States and the Physician Workforce: Bringing GME into the 21st Century
Tuesday, October 20, 2015
1:30pm-3:00pm
The current Graduate Medical Education (GME) funding system, primarily based on payments through Medicare, has remained relatively static in an otherwise dramatically changing health care landscape. Last year the IOM made recommendations for building increased transparency and accountability into the existing GME financing structure, while an alternative vision suggests a complete overhaul to GME that would put funding under the direction of states. Speakers on this panel represent various perspectives of what should be a lively discourse on reform versus revolution in GME funding. A reactor panel will introduce the perspectives of states with a strong track record in Medicaid GME and those frustrated by attempts to bring GME in line with broader payment and delivery system reforms to incent primary care.

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































