Medicare GME
n Medicare’s share in funding teaching hospitals includes
residency training support under Part A(hospital services)
commonly referred to as Graduate Medical
Education(GME)
n Medicare GME has two components: Direct Graduate
Medical Education(D-GME) and Indirect Medical
Education(IME)
u IME was created to compensate for factors that increase
teaching hospitals costs such as treating a more
severely ill patient population, offering a wider range of
services and technology, providing more diagnosis and
therapeutic services to certain types of patients, and
allowing clinical inefficiencies as residents learn their
profession(such as the ordering of more tests than the
norm)