CMS Publishes Increases in Medicare-Funded Positions via Section 126 of the Consolidated Appropriations Act of 2021

Section 126 Awardees, within the Consolidated Appropriations Act of 2021 (HR 133), were recently published by the Centers for Medicare and Medicaid Services (CMS). HR 133’s Section 126 aims to create 1,000 new funded residency positions; whereupon 200 slots would be awarded every year for 5 years. Teaching hospitals applied for these positions, and they could not be given more than 5 funded positions...

The Emergence of Germane Solutions as a National Expert

Hailing from decades of experience in Big Four consulting and the healthcare industry, Germane was founded in 2002 to bring financial expertise in Graduate Medical Education to the industry. We realized many hospitals and health systems needed this specialized knowledge and started working to become their trusted advisor. Our founder brought on GME experts and began to establish a client base of hospitals,...

National Rural Health Day

Today is National Rural Health Day! While we celebrate the programs and partners focused on healthier rural communities, the Germane team wanted to highlight the available grant support and clarify definitions related to rural health education and training.

The Great Reshuffle in GME: Program Administrators Have More Options

In the niche world of graduate medical education (GME), training programs are experiencing the effects of the ‘Great Reshuffle’, alongside other sectors. The recent buzz around this term, also known as the ‘Great Resignation’, coined by Anthony Klotz, an associate professor of management at Texas A&M University in early 2021[1], describes a prediction for a sustained workplace shift – not just voluntary...

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.

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