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Previous Volume 338:402-407 February 5, 1998 Number 6

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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After 30 years of supporting graduate medical education through open-ended payment policies that rewarded academic medical centers for producing more physicians, the federal government last year curtailed Medicare's generous commitment to subsidize the training of new doctors. At the same time, Congress reclaimed for teaching hospitals the educational funds that were embedded in Medicare's payments to managed-care organizations, most of which were not passed on to the institutions actually doing the training. These provisions and many more (some 300 in the case of Medicare alone) were contained in the Balanced Budget Act of 1997, a measure signed into law last . . . [Full Text of this Article]

Health Care Spending as a Major Budgetary Target

Cuts in Medicare's Teaching Adjustments

Reclaiming Teaching Costs

Encouragement of Training in Ambulatory Care

The Targeting of Training Positions

New York's Controversial Demonstration Program

Efforts to Kill the New York Program

Variations in Medicare Payments for Residency Training

Future Policy Directions

References

Related Letters:

Who Will Pay for Graduate Medical Education?
Kaufman J. L., Venes J., Wilensky G. R.
Extract | Full Text  
N Engl J Med 1998; 339:52-53, Jul 2, 1998. Correspondence

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