Lessons Learned From State-Based Efforts to Leverage Medicaid Funds for Graduate Medical Education

Total Medicaid funds invested in graduate medical education (GME) increased from $3.78 billion in 2009 to $7.39 billion in 2022. States have considerable flexibility in designing Medicaid GME payments to address population health needs. This article assesses states’ inclination for using Medicaid funds for GME, the structure of state Medicaid payments, the composition and charge…

Counting Physicians in Specialties: By What They Do or How They Train?

The number of actively practicing physicians and the number of physicians needed to meet demand in a particular specialty area depend on how physicians are counted (for example, area of training vs area of practice). The way physicians are counted has a major impact on our understanding of specialty shortages in particular areas and policy…

State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education

Many organizations have called for increased transparency and accountability for public funds invested in graduate medical education (GME) but federal efforts have stalled. In the absence of federal GME reform, states are increasingly exploring ways to leverage Medicaid funds to shape the size, specialty mix, and geographic distribution of their workforce. This policy brief investigates…

State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education

Many organizations have called for increased transparency and accountability for public funds invested in graduate medical education (GME) but federal efforts have stalled. In the absence of federal GME reform, states are increasingly exploring ways to leverage Medicaid funds to shape the size, specialty mix, and geographic distribution of their workforce. This policy brief investigates…

Counting Physicians in Specialties: By What They Do or How They Train?

The number of actively practicing physicians and the number of physicians needed to meet demand in a particular specialty area depend on how physicians are counted (for example, area of training vs area of practice). The way physicians are counted has a major impact on our understanding of specialty shortages in particular areas and policy…

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