Lessons Learned from State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education

October 11, 2017

Erin Fraher, PhD; Julie Spero, MSPH; Tom Bacon, DrPH

Presentation to the GME Outcomes and Metrics Workshop, National Academy of Medicine

Presentation Overview

  • Much focus on GME at national level but states are policy laboratories
  • States actively seeking data and metrics to better target GME funding and evaluate return on investment
  • Oversight bodies play critical role in interpreting metrics, educating legislature and navigating competing interests
  • We heard loud call for increased accountability/transparency
  • Findings not earth shattering but study (literally) gives voice to critical enablers/barriers to state GME reform
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Related Work

Carolina HWRC Project: The Future of Medicaid-Funded Graduate Medical Education as the Health Care System Shifts

This work is funded through cooperative agreement U81HP26495, Health Workforce Research Centers, with the National Center for Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, U.S. Department of Health and Human Services. The content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.