Monday, December 29, 2025

Medicare funding of medical residencies

 I'm always puzzled by the fact that much of the discussion of the wages of medical residents ignores that many residency positions are paid at rates established by Medicare, which also has a big influence on the number of residency positions.

MedpageToday has the story: 

CMS Funds 400 New Residency Slots — Most new Medicare-funded positions will go to primary care, psychiatry programs by Joedy McCreary 

"The Centers for Medicare & Medicaid Services (CMS) last week allocated the 400 Medicare-funded residency slots to 135 hospitals in 37 states. Nearly two-thirds of the positions will support primary care and psychiatry residency programs.

...

"The announcement "marks a critical milestone in enabling academic health systems and teaching hospitals to continue providing top-quality patient care," said Jonathan Jaffery, MD, the AAMC's chief healthcare officer. "Academic health systems are already incurring a significant financial burden by choosing to train a portion of their medical residents without federal support. This new round of residency positions will allow them to continue investing in physician training to the benefit of patients nationwide." 

...

"Under the Consolidated Appropriations Act of 2021, Congress authorized 1,000 new residency positions to be distributed over 5 years. The 200 positions announced this month represent the fourth allocation from that total. An additional 200 slots were authorized under the Consolidated Appropriations Act of 2023, with at least 100 positions required to support psychiatry or psychiatry subspecialty residency training programs.

"The Balanced Budget Act of 1997 capped the number of Medicare-supported residency positions at each teaching hospital. Lifting that cap, the AAMC's 2024 report concluded, would help alleviate -- though not fully eliminate -- current and projected physician shortages. "

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On a lighter note, here's  their headline about Xmas-time emergency medicine:

 

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