Performance Improvement 2001. Evaluation of the New York Medicare Graduate Medical Education Payment Demonstration and Related Provisions


Medicare's annual graduate medical education (GME) spending reached $7 billion, of which nearly 20 percent was for New York teaching hospitals. This is a coordinated evaluation of a major demonstration which provided incentives for New York State teaching hospitals to reduce their residencies by 20 to 25 percent over a 5-year period, and several provisions of the Balanced Budget Action of 1997 (BBA) which were also aimed at reducing Medicare GME spending. The evaluation assessed the impacts of residency reduction on access to service delivery as well as the economic and workforce effects. This is a follow-on project to the design effort; thus, the work is being performed in the manner described in the "Design for Evaluation of the New York Medicare GME Demonstration and Related Provisions in P.L. 105-330 (BBA): Recommended Design and Strategy for NY GME Demonstration and National BBA GME Provisions." The project will present a series of reports.


AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: William Buczko, 410-786-6593

PIC ID: 7379

PERFORMER: Health Economics Research, Inc., Waltham, MA