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CMS Announces New GME Cap Increases Under Sections 126 and 4122
On December 18, 2025, the Centers for Medicare & Medicaid Services (CMS) released the latest round of GME cap increase awardees under two key initiatives (Section 126 and Section 4122) of the Consolidated Appropriations Act (HR 133). These awards represent important progress in expanding Medicare-supported residency training opportunities in alignment with national workforce needs. Section 126 Cap Increase: Round 4 Results Section 126 makes 1,000 additional Medicare-funded

Margot Flowers
4 days ago2 min read


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 22, 20252 min read


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 26, 20252 min read


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 17, 20254 min read


Stronger Together: Introducing Germane Solutions’ M&A Support Services
At Germane Solutions, we are continuously evolving to meet the needs of the Graduate Medical Education (GME) community. Today, we are...

Courtney Matteson
May 6, 20253 min read


The Rise of Three-Year Medical School Programs: A Transformative Shift in Medical Education
The traditional four-year medical school model has historically served as the standard for training future physicians. However, an...

Kelsey Barnes
Apr 3, 20253 min read


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 28, 20254 min read


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 17, 20253 min read


Honoring Black History Month: Addressing Health Mistrust, Culturally Sensitive Care, and Psychological Safety in Graduate Medical Education
As we recognize Black History Month, it is an opportunity to reflect on the deep and lasting impact of historical injustices on Black...

Embrace Employee Resource Group
Feb 24, 20253 min read


Looking Ahead to 2025: A Year of Partnership and Progress
As we step into 2025, my team and I are filled with a steadfast commitment to our mission to provide excellence to our clients and our...

Susan Hearn-Stiffler
Jan 28, 20252 min read


A Year-End Message from Our CEO: Celebrating Success, Expressing Gratitude, and Looking Forward to 2025
As 2024 draws to a close, I find myself reflecting on the remarkable journey we’ve taken together over the past year. At Germane...

Susan Hearn-Stiffler
Dec 11, 20243 min read


The Changing Landscape of GME: How Health Policies Impact Medical Education
As a mission-first healthcare consulting firm, Germane Solutions is dedicated to supporting policies that strengthen Graduate Medical...

Susan Hearn-Stiffler
Dec 3, 20244 min read


From Strategy to Success: Partnering with Germane Solutions
Selecting the right consulting partner is a crucial decision for healthcare institutions aiming to enhance operational efficiency,...

Susan Hearn-Stiffler
Oct 25, 20244 min read


Ensuring a Healthy Future: Sustaining the Physician Pipeline to Meet Growing Demand
America stands at a critical juncture in healthcare: the ongoing physician shortage. With a rapidly growing population and increasingly...

Scott Masin, MBA
Sep 23, 20243 min read


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


Pride and Practice: A Look Into LGBTQ+ Inclusivity and Academic Medicine
LGBTQ+ in Medicine This Pride Month, Germane Solutions wants to highlight LGBTQ+ considerations in Academic Medicine and best practices...

Unity Employee Resource Group
Jun 20, 20242 min read


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


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


Addressing the Mental Health Crisis: Expanding Psychiatry Residency Programs
In our post-pandemic world, the need to prioritize mental and emotional well-being has never been more prevalent. Mental Health America...

Claire Hauck
Apr 10, 20243 min read


Meaning in Medicine: Germane’s Difference
As we anticipate the forthcoming 2024 ACGME Annual Educational Conference, it serves as a poignant reminder of the hurdles surmounted in...

Susan Hearn-Stiffler
Mar 4, 20243 min read
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