Germane’s Comments on FY 2023 IPPS Final Rule

On August 1, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) final rule. The policies in the IPPS and LTCH PPS rule build on key priorities to advance health equity, including by better measuring health care quality disparities and...

Germane’s Comments and Timeline of the NRMP’s Proposed Two-Phase Match

The National Resident Matching Program (NRMP) has proposed a change to the current Match process, which, essentially, replaces the Supplemental Offer and Acceptance Program (SOAP) with an additional Match cycle or phase. Currently, nearly all first-year residency applicants enter the NRMP Main Residency Match process, whereupon they can be matched into a residency program. If unmatched through the...

From The Desk of the CEO

I am excited to announce that this August marks the twentieth anniversary of Germane Solutions. With the vision to revolutionize healthcare delivery and patient outcomes through Graduate Medical Education (GME), we were founded in 2002 by our Chairman of the Board Art Boll. Having recognized that GME was often overlooked as a piece of strategy and almost always misaligned with both short and long-term...

How Roe v. Wade Being Overturned Impacts Residency Training

The Supreme Court has recently decided that the Constitution does not confer any right to abortion in the landmark case Dobbs v. Jackson Women’s Health Organization, overruling Roe v. Wade (1973) and Planned Parenthood v. Casey (1992) and setting a new precedent. Thirteen states have triggered laws banning abortions in anticipation of Roe being overturned, which are now or soon to be in effect. Projections...

Advances in Healthcare for the LGBTQ+ Community

The Stonewall Uprising which began on June 28, 1969, marked a pivotal turning point in the gay liberation movement and LGBTQ+ rights within the United States. Soon after the initial riots and protests, activist groups were formed to advocate for the freedom of living openly within one’s sexual and gender orientation, and a year later, the first Gay Pride march was held marking the anniversary of the...

CMS IPPS Rule Changes: The Impact of the DGME Penalty, the Penalty’s Elimination, and Next Steps for Teaching Hospitals to Receive Lost Reimbursement

The Centers for Medicare and Medicaid Services (CMS) recently proposed the Inpatient Prospective Payment System (IPPS) rules for Federal Fiscal Year 2023, which brings about drastic changes to Direct Graduate Medical Education (DGME) payments. These changes relate to the so called DGME penalty and will significantly impact all teaching hospitals that have been affected by the penalty. The DGME penalty...

From the Desk of the CEO in collaboration with Lauren O’Meara, CEO Plum Flower Software

A shocking reality of the graduate medical education (GME) process is that the undertaking often described as the single biggest task for a Chief Resident is creating the schedule. Schedules allot time, but they also take time to build. GME scheduling must take into account and meet so many parameters, such as meeting learning requirements and providing coverage and continuity of care, or the entire...

SAM.gov Transitioning from DUNS Number to Unique Entity ID

Federal grant applicants must register their organization with the System for Award Management (SAM) on SAM.gov to apply for and receive federal grant money. Organizations registered on SAM.gov are assigned a unique number that is used to identify each applicant. Previously, this number was called the Data Universal Numbering System (DUNS) and was administered by Dun & Bradstreet.

The Consolidated Appropriations Act’s Section 126: Expectation vs. Reality for GME Funding

There are numerous constraints set in place by the federal government and the rules and regulations that oversee GME operational funding opportunities—cap development being the most prominent of these constraints: many hospitals have the clinical capacity and physician support to develop a new residency or fellowship program, but they have already started and/or completed their cap development period....

From the Desk of the CEO

This past year has been yet another marked by the COVID-19 pandemic and its ensuing turmoil. Once again, we bore witness to more loss and suffering but also the compassion and innovation which follows such universal tragedy.

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