The Issue
A teaching hospital refers to individual hospitals, health systems, and networks that deliver state-of-the-art care for all, including the most vulnerable patients with the most complex conditions, and are committed to educational activities in the health professions. Most of the largest teaching hospitals are affiliated with medical schools. Additionally, Department of Veterans Affairs medical centers are also teaching hospitals.
Only at teaching hospitals do the three missions of medical education, research, and care come together for the benefit of all patients. In this unique environment, the next generation of doctors, nurses and other health professionals are trained in an environment of discovery and the latest advances in medicine. In teaching hospitals and their affiliated clinical sites, new doctors learn the skills that they’ll use throughout their careers, no matter where they practice. Teaching hospitals also are distinguished by their clinical research programs where scientists and physicians work together to discover and bring new treatments and cures from the bench to the bedside safely and quickly.
Teaching hospitals rely on Medicare direct graduate medical education (DGME) and indirect medical education (IME) payments to support the training of new physicians to meet the increasing requirements of an aging population. These payments also help cover the additional patient care costs incurred by teaching hospitals for the services they provide and the patient populations they treat.
The Solution
Teaching hospitals will continue their mission-driven roles to provide care for all patients, including the most complex and vulnerable; train the next generation of healthcare professionals; and conduct research to discover new treatments and cures.
To sustain our nation’s teaching hospitals and the irreplaceable services they provide, the AAMC urges that Congress maintain the DGME payment and IME adjustment at their current levels and adequately increase Medicare Disproportionate Share Hospital (DSH) payments to ensure appropriate reimbursement for teaching hospitals as they continue to see an increase in the disproportionate number of uninsured and underinsured patients they care for.
Resources
Roles of Teaching Hospitals
- Why Teaching Hospitals Are Important to All Americans
- America's Teaching Hospitals: Discovering Tomorrow's Cures
Teaching Hospitals and Patient Care
- Congressional Briefing Highlights Role of Academic Medical Centers in Health Care Delivery
- Care Innovation Programs
- Medical Firsts at Teaching Hospitals
- Integrating Quality (IQ)
Teaching Hospitals and Graduate Medical Education
- Graduate Medical Education: Training Tomorrow's Physician Workforce
- What Does Medicare Have to Do with Graduate Medical Education?
- Learn more about Medicare Direct Graduate Medical Education (DGME) Payments
- Learn more about the AAMC's Optimizing Graduate Medical Education Initiative
Medicare Mission Payments to Teaching Hospitals
- Policy Priorities to Improve Our Nation’s Health: Medicare Mission Payments to Teaching Hospitals
- Proposed Reductions in Medicare IME Payments to AAMC Teaching Hospitals: National and State Economic Impacts
- Learn more about Medicare Indirect Medical Education (IME) Payments
- Learn more about Medicare Disproportionate (DSH) Payments
- Learn more about the Children’s Hospital Graduate Medical Education Payment Program (CHGME)