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CapFlex Coalition Presents to CMS

Representatives of the CapFlex Coalition travel to Baltimore to Present to the CMS Hospital and Ambulatory Payment Group


Members of the CapFlex Coalition met with the Hospital & Ambulatory Payment Group (HAPG) at Centers for Medicare & Medicaid (CMS) headquarters to discuss graduate medical education policy and related legislative efforts.


Overall the meeting went very well. The Coalition presentation focused on how CMS could exercise its existing authority to institute a flexible cap policy to help it address current issues in GME. Particularly, the issues discussed are the projected physician shortages and the mal-distribution of physicians and GME programs nationwide, the amount of resources and time it takes for new teaching programs to get off the ground, the particular issues faced by rural and undeserved areas and how the Medicare Cap's contribution to these issues.


The CapFlex Coalition is grateful for CMS’ time to take this meeting, as well as their continued interest in a targeted application approach to increasing flexibility to the GME cap-building period.


Several hard copies of the Cap Flexibility Whitepaper as a further resource and directed meeting attendees to the CapFlex website for additional information on both the cap flexibility program and CapFlex Coalition members.


Ms. Blackford summarized CMS’ next steps as:

· Review in more detail the concept of cap flexibility as described in the whitepaper;

· Further research by CMS on the boundaries of their authority to enact cap flexibility; and

· Follow-up with the CapFlex Coalition.


Attendees included:

CMS:

· Carol Blackford, Director, Hospital & Ambulatory Payment Group (HAPG)

· Ing-Jye Cheng, Deputy Director, Hospital & Ambulatory Payment Group (HAPG)

· Donald Thompson, Director, Division of Acute Care (DAC)

· Renate Rockwell, Policy Analyst

· Shevi Marciano, Policy Analyst


CapFlex Coalition

· Dr. Amour R. Forse, Chief Academic Officer, Doctors Hospital at Renaissance

· Roberto Haddad, VP & Counsel for Governmental Affairs & Policy, Doctors Hospital at Renaissance

· Dr. John Mitchell, Director, Office of the Mississippi Physician Workforce

· Dr. Anne Sullivan, Chief Quality & Academic Officer, Baptist Medical Group

· John Voorhees, SVP, Applied Policy

· Kristina Kincaid, Senior Health Policy Associate, Applied Policy

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