AAFP proposes changes to GME financing
Residency Program Insider, September 19, 2014
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Calling for greater accountability and transparency in the GME system, the American Academy of Family Physicians (AAFP) recently released its recommendations for reforming GME financing.
The AAFP proposes the following changes:
1. Limit payments for direct graduate medical education and indirect graduate medical education to training for first-certificate residency programs
2. Establish primary care thresholds and maintenance-of-effort requirements for all sponsoring institutions and teaching hospitals currently receiving Medicare and Medicaid GME financing
3. Require all sponsoring institutions and teaching hospitals seeking new Medicare- and Medicaid-financed GME positions to meet primary care training thresholds as a condition of residency program expansion
4. Align financial resources with population healthcare needs through a reduction in IME payments and allocation of those resources to support innovation in GME
5. Fund the National Health Care Workforce Commission
Source: AAFP
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