Jessica L. O'Hara
In recognition of the Medicare Payment Advisory Commission’s (MedPAC’s) June 2010 report, which calls for greater transparency in Medicare funding to teaching hospitals, the Robert Graham Center launched a searchable online database of Medicare graduate medical education (GME) payments to hospitals. The database provides data on GME funding for fiscal years (FYs) 2000 through 2007.
In additional to total GME, searchable and sortable data include per-resident amounts through direct graduate medical education (DGME) payments, primary care and non-primary care resident full-time equivalents, total DGME and indirect medical education adjustments to hospitals, and total Medicare support for residency training. Such information allows hospitals programs to review reported GME payments; see where a hospital ranks in comparison to others locally, statewide, or nationally; and track changes and trends in GME funding. In addition to personalized searches, data can be obtained by downloading PDFs or Excel files by fiscal year.
An informal search and sort of the Graham Center data found in FY 2007:
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In Washington, DC—home of the Alliance for Academic Internal Medicine—Washington Hospital Center had the largest number of hospital beds, totaling 770, and the largest total GME funding, receiving $34,699,582.
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Wyoming, the least populated state, had two teaching hospitals totaling 328 hospital beds, and received a total of $1,740,094 in GME funding. In contrast, California, the highest populated state, had 107 teaching hospitals, totaling 30,720 hospital beds, and received a total of $488,160,818 in GME funding.