GME Strategy & Advisory
The monthly advisor your GME office doesn't have internally.
Strategic GME decisions — whether to expand programs, how to structure Medicare funding, how to build institutional GME governance — require experience that most organizations don't have in-house. The Strategy & Advisory retainer gives health system leaders and DIOs a direct line to director-level GME expertise on an ongoing basis.
What is gme strategy & advisory?
The GME Strategy & Advisory retainer provides health system leaders with a monthly advisory relationship covering complex GME decisions. This includes Medicare DGME and IME funding strategy, program growth and expansion planning, institutional GME governance structure, and strategic planning support. Engagements are structured as monthly calls with asynchronous support as needed.
Who needs this
- ✓DIOs managing complex multi-program GME offices
- ✓Health system CFOs and CMOs navigating Medicare GME funding
- ✓Organizations planning to expand their GME footprint
- ✓Institutions building or restructuring GME governance
- ✓Leaders who want an experienced outside perspective on GME strategy
What we deliver
- →Monthly advisory calls with Ashley — standing agenda or as-needed
- →Medicare DGME and IME funding strategy and optimization
- →Program growth and expansion feasibility guidance
- →Institutional GME governance structure recommendations
- →Review and feedback on strategic documents, proposals, and presentations
- →Rapid-response support for urgent questions between calls
How it works
Onboarding
Ashley reviews your current GME structure, funding situation, and strategic priorities.
Monthly cadence
Standing monthly advisory call — structured around your agenda and current priorities.
Asynchronous support
Email and document review support between calls for time-sensitive questions.
Ongoing relationship
As Ashley builds context on your organization, the advisory relationship compounds in value.
Frequently asked questions
What is Medicare DGME and IME funding and how can a consultant help?
Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments are federal Medicare funds that flow to teaching hospitals based on resident FTE counts and other factors. Most health systems leave money on the table due to suboptimal cap management, FTE tracking, or cost report positioning. Ashley can assess your current situation and identify opportunities.
Is this a long-term commitment?
The retainer is month-to-month with no long-term commitment required. Most clients find the ongoing relationship most valuable after 3-6 months as Ashley builds deep context on their organization.
Can I use advisory hours for specific projects rather than open-ended strategy?
Yes. Advisory time can be directed toward specific projects — a funding analysis, a governance document, a board presentation — rather than open-ended conversation. Ashley will work with you to structure the engagement around your actual priorities.
Ready to get started?
Monthly retainer from $800/month
Start an Advisory Relationshipor start with a free 30-min call