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A Data Book: Health Care Spending and the Medicare Program (June 2014)

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National health care and Medicare spending

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Dual-eligible beneficiaries

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Quality of care in the Medicare program

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Acute inpatient services

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Ambulatory care

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Comment letter to CMS on accountable care organizations (June 16, 2014)

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Comment Letter: CMS's acute and long-term care hospitals proposed rule (June 13, 2014)

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Comment Letter: CMS's proposed rule entitled Medicare Program: Inpatient Psychiatric Facilities Prospective Payment System—Update for Fiscal Year Beginning October 1, 2014 (FY 2015) (June 2, 2014)

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Testimony: Medicare Fee-For-Service Payment Policy Across Sites of Care (Energy and Commerce, May 21, 2014)

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Report to the Congress: Medicare Payment Policy (March 2014)

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Hospital inpatient and outpatient services (Chapter 3, March 2014 report)

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Appendixes: Hospital inpatient and outpatient services (Online-only appendixes for Chapter 3, March 2014 report)

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Long-term care hospital services (Chapter 11, March 2014 report)

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Testimony: Temporary Payment Policies in Medicare (Energy and Commerce, January 9, 2014)

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Contractor report: The Ability of Event-Based Episodes to Explain Variation in Charges and Medicare Payments for Various Post Acute Service Bundles (September 2013)

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Comment letter: CMS's hospital outpatient and ambulatory surgical center proposed rule (August 30, 2013)

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Comment letter: CMS's acute and long-term care hospitals proposed rule (June 25, 2013)

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Report to the Congress: Medicare and the Health Care Delivery System (June 2013)

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Executive summary (June 2013 report)

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Medicare payment differences across ambulatory settings (Chapter 2, June 2013 report)

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Appendixes: Medicare payment differences across ambulatory settings (Online-only appendixes for Chapter 2, June 2013 report)

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Approaches to bundling payment for post-acute care (Chapter 3, June 2013 report)

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Appendixes: Refining the hospital readmissions reduction program (Online-only appendixes for Chapter 4, June 2013 report)

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Refining the hospital readmissions reduction program (Chapter 4, June 2013 report)

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Medicare payment basics: Critical access hospitals payment system (October 2013)

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Medicare payment basics: Hospital acute inpatient services payment system (October 2013)

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Medicare payment basics: Long-term care hospitals payment system (October 2013)

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Medicare payment basics: Outpatient hospital services payment system (October 2013)

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Medicare payment basics: Inpatient psychiatric facility services payment system (October 2013)

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Report to the Congress: Medicare Payment Policy (March 2013)

Please click under "View table of contents" to see links to the report and online appendixes. To view the report directly, click under "View document".

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Executive summary (March 2013 report)

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Hospital inpatient and outpatient services (Chapter 3, March 2013 report)

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Inpatient rehabilitation facility services (Chapter 10, March 2013 report)

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Long-term care hospital services (Chapter 11, March 2013 report)

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Testimony: Report to the Congress: Medicare Payment Policy (Ways and Means, March 15, 2013)

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Comment letter: CMS's proposed rule entitled: Hospital outpatient prospective and ambulatory surgical center payment systems; electronic reporting pilot; inpatient rehabilitation facilities quality reporting program; quality improvement organization regulations (August 31, 2012)

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Comment letter: CMS's proposed rule on acute and long-term care hospitals (June 22, 2012)

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Report to the Congress: Medicare and the Health Care Delivery System (June 2012)

Please click under "View table of contents" to see links to the report and online appendixes. To view the report directly, click under "View document".

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Serving rural Medicare beneficiaries (Chapter 5, June 2012 report)

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Executive summary (June 2012 report)

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Report to the Congress: Medicare Payment Policy (March 2012)

Please click under "View table of contents" to see links to the report and online appendixes. To view the report directly, click under "View document".

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Executive summary (March 2012 report)

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Hospital inpatient and outpatient services (Chapter 3, March 2012 report)

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Long-term care hospital services (Chapter 10, March 2012 report)

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Contractor report: Medicare Copayments for Critical Access Hospital Outpatient Services—2009 Update (December 2011)

A report by staff from RTI International for the Medicare Payment Advisory Commission

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Comment letter: CMS's proposed rule entitled: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment; Ambulatory Surgical Center Payment; Hospital Value-Based Purchasing Program; Physician Self-Referral; and Provider Agreement Regulations on Patient Notification Requirements (August 30, 2011)

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Report to the Congress: Medicare and the Health Care Delivery System (June 2011)

Please click under "View table of contents" to see links to the report and individual chapters. To view the report directly, click under "View document".

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Comment letter: Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2012 Rates (June 17, 2011)

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Report to the Congress: Medicare Payment Policy (March 2011)

Please click under "View table of contents" to see links to the report and online appendixes. To view the report directly, click under "View document".

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Hospital inpatient and outpatient services (Chapter 3, March 2011 report)

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Long-term care hospital services (Chapter 10, March 2011 report)

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Testimony: Report to the Congress: Medicare Payment Policy (Ways and Means, March 15, 2011)

Testimony before the Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives

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Comment letter: Centers for Medicare and Medicaid Services (CMS) proposed rule entitled Medicare Program; Hospital Inpatient Value-Based Purchasing Program (March 4, 2011)

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Comment letter: CMS's proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2011 Payment Rates; Proposed Changes to Payments to Hospitals for Certain Inpatient Hospital Services and for Graduate Medical Education Costs; and Proposed Changes to Physician Self-Referral Rules and Related Changes to Provider Agreement Regulations (Aug 30, 2010)

Comment letter

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Testimony: Report to the Congress: Aligning Incentives in Medicare (Energy and Commerce, June 23, 2010)

U.S. House of Representatives, Committee on Energy and Commerce

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Report to the Congress: Aligning Incentives in Medicare (June 2010)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (287 pages), click under "View document".

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Inpatient psychiatric care in Medicare: Trends and issues (Chapter 6, June 2010 report)

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Comment letter: CMS's proposed rule entitled: Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2011 Rates; Effective Date of Provider Agreements and Supplier Approvals; and Hospital Conditions of Participation for Rehabilitation and Respiratory Care Services Medicaid Program: Accreditation Requirements for Providers of Inpatient Psychiatric Services for Individuals under Age 21 (May 27, 2010)

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MedPAC Fact Sheet on CMS's Inpatient Hospital Rule and Coding

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Report to the Congress: Medicare Payment Policy (March 2010)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (380 pages), click under "View document".

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Hospital inpatient and outpatient services (Chapter 2A, March 2010 report)

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Appendixes: Hospital inpatient and outpatient services (Online-only appendixes for Chapter 2A, March 2010 report)

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Long-term care hospital services (Chapter 3D, March 2010 report)

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Comment Letter RE: CMS’s proposed revisions to the Medicare cost report entitled Hospital and Health Care Complexes (Aug 27, 2009)

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Comment letter RE: CMS’s proposed rule entitled: Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2010 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2010 Payment Rates

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Comment letter: CMS notice entitled: Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System Payment Update for Rate Year Beginning July 1, 2009 (RY 2010); Notice (June 30, 2009)

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Comment letter: CMS's proposed rule entitled: Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and Fiscal Year 2010 Rates and to the Long-Term Care Hospital Prospective Payment System and Rate Year 2010 Rates (June 29, 2009; corrected version)

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Correction notice on MedPAC's Comment letter: CMS's proposed rule entitled: Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and Fiscal Year 2010 Rates and to the Long-Term Care Hospital Prospective Payment System and Rate Year 2010 Rates (June 29, 2009)

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Testimony: Reforming the Health Care Delivery System (Energy and Commerce, June 25, 2009)

U.S. House of Representatives, Committee on Energy and Commerce

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Report to the Congress: Improving Incentives in the Medicare Program (June 2009)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (299 pages), click under "View document".

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Accountable care organizations (Chapter 2, June 2009 report)

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Testimony: Reforming the Health Care Delivery System (Ways and Means, April 1, 2009)

U.S. House of Representatives, Committee on Ways and Means

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Testimony: Reforming the Health Care Delivery System (Energy and Commerce, March 10, 2009)

U.S. House of Representatives, Committee on Energy and Commerce

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Report to the Congress: Medicare Payment Policy (March 2009)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (424 pages), click under "View document".

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Hospital inpatient and outpatient services (Chapter 2A, March 2009 report)

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Inpatient rehabilitation facility services (Chapter 2F, March 2009 report)

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Long-term care hospital services (Chapter 2G, March 2009 report)

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Public reporting of physicians' financial relationships (Chapter 5, March 2009 report)

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Executive summary (March 2009 report)

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Comment letter to CMS Re: Revising the SNF Prospective Payment System

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Comment letter: CMS's interim final rule entitled Medicare Program; Changes for Long-Term Care Hospitals Required by Certain Provisions of the Medicare, Medicaid, SCHIP Extension Act of 2007; 3-Year Moratorium on the Establishment of New Long-Term Care Hospitals and Long-Term Care Satellite Facilities and Increases in Beds in Existing Long-Term Care Hospitals and Long-Term Care Hospital Satellite Facilities; and 3-Year Delay in the Application of Certain Payment Adjustments (July 21, 2008)

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Report to the Congress: Reforming the Delivery System (June 2008)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (288 pages), click under "View document".

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Comment letter: CMS’s proposed rule entitled Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and fiscal year 2009 Rates; Proposed Changes to Disclosure of Physician Ownership in Hospitals and Physician Self-Referral Rules; Proposed Collection of Information Regarding Financial Relationships Between Hospitals and Physicians (June 10, 2008)

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Examining hospital-physician collaborative relationships (Chapter 3, June 2008 report)

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A path to bundled payment around a hospitalization (Chapter 4, June 2008 report)

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Public reporting of physicians' financial relationships (Chapter 6, June 2008 report)

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Comment letter: Department of Health and Human Services Report to Congress: Plan to Implement a Medicare Hospital Value-Based Purchasing Program (April 1, 2008)

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Comment letter: CMS's proposed rule entitled Medicare Program; Prospective Payment System for Long-Term Care Hospitals RY 2009: Proposed Annual Payment Rate Updates, Policy Changes, and Clarifications; Proposed Rule (March 24, 2008)

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Report to the Congress: Medicare Payment Policy (March 2008)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (376 pages), click under "View document".

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Hospital inpatient and outpatient services (Chapter 2A, March 2008 report)

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Inpatient rehabilitation facility services (Chapter 2F, March 2008 report)

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Long-term care hospital services (Chapter 2G, March 2008 report)

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Comment letter: CMS’s proposed rule entitled Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2008 Payment Rates; Proposed Changes to the ASC Payment System and CY 2008 Payment Rates (September 14, 2007)

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Report to the Congress: Promoting Greater Efficiency in Medicare (June 2007)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (297 pages), click under "View document".

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Payment policy for inpatient readmissions (Chapter 5, June 2007 report)

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Contractor report: Potential Refinements to Medicare's Wage Indexes for Hospitals and Other Sectors (June 2007)

A study conducted for the Medicare Payment Advisory Commission by RTI International

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Comment letter: CMS's proposed rule entitled Medicare Program: Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates (June 11, 2007)

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Testimony: Payments to Selected Fee-For-Service Providers (May 15, 2007)

U.S. House of Representatives, Committee on Ways and Means, Subcommittee on Health

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Comment letter: CMS's proposed rule entitled: Medicare Program; Prospective Payment System for Long-Term Care Hospitals, RY 2008: Proposed Annual Payment Rate Updates, and Policy Changes; and Proposed Hospital Direct and Indirect Graduate Medical Education Policy Changes (March 22, 2007)

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Report to the Congress: Medicare Payment Policy (March 2007)

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Hospital inpatient and outpatient services (Chapter 2A, March 2007 report)

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Inpatient rehabilitation facility services (Chapter 3C, March 2007 report)

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Long-term care hospital services (Chapter 3D, March 2007 report)

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Report to the Congress: Rural Payment Provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (December 2006)

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Report to the Congress: Physician-Owned Specialty Hospitals Revisited (August 2006)

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Comment letter: CMS's proposed rule entitled: Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment System and Fiscal Year 2007 Rates (June 12, 2006)

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Comment letter: Quality sections of CMS's proposed rule entitled: Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment System and Fiscal Year 2007 Rates (June 2, 2006)

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Comment letter: Proposed changes to the inpatient prospective payment system (April 19, 2006)

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Report to the Congress: Medicare Payment Policy (March 2006)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (284 pages), click under "View document".

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Hospital inpatient and outpatient services (Chapter 2A, March 2006 report)

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Contractor report: Medicare Ambulatory Care Indicators for the Elderly: Refinement of the Access to Care for the Elderly Project Indicators (January, 2006)

A study conducted for the Medicare Payment Advisory Commission by MagnaCare Health Services Improvement, Inc.

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Comment letter: Medicare Wage Index Occupational Mix Survey (December 13, 2005)

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Contractor report: A Study of Hospital Charge Setting Practices (December 2005)

A study conducted for the Medicare Payment Advisory Commission by the Lewin Group.

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Comment letter: CMS's proposed rule entitled: Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates (September 16, 2005)

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Comment letter: CMS's proposed rule on changes to the hospital inpatient prospective payment system and fiscal year 2006 rates (June 23, 2005)

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Report to the Congress: Issues in a Modernized Medicare Program (June 2005)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report (246 pages), click under "View document".

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Critical access hospitals (Chapter 7, June 2005 report)

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Testimony: Physician-owned specialty hospitals (May 24, 2005)

U.S. Senate - Committee on Homeland Security and Governmental Affairs - Subcommittee on Federal Financial Management, Government Information, and International Security

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Comment letter: CMS's proposed rule on hospital conditions of participation (May 24, 2005)

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Testimony: Physician-owned specialty hospitals (May 12, 2005)

U.S. House of Representatives, Committee on Energy and Commerce, Subcommittee on Health

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Testimony: Report to the Congress on Physician-Owned Specialty Hospitals (March 8, 2005)

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Testimony: Report to the Congress on Physician-Owned Specialty Hospitals (March 8, 2005)

U.S. House of Representatives - Subcommittee on Health - Committee on Ways and Means

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Report to the Congress: Medicare Payment Policy (March 2005)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report, click under "View document".

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Report to the Congress: Physician-Owned Specialty Hospitals (March 2005)

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Hospital inpatient and outpatient services (Chapter 2A, March 2005 report)

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Strategies to improve care: Pay for performance and information technology (Chapter 4, March 2005 report)

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Comment letter: CMS's proposed rule on the Outpatient Prospective Payment System (October 7, 2004)

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Comment letter: Proposed rule entitled Medicare Program: Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates (July 9, 2004)

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Report to the Congress: Sources of Financial Data on Medicare Providers (June 2004)

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Report to the Congress: New Approaches in Medicare (June 2004)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report, click under "View document".

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Defining long-term care hospitals (Chapter 5, June 2004 report)

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Report to the Congress: Medicare Payment Policy (March 2004)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report, click under "View document".

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Hospital inpatient and outpatient services: Assessing payment adequacy and updating payments (Chapter 3A, March 2004 report)

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MedPAC's policy goal for productivity (February 9, 2004)

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Comment letter: Notice of proposed rulemaking entitled Medicare Program: Prospective Payment System for Inpatient Psychiatric Facilities (January 27, 2004)

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Report to the Congress: Impact of the resident caps on the supply of geriatricians (November 13, 2003)

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Comment letter: Notice of proposed rulemaking entitled Medicare Program: Changes to the Criteria for Being Classified as an Inpatient Rehabilitation Facility (November 3, 2003)

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Comment letter: Notice of proposed rulemaking entitled Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2004 Payment Rates (October 6, 2003)

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Medicare Basics: Relationships among Medicare inpatient, overall Medicare and total margins for hospitals (August 7, 2003)

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Comment letter: Centers for Medicare & Medicaid Services (CMS) proposed rule entitled Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for FY 2004 (July 7, 2003)

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Report to the Congress: Variation and Innovation in Medicare (June 2003)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report, click under "View document".

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Accounting for variation in hospital financial performance under prospective payment (Chapter 3, June 2003 report)

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Comment letter: Centers for Medicare & Medicaid Services (CMS) proposed rule entitled Medicare Program: Prospective Payment System for Long-Term Care Hospitals (May 6, 2003)

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Comment letter: Inpatient PPS proposed rule (May 2003)

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Report to the Congress: Medicare Payment Policy (March 2003)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report, click under "View document".

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Assessing payment adequacy and updating payments for hospital inpatient and outpatient services (Chapter 2A, March 2003 report)

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Payment for new technologies in Medicare's prospective payment system (Chapter 4, March 2003 report)

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Inpatient payments for rural hospitals (Appendix C, March 2003 report)

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Psychiatric hospital prospective payment system (January 2003)

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Comment letter: Notice of proposed rulemaking entitled Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2003 Payment Rates: and Changes to Payment Suspension for Unfiled Cost Reports (October 4, 2002)

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Comment letter: Prospective payment system for long-term care hospitals (May 21, 2002)

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Report to the Congress: Medicare Payment Policy (March 2002)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report, click under "View document".

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Chapter 2B: Hospital inpatient and outpatient services

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Chapter 3: Paying for new technology in the outpatient prospective payment system

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Report to the Congress: Medicare in Rural America (June 2001)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report, click under "View document".

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Improving payment for inpatient hospital care in rural areas (Chapter 4, June 2001 report)

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Assessing payment for outpatient hospital care in rural areas (Chapter 5, June 2001 report)

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Report to the Congress: Medicare Payment Policy (March 2001)

Please click under "View table of contents" to see a list of chapters with links to individual chapter files. To view the entire report, click under "View document".

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Chapter 2: Updating payments for physician services and for care provided in hospital outpatient departments

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