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Section 5506 Opportunities: What Teaching Hospitals Should Know About the Current Rounds
For teaching hospitals seeking opportunities to expand Medicare-funded residency training capacity, Section 5506 of the Affordable Care Act provides an important pathway to consider. When a teaching hospital closes, CMS redistributes its available Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) resident cap slots to qualifying hospitals through a competitive application process. As of October 2026, three Section 5506 application rounds

Margot Flowers
Oct 54 min read


Proposed 2027 IPPS Rule: Key Considerations for Leaders in Education
The Centers for Medicare & Medicaid Services (CMS) recently released the proposed 2027 Inpatient Prospective Payment System (IPPS) rule, introducing several updates that may impact Allied Health and Graduate Medical Education (GME) strategy, reimbursement, and program development. While the rule includes a wide range of policy updates, several proposed changes are particularly relevant for hospitals and health systems involved in residency training. Below are key highlights

Scott Masin, MBA
Apr 223 min read


Round 20—Section 5506 Redistribution of GME FTEs Announced
Notice of Closure of St. Vincent Charity Medical Center (CCN 360037) Located in Cleveland, OH and the Application Process—Round 20...

Jon Scaglione, CPA
Apr 19, 20231 min read
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