This service line focuses on providing financial insights related to Graduate Medical Education to healthcare organizations of all shapes and sizes. Germane can help you understand GME costs and reimbursement, and we will partner with you to communicate with CMS as needed for complex regulatory and reimbursement issues.

GME Financial Models & Proforma Development

We take your vision for GME development or expansion and explore the financial options to economically and sustainably see your vision realized.

At-Risk/CMS Cost Report Review

We partner with your CMS Reimbursement team to review CMS Cost Reports to ensure accurate Resident FTE counts, identify additional reimbursement opportunities, and minimize audit risks.

Rural Designation

With the recent changes to the anti-stacking rule, the Rural Designation Strategy can be an opportunity for previously capped hospitals to create new GME funding. We will work with you to determine the feasibility of changing provider designation from Urban to Rural designation. Germane will ensure that you understand short-term and longer-term impact as well as the required timeline for this complex strategy.

GME Profiles & Business Cases

We partner with you to better understand location-specific financial considerations of building new GME programs, altering the size or mix of program, and redistributing GME programs across various landscapes. Our work across the country has provided us with significant experience with programs in traditional and non-traditional settings, such as Federally Qualified Health Centers, Private Offices, University Systems with multiple hospital partners, and National Healthcare Systems with operations in multiple states.

GME Affiliation Agreement

We act as a conduit within single health systems or between multiple academic medicine partners to create a partnership between entities that allows for CMS cap or other resource sharing to support the advancement of GME for all parties.

These case studies provide insight to how we put these offerings together to create value for you.

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