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Graduate Medical Education
Studies repeatedly demonstrate that one of the best ways to recruit and retain physicians is via local medi-
cal schools and residency programs. Graduate Medical Education (GME) helps fill the gap in under-served areas by providing extremely low-cost care to those most in need. Michigan has been a leader in expanding medical school class sizes to address the pro- jected demand for physician services,
it is imperative that we continue to fund GME slots to allow these future physicians to learn here in Michigan, train here in Michigan, and stay here in Michigan.
POLICY OBJECTIVE: Recruit and retain medical talent in Michigan through an emphasis on GME funding models that appropriately reflect the health care needs of the state.
ACTION: Advocate for state funding for innovative initiatives, like MIDOCS, which seek to place high need special- ties in underserved areas of the state.
Auto No-Fault Reform
Michigan was a leader in providing care to those injured in auto accidents by virtue of our no-fault statute. For 40 years, Michigan required drivers to purchase coverage in the event of a catastrophic injury. Unfortunately, in 2019, Michigan approved a sweeping change to the no-fault law, which will, among other things, have serious consequences for victims of car accidents who will need to access to trauma and rehabilitation care. In addition, the new law will burden taxpayers by allowing the injured to be shifted to the Medicaid program, and it will also increase the uncom- pensated load and regulatory burden on physicians and facilities.
POLICY OBJECTIVE: Pursue appropriate standards and criteria for utilization review through the Department of Insurance and Financial Services’ (DIFS) rulemaking process, including procedures for:
• Acquiring necessary records, medical bills, and other information concerning the
treatment, products, services, or accommodations provided;
• Allowing an insurer to request an explanation for and requiring a physician, hos-
pital, clinic or other person to explain the necessity or indication for treatment,
products, services or accommodations provided, and; • Appealing determinations.
ACTION: MSMS will continue to work with its partners in the Coalition for Protect- ing Auto No-Fault (CPAN) on reforms that bring fairness to insurance rates, increase transparency, crack down on fraud, reduce lawsuits and lower health care prices for accident victims.
MARCH/APRIL 2021 | WWW.OCMS-MI.ORG
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