Ten more New York teaching hospitals have dropped out of a controversial Medicare graduate medical education payment project that HCFA launched nearly two years ago.
Eight of the 10 participated in the GME demonstration project through consortia led by New York's Mount Sinai School of Medicine and New York University School of Medicine. Neither Mount Sinai Medical Center nor New York University Medical Center, which have since merged, will remain in the project.
HCFA also received withdrawal notices from Sound Shore Medical Center, a private, not-for-profit hospital in New Rochelle, and Coney Island Hospital, a public hospital in Brooklyn.
Under the 1997 demonstration, HCFA agreed to spend an extra $400 million over six years as an incentive for hospitals to reduce the number of physicians they train. But as MODERN HEALTHCARE first reported, many hospitals found it difficult to achieve the required 20% to 25% reductions in residency slots under the project's rigid parameters (Oct. 19, 1998, p. 3).
Of the 49 original participants, only 23 remain, representing just over one-third of the roughly 10,000 residency slots originally covered under the program, HCFA said.