Rare opportunity for expanded GME funding

In a recent article, Michelle Wilkinson of ECG Management Consultants looks at the rare opportunity for expanded GME funding.

 As healthcare executives unpack what the Consolidated Appropriations Act of 2021 (CAA) means for their organizations, they will find three opportunities for graduate medical education (GME) expansion. It may be easy to miss them—they don’t appear until nearly page 1,800—but they represent the first significant GME expansion opportunity in nearly two decades. Time limits for some key provisions mean that teaching hospitals must act quickly to benefit from this new law.

Since the passage of the Balance Budget Act of 1997 and the resident FTE caps it imposed for reimbursement purposes, teaching hospitals have been limited in their ability to increase funded GME training. Exceptions to this rule are limited to historically nonteaching hospitals and rural hospitals. CMS has allowed some redistribution of existing cap space over the past 25 years, but such occasions have been infrequent—most notably through the Medicare Modernization Act in 2005 and then in changes enacted in the Patient Protection and Accountable Care Act in 2010 that provided for the retention and redistribution of resident FTE cap space from closed teaching hospitals.

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