State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education

January 23, 2017

Presentation at GMEI Summit, Albuquerque, New Mexico

Authors: Erin P. Fraher, PhD, MPP; Julie Spero, MSPH; Tom Bacon, DrPH


Presentation Overview:

  • There is a high level of interest, but limited implementation at the state level for GME reform
  • Most states are seeking new funds, not redistributing existing funds
  • Oversight bodies play critical role in educating legislature and navigating competing interests
  • There have been loud calls for increased accountability/transparency
  • Critical need exists for better data and metrics to measure workforce outcomes
  • Though findings were not surprising, the study gives voice to critical enables/barriers to state GME reform


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