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How Medicare Calculates GME Payments, Part I
JAMA. 1999;281:1958.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Several groups in the federal government have been studying graduate medical education (GME) funding with the intent of reforming the current system. In an effort to better prepare residents for the debates and discussions on GME funding, recent Resident Physician Forum columns have described these groups and their deliberations and have discussed some of the issues being raised. In this and the next column, we will summarize the current methods used to calculate payments to hospitals.
Before the Medicare program was created, GME was funded directly by the hospital. Residents were provided with a small cash stipend, room, board, laundry, and other services. Some of these costs were recovered directly or indirectly from insurance payments.
When Congress created the Medicare program in 1965, it included provisions for GME funding because it recognized a need for trained physicians to provide health care to the nation and acknowledged that educational activities within . . . [Full Text of this Article]
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