Blogs

Resident scheduling is often considered a day-to-day operational task, but in Graduate Medical Education (GME), it plays a critical financial role. Beyond its importance for accreditation and program management, scheduling directly impacts CMS reimbursement through Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments.   At Germane Solutions, our Finance and Operations teams regularly support institutions in aligning scheduling practices with

In an effort to improve healthcare access and equity, the Centers for Medicare and Medicaid Services (CMS) has launched the Rural Health Transformation (RHT) Program, authorized under Public Law 119-21, Section 71401 (also known as the One Big Beautiful Act). With $50 billion in funding allocated over five years (2026–2030), the RHT Program marks a historic investment in strengthening rural healthcare delivery and infrastructure.   Program Overview Each fiscal year, $10 billi

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

On August 1, CMS released the FY 2025 IPPS Final Rules. As mentioned in a previous blog, Potential GME Impact Following CMS 2025 IPPS...

Germane's comments on the proposed modifications to the criteria for new residency programs and requests for information.

Germane Solution has exciting news to share from the recent CMS 2025 IPPS Proposed Rules. In evaluating the positive feedback and...

On April 10, Centers for Medicare & Medicaid Services published the 2025 IPPS Proposed Rules. There are several new proposed rules which...

In April of this year, the FY 2024 Proposed IPPS Rulings brought forth several adjustments that would beneficially impact the Graduate...

The FY 2024 Proposed IPPS Rulings, brought forth several adjustments that would beneficially impact the Graduate Medical Education (GME)...

Germane Solutions has summarized the 2024 IPPS Proposed Ruling regarding Rural Emergency Hospitals (REHs) to highlight the impact that...

Germane Solutions remains committed to providing annual IPPS updates to our valued clients and GME stakeholders to better assist in your...

Section 126 Awardees, within the Consolidated Appropriations Act of 2021 (HR 133), were recently published by the Centers for Medicare...