate Medical Education Data Collection System Health Security Act National Health Care Reform Initiative National Resident Matching Program Education or training costs

Summary:

It is widely held that the United States is not training enough primary care physicians relative to types of physicians. In 1961, about half of all doctors were in primary care practice; if current trends continue, that number could drop to about 26 percent by 2020. At the same time, if health care reform establishes a delivery system that incorporates managed care, the need for primary care physicians will increase. The Medicare program is the primary vehicle through which the federal government helps finance physician training and education. Although data are limited, some researchers argue that hospitals are using Medicare funds to disproportionately underwrite the training of nonprimary care physicians at a time when more primary care physicians are needed. This report (1) describes how Medicare compensates hospitals for the costs of graduate medical education and (2) determines the extent of Medicare support for the graduate medical education of primary and nonprimary care physicians.

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Medicare: Graduate Medical Education Payment Policy Needs to Be Reexamined