Keckley Report April 3, 2017
The value proposition for medical education needs attention. For the nation’s 147 academic medical centers and 400 teaching hospitals, the path forward is dicey.
For teaching hospitals that host residencies, it’s a straightforward budget issue: funding from Medicare and Medicaid for these 115,000 slots is shrinking and operating costs associated with hosting residency programs are increasing faster than revenues.
For academic medical centers, it’s more complicated. Their tri-fecta mission—training clinicians, conducting research and delivering patient care—is noble. But it makes for a complicated and expensive operating environment: Academic medical center (AMC) operating costs for patient care activities are 29% higher than the non-academics with whom they compete.
Begging public officials for additional funding, convincing payers to pay a premium and...
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