CAFM is asking Congress to modernize GME with a system in which
Medicare and Medicaid (as well additional funding from private insurers)
directly pay primary care residency programs. This system, explained
in the below graphic, would do a more efficient job of ensuring that
training can be adequately funded in an ambulatory setting. Our
proposal does realize that at least some training will likely be done
inside of a hospital as well. The proposal calls for a purchasing
agreement between the program and the hospital in this case. For a full
description of the proposal, please see our policy paper, entitled Modernizing Primary Care Graduate Medical Education.

