Customize your JAMA Network experience by selecting one or more topics from the list below.
How Medicare Calculates GME Payments, Part I. JAMA. 1999;281(20):1958A. doi:10.1001/jama.281.20.1958
Prepared by Ashish Bajaj, Department of Resident and
Fellow Services, American Medical Association.
Several groups in the federal government have been studying graduate
medical education (GME) funding with the intent of reforming the
current system. In an effort to better prepare residents for the
debates and discussions on GME funding, recent Resident Physician Forum
columns have described these groups and their deliberations and have
discussed some of the issues being raised. In this and the next column,
we will summarize the current methods used to calculate payments to
Before the Medicare program was created, GME was funded directly by the
hospital. Residents were provided with a small cash stipend, room,
board, laundry, and other services. Some of these costs were recovered
directly or indirectly from insurance payments.
Create a personal account or sign in to: