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Protecting Your Rural Designation Status: Advocating for Essential Funding
At Germane Solutions, we recognize the important role your hospital plays in expanding access to care, training physicians, and supporting community health. We also understand the financial constraints you face in sustaining these efforts. Your current Rural Designation provides resources that make it possible to serve patients effectively while advancing Graduate Medical Education.

Susan Hearn-Stiffler
Sep 222 min read
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HRSA Approves Limited 340B Rebate Model Pilot: What Safety Net Hospitals Should Know
The Health Resources and Services Administration (HRSA), an agency within the U.S. Department of Health and Human Services...

Kyle Knepper
Aug 262 min read
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Final 2026 IPPS Rules: GME Clarifications Solidified Without Policy Shifts
On August 1, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Final 2026 IPPS Rules. Along with the Final 2026 IPPS...

Margot Flowers
Aug 73 min read
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Navigating the One Big Beautiful Bill Act: What It Means for GME
On July 4, 2025, President Donald Trump signed into law the One Big Beautiful Bill Act  (OBBBA), a landmark piece of legislation poised...

Susan Hearn-Stiffler
Jul 84 min read
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Policy in Practice: How Federal Decisions Shape the Future of Academic Medicine
At a time when the healthcare system is facing physician shortages, financial pressures, and deepening health disparities, federal policy plays an increasingly critical role in shaping the future of academic medicine. Recent updates from the Association of American Medical Colleges (AAMC) emphasize just how foundational government action is in sustaining the pillars of education, research, patient care, and community health.

Courtney Matteson
Jun 174 min read
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Potential GME Impact Following CMS 2026 IPPS Proposed Rules
On April 15, Centers for Medicare & Medicaid Services (CMS) published the Proposed 2026 IPPS Rules. The Proposed 2025 IPPS Rules,...

Scott Masin, MBA
Apr 223 min read
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The Domino Effect of Medicaid Cuts: Why We Can’t Afford to Get This Wrong
The proposed reductions in Medicaid funding have sparked widespread concern, with potential consequences extending far beyond the...

Susan Hearn-Stiffler
Mar 284 min read
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Strategic Growth in GME: Optimizing Medicare Affiliation Agreements
Medicare Graduate Medical Education Affiliation Agreements (MGMEAAs) are formal agreements between two or more eligible teaching...

Margot Flowers
Mar 173 min read
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Understanding Funding Opportunities for Dental and Podiatry Residency Programs
As a continuation of our commitment to supporting dentistry and podiatry residency programs, Germane Solutions is here to provide a...

Margot Flowers
Feb 133 min read
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Securing Ohio's Healthcare Future: A Call to Strengthen GME Investment
A Critical Investment for Ohio’s Healthcare Future Graduate Medical Education (GME) plays a pivotal role in shaping the future of...

Germane Solutions
Sep 10, 20243 min read
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CMS 2025 IPPS Final Rules
On August 1, CMS released the FY 2025 IPPS Final Rules. As mentioned in a previous blog, Potential GME Impact Following CMS 2025 IPPS...

Margot Flowers
Aug 20, 20242 min read
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Comments on Section V. F.3. Proposed Modifications to the Criteria for New Residency Programs and Requests for Information
Germane's comments on the proposed modifications to the criteria for new residency programs and requests for information.

Scott Masin, MBA
May 28, 202416 min read
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200 Additional Funding Slots Available for New or Expanding Programs: Section 4122 of the Consolidated Appropriations Act
Germane Solution has exciting news to share from the recent CMS 2025 IPPS Proposed Rules. In evaluating the positive feedback and...

Scott Masin, MBA
Apr 18, 20242 min read
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Cap Available for Redistribution to Teaching Hospitals – Section 5506 Rounds 21 and 22
As part of the 2025 IPPS Proposed Rules released on April 10, 2024, CMS announced two recent hospital closures which will utilize the Sectio

Scott Masin, MBA
Apr 16, 20241 min read
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Potential GME Impact Following CMS 2025 IPPS Proposed Rules
On April 10, Centers for Medicare & Medicaid Services published the 2025 IPPS Proposed Rules. There are several new proposed rules which...

Scott Masin, MBA
Apr 15, 20242 min read
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Impact on GME Funding: DGME Penalty Removal and New State Funding Mechanisms
Recent adjustments to Medicare funding in Graduate Medical Education (GME) are reshaping the way institutions are leveraging funding...

Scott Masin, MBA
Mar 28, 20242 min read
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Maximizing Learning Environments: The Benefits of MGMEAAs
With an impressive 402 hospitals actively participating in these agreements, Germane Solutions wants to review the benefits that arise from

Scott Masin, MBA
Jan 31, 20241 min read
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FY 2024 Final IPPS Rules Published
In April of this year, the FY 2024 Proposed IPPS Rulings brought forth several adjustments that would beneficially impact the Graduate...

Germane Solutions
Aug 11, 20232 min read
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Medicare GME Affiliation Agreements: Criteria, Optimization, & Benefits to the Learning Environment
Medicare GME affiliation agreements (MGMEAA) are agreements that are leveraged between two or more teaching hospitals to optimize...

Jon Scaglione, CPA
Apr 24, 20233 min read
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FY 2024 IPPS GME Update
The FY 2024 Proposed IPPS Rulings, brought forth several adjustments that would beneficially impact the Graduate Medical Education (GME)...

Jon Scaglione, CPA
Apr 24, 20232 min read
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