Academic Health Centers Under Health Care Reform Hearing Before the Committee

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Academic Health Centers Under Health Care Reform Hearing Before the Committee
United States Congress Senate Committee On Fina
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Policy makers should note that no health care reform proposal addresses the need to recognize and pay for the medical school costs associated with adapting to a price sensitive delivery system and accepting new and changing educational responsibilities. To remedy this shortcoming, the AAMC recommends that while the title of this section should remain, the Academic Health Center (AHC) section of the HSA (Title HI, Subtitle B) should be re-drafted to create two funds. One fund constitute an all-p...ayer pool to assist medical schools in meeting their academic responsibilities, including the education of high quality physicians, in an era of health care reform. The other fund would be an all-payer equivalent in purpose to the Medicare IME adjustment, and would make payments to teaching 16 66 hospitals to help "level the playing field, " thus enabling them to compete in a price sensitive environment . A Fund for Medical Schools. The AAMC is concerned about the ability of medical schools to maintain and enhance the support of physician education, particularly at a time when medical schools and teaching physicians are being called on to transform the medical education system from one that focuses on specialist training in hospital inpatient settings to a more expensive system of generalist training in ambulatory, non-hospital sites.

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