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 thrilled to announce the expansion of our Strategy service line with a brand-new offering: Merger and Acquisition (M&A) Support Services!

As health systems across the country undergo significant transformation, we recognize that GME programs and academic infrastructure often face complex transitions as a result of merger and acquisition activities. Whether it's multiple sponsoring institutions now operating under one system or newly acquired hospitals evaluating the future of GME within their enterprise, we’re here to help.

Mergers and acquisitions present health systems with incredible opportunities—not just to expand market share, reduce costs, and enhance competitive position, but to rethink and realign Graduate Medical Education as a strategic asset. From increasing your physician pipeline to consolidating duplicative programs, optimizing reimbursement, and enhancing operational efficiency, GME integration can unlock lasting value in a post-merger environment.

Our M&A Support Services are designed specifically for Sponsoring Institutions, GME leaders, and health system executives navigating post-merger integration. With decades of experience in academic medicine and deep expertise in GME infrastructure assessment, we are uniquely positioned to provide actionable insights and implementation support to maximize efficiency, reduce duplicative processes, and align academic strategy with institutional goals.

Focused Support for a Seamless Post-Merger Transition

Our M&A Support Services are built around four strategic focus areas designed to stabilize, streamline, and strengthen your GME operations post-merger. Whether you’re assessing academic infrastructure, streamlining systems, evaluating programs, or upskilling your team, each offering is grounded in decades of knowledge and tailored to your institutional goals.

And the earlier we engage in the integration process, the more opportunity there is to capture hidden benefits—whether it’s leveraging available cap for program growth, consolidating GME leadership structures, improving access to care through expanded training pipelines, or identifying funding arbitrage opportunities through strategic affiliation realignment.

Infrastructure Assessment

We begin with a comprehensive review of the current GME enterprise—evaluating the academic and operational footprint of each impacted sponsoring institution. From leadership structure and staffing models to program design and system-wide efficiencies, we deliver a detailed assessment and strategic roadmap aligned with your institution’s long-term goals.

Infrastructure Redesign Support

Following the assessment, we work closely with key stakeholders to support organizational redesign. This includes customized job descriptions, role accountability matrices, faculty education, and change management support—all with a 12-month post-implementation review to assess progress and outcomes.

Program-Level Assessment

We analyze each GME program for accreditation compliance, faculty FTE structure, resident complement alignment, CMS and state reimbursement capture, and cost optimization. This process also identifies opportunities to expand or consolidate programs, especially where overlapping specialties or cap constraints exist, strategically positioning your health system for growth and operational efficiency. The result? A list of program-specific recommendations tailored to your new organizational reality.

Training & Professional Development

Whether you're building a business case or equipping your team for success, we offer customized training sessions on critical topics, including: GME Sponsorship Models, IRIS Reporting and Funding, Roles and Responsibilities in GME, GMEC Structure and Oversight, ACGME Requirements and Milestones, Recruitment, Retention, and more!

Mergers are about growth—but growth without thoughtful, early integration leads to inefficiency and missed opportunities. While GME may not have been top of mind during the merger process, it should be during the integration phase. Properly aligned academic infrastructure can deliver hidden value—through enhanced accreditation oversight, streamlined operations, increased reimbursement, and optimized staffing models.

At Germane Solutions, our national expertise in GME operations and strategy makes us your ideal partner in this process. We help newly merged systems align and consolidate GME programs, improve operational efficiency, strengthen accreditation practices, and maximize academic and financial outcomes.

If your health system or institution has recently completed a merger or acquisition—or is preparing for one—let’s talk. Our team of experts is ready to support you every step of the way. Contact us today to learn more about our M&A Support Services and how they can fit into your post-merger strategy.