{"product_id":"medicare-u-s-government-accountability-office-9781289095185","title":"Medicare: Graduate Medical Education Payment Policy Needs to Be Reexamined: Hehs-94-33","description":"Pursuant to a congressional request, GAO reviewed Medicare financing for graduate medical education (GME), focusing on: (1) how Medicare compensates hospitals for GME costs; and (2) the extent of Medicare's support for primary care and nonprimary care physicians' GME. \u003cbr\u003e \u003cbr\u003e GAO found that: (1) Medicare pays for about 29 percent of total GME direct costs, which totalled $1.46 billion in 1992; (2) although Congress modified Medicare's payment methodology in 1985 and 1986 to promote primary care training programs, Medicare funds are mostly used to support nonprimary care training; (3) the extent to which Medicare pays for primary and nonprimary care training has never been analyzed; (4) 60 percent of interns and residents received training in nonprimary care fields and 55 percent of Medicare GME payments were associated with nonprimary care training costs; (5) 40 percent of interns and residents received training in primary care fields and 45 percent of Medicare GME payments were associated with primary care training costs; (6) when it accounted for physicians who trained in primary care and entered nonprimary care fields, the proportion of nonprimary care physicians rose to 75 percent; and (7) the authority of hospitals to determine community needs and Medicare GME payment allocations may need to be reassessed as the need for primary care physicians increases.\u003cbr\u003e\u003cbr\u003e\u003cb\u003eAuthor:\u003c\/b\u003e U. S. Government Accountability Office (\u003cbr\u003e\u003cb\u003eISBN-10:\u003c\/b\u003e 1289095183\u003cbr\u003e\u003cb\u003eISBN-13:\u003c\/b\u003e 9781289095185\u003cbr\u003e\u003cb\u003ePublisher:\u003c\/b\u003e Bibliogov\u003cbr\u003e\u003cb\u003eLanguage:\u003c\/b\u003e English\u003cbr\u003e\u003cb\u003ePublished:\u003c\/b\u003e 06\/27\/2013\u003cbr\u003e\u003cb\u003ePages:\u003c\/b\u003e 36\u003cbr\u003e\u003cb\u003eFormat:\u003c\/b\u003e Paperback\u003cbr\u003e\u003cb\u003eWeight:\u003c\/b\u003e 0.18lbs\u003cbr\u003e\u003cb\u003eSize:\u003c\/b\u003e 9.69h x 7.44w x 0.07d","brand":"U. S. Government Accountability Office (","offers":[{"title":"Paperback","offer_id":47611417624831,"sku":"9781289095185","price":15.75,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0662\/2982\/9887\/files\/img_70cf4dcc-7125-4019-b9dc-2aa6382dcaf5.jpg?v=1764513748","url":"https:\/\/www.whiterainbookhouse.com\/products\/medicare-u-s-government-accountability-office-9781289095185","provider":"WR Book House","version":"1.0","type":"link"}