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Recommendations for Distribution of GME Funds
Pages 17-20

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From page 17...
... · Although the charge to the committee excluded consideration of funding sources, the committee notes the desirability of replacing, at least in part, eroding support from private-sector health care payments and limiting inappropriate shifting of the financial burden of providing a general, public benefit to Medicare. In addition to a Medicare contribution, therefore, a National GME Fund could also include a general, nonMedicare contribution which could be from general revenue, an all-payer fund, a premium tax or dedicated tax or some other public non-Medicare source.
From page 18...
... · Eligibility for DME payments should be expanded to include any entity that is a formal educational or health care service institution, that meets accrediting body standards for GME, and that assumes overall training program responsibility. These entities should be paid directly.
From page 19...
... 1. Historical Payment: Historical Medicare IME payments should be set as each institution's proportion of total Medicare IME payments for a base period applied to one half of Medicare IME funds and annually trended forward thereafter.
From page 20...
... · The amount of time residents spend in approved, affiliated ambulatory training sites as part of an institution's Accreditation Council for Graduate Medical Education/American Osteopathic Association (ACGME/AOA) approved residency program should be counted for hospital IME payment purposes just as it is for DME payment.


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