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Planning Ahead: Maximizing the Value of Medicare GME Affiliation Agreements
The beginning of a new academic year marks an important milestone for Graduate Medical Education programs. While much of the focus is on welcoming new residents and fellows, supporting faculty, and ensuring a smooth start to training, it is also an ideal time for hospitals and health systems to begin planning for the year ahead. One area that deserves early attention is Medicare GME Affiliation Agreements. For organizations that train residents across multiple affiliated ho

Scott Masin, MBA
Jul 273 min read


Transforming Rural Healthcare: What GME Leaders Need to Know About the RHT Program
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

Margot Flowers
Jan 192 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
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