[20190219]IF10960_医疗保险研究生医学教育费用：概述.pdf

https:/crsreports.congress.gov Updated February 19, 2019Medicare Graduate Medical Education Payments: An OverviewThe federal government makes significant investments in graduate medical education (GME) funding through various programs that support medical residency training; it invested an estimated $16 billion in 2015. A Government Accountability Office (GAO) analysis released in 2018 found that federal GME programs are the largest source of health workforce spending, and approximately three-quarters of federal GME spending was from Medicare. Medicare GME payments are made primarily to hospitals. Given the prominence of Medicare in funding medical education, policies that alter Medicare GME can affect the future physician supply and could be used to address identified health care workforce priorities. This In Focus addresses Medicare GME payments to hospitalsspecifically, hospital eligibility for these payments, what Medicare GME pays for, how Medicare pays for GME, and how Medicare GME payment amounts to qualifying hospitals are determined. Eligibility for Medicare GME Payments To be eligible for Medicare GME payments, a teaching hospital must have an approved residency program