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Author Wynn, Barbara O., author.

Title Does it cost more to train residents or to replace them? : a look at the costs and benefits of operating graduate medical education programs / Barbara O. Wynn, Robert Smalley, Kristina M. Cordasco ; sponsored by the Medicare Payment Advisory Commission.

Published Santa Monica, CA : RAND Corporation, [2013]


Location Call No. Status
Physical description 1 online resource (1 PDF file (xix, 74 pages)) : illustrations.
Series Research report
Research report (Rand Corporation)
Books at JSTOR Open Access
Notes Title from PDF title page.
Bibliography Includes bibliographical references.
Contents Introduction -- Direct GME costs -- Indirect effects of operating residency training programs -- GME direct benefits -- Summary of findings and discussion -- Appendix A: 2008 Direct GME costs, payments, and sources of funding -- Appendix B: Faculty-to-resident ratios and time spent in GME-related activities -- Appendix C: Analyses of California OSHPD data -- Appendix D: Medicaid 2009 GME payments.
Summary Medicare is the primary vehicle for federal support for physician residency training programs through its graduate medical education payments to teaching hospitals. One important factor influencing the decisions that a teaching hospital makes regarding graduate medical education (GME) program offerings is how the residency programs are likely to affect its financial performance. The Medicare Payment Advisory Commission (MedPAC) is concerned that the increasing trend toward physician specialization is inconsistent with the needs of an efficient, high-quality, high-value health care delivery system for primary care physicians (MedPAC, 2010). MedPAC asked RAND to use available literature and data to summarize how the costs and benefits of operating residency training programs are likely to vary by specialty. The underlying policy question is whether Medicare support for residency training programs should be restructured to differentiate between programs that are less costly or self-sustaining and those that are more costly to the supporting institution.
Other author Smalley, Robert, author.
Cordasco, Kristina M., author.
Rand Corporation, issuing body.
Medicare Payment Advisory Commission (U.S.), sponsoring body.
JSTOR issuing body.
Subject Medical colleges -- United States.
Residents (Medicine) -- Training of -- United States.
Medical policy -- United States.
Electronic books.
ISBN 9780833082992