Update on Federal GME Funding For Graduate Dental 研究生牙科联邦GME资金更新.pptVIP

Dental GME Update: Current Challenges and Issues Laura Loeb King Spalding, LLP lloeb@ 202/661-7836 ADEA Annual Session Dallas, Texas March 31, 2008 * Overview Update on Hindin Litigation? HHS Administrative Decision on Effective Date Issue CMS Recent Treatment of Didactic Training Implementation of Proxy Formula for Faculty Costs CMS Recognition of All Accredited Dental Programs Ongoing Opportunities for New Programs Future GME Advocacy * Hindin Litigation Mid Oct. 2007, 26 universities and hospitals received copy of a complaint filed in the Eastern District of NY Filed by Allen Hindin, as the relator (whistleblower), long serving member of ADA House of Delegates Original complaint filed in Dec. 2000, but was under seal (not public) In 2003, complaint was amended, still under seal * Hindin Litigation (cont’d) Government sought and was granted 6 extensions of time to decide whether to intervene On April 30, 2007, Judge denied government’s 7th request for an extension and case was unsealed and relator told to send copy of complaint to all defendants * Hindin Litigation (cont’d) Substance of complaint AEGD programs are not eligible for GME funding because the training doesn’t occur in a hospital AEGD programs are not similar to GPR programs in nature of training, site of training, costs of program To qualify for GME funding, program must be an accredited GPR program conducted by an accredited hospital * Hindin Litigation (cont’d) Government’s decisionmaking whether to intervene Government’s memorandum of law supporting its request for extensions tries to link Hindin allegations to OIG audits where OIG recommended that some hospitals pay back millions * Hindin Litigation (cont’d) February 7, 2008 pre-motion conference with Judge Block in Eastern District of NY Judge did not consider Hindin’s complaint to be frivolous Judge gave Hindin 2 weeks to amend complaint yet again and government 2 weeks after that to determine whether to intervene * Hindin Litigation (con