Evaluation of the New York State and 1997 Balanced Budget Act (BBA) Graduate Medical Education (GME) Demonstration and Payment Reforms Final rept

摘要

This document is a Final Report evaluating both the Voluntary Resident Reduction Demonstration in New York State as well as the 1997 Balanced Budget Act (BBA) provisions regarding Graduate Medical Education (GME) payment reforms. Several extensive analytic background and impact reports have been submitted to the Centers for Medicare & Medicaid Services over the project's duration. Summaries of these reports are included as sections in this final report. CMS' scope of work for the New York GME evaluation was quite broad. Key policy questions included: did the hospital participants meet their resident reduction targets; which participants withdrew from the demonstration and why; what was the impact of reductions on the process, quality, and access to care; and what impact did reductions have on hospital volumes and finances.