Medicaid Graduate Medical Education Payments: A 50-State Survey

Medicaid Graduate Medical Education Payments: A 50-State Survey


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Number of pages:35
Year published:2016
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This publication provides the results of the 2015 survey of state Medicaid programs with respect to their policies for financing direct graduate medical education (GME) costs.
Behind Medicare, Medicaid is the second largest explicit source of funding for GME and the other special missions and services of America’s teaching hospitals. Accordingly, state Medicaid policies have a substantial impact on these institutions. This report highlights state and national Medicaid funding trends and includes insights critical to the strategic and tactical planning within teaching hospitals. The 2015 study updates prior years’ studies (1998, 2002, 2005, 2009, & 2012), which, together, provide a comprehensive, time-lapse snapshot into this topic.
Download the complete report to obtain details about key findings, including:
  • Overall Medicaid GME support has nearly doubled since 1998, reaching $4.26 billion.
  • In 14 states, nurses, medical residents, and other health professions trainees can have their graduate training subsidized by Medicaid.
  • Medicaid programs in 32 states made GME payments with the expectation of producing more physicians, up from 22 states in 2012.
  • For the first time, more Medicaid GME payments were made under managed care (61 percent) than under Medicaid Fee-For-Service (39 percent).

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