@article{f1efae52c8a345f7b739c4c96d9b771a,
title = "Optimizing the Children's Hospitals Graduate Medical Education Payment Program at a Time of Pediatric Workforce Challenges and Health Need",
keywords = "advocacy, graduate medical education",
author = "Shetal Shah and Cheng, {Tina L.}",
note = "Funding Information: Several federal programs administered under various agencies underwrite GME costs, totaling approximately $16 billion dollars annually. 19 Medicare provides roughly one-half ($9.5 billion) of federal GME spending, supporting direct physician and resident salaries ($3 billion) and indirect medical expenses for other costs associated with training ($6.5 billion). 19 Medicaid dollars, both state and federal, contribute an additional $6 billion annually, with the remainder derived from other federal agencies. 19 Funding for pediatric training disproportionately suffers from our current GME funding mechanisms. Freestanding children's hospitals, which train 50% of all US general pediatricians and subspecialists but represent only 0.89% of all US hospitals, are largely unsupported by traditional GME dollars because they care for relatively small numbers of Medicare patients. Only 2% of pediatric patients are covered by Medicare—the majority of whom have end-stage renal disease or are disabled young adults aged 20-22 years. 22 This contrasts sharply with the Medicaid and the Children's Health Insurance Program, in which more than 51% of US children are now enrolled. 23 , 24 ",
year = "2022",
month = jun,
doi = "10.1016/j.jpeds.2021.11.017",
language = "English (US)",
volume = "245",
pages = "4--6.e2",
journal = "Journal of Pediatrics",
issn = "0022-3476",
publisher = "Mosby Inc.",
}