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Advising the Congress on Medicare issues
MedPAC > Recommendations

Commission Recommendations

MedPAC makes recommendations to the Congress and to the Secretary of Health and Human Services on issues affecting the administration of the Medicare program. With its recommendations, the Commission strives to improve the delivery of care, while ensuring financial stability and maximizing value for the program. After extensive analysis and evaluation, our recommendations are discussed and voted on by Commissioners in our public meetings. Recommendations are typically published in two main reports, released in March and June of each year.

Recommendations Topic(s) Date

Mandated report: Evaluation of a prototype design for a post-acute care prospective payment system

The Commission forwards to the Congress the report on a unified post-acute care payment system mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014.

  • Post-acute care

June 2023

Reforming Medicare’s wage index systems

The Congress should repeal the existing Medicare wage index statutes, including current exceptions, and require the Secretary to phase in new Medicare wage index systems for hospitals and other types of providers that:

  • Hospital

June 2023

Aligning fee-for-service payment rates across ambulatory settings

The Congress should more closely align payment rates across ambulatory settings for selected services that are safe and appropriate to provide in all settings and when doing so does not pose a risk to access.

  • Ambulatory care settings

June 2023

Addressing high prices of drugs covered under Medicare Part B (3)

The Congress should require the Secretary to:

  • Drugs, Devices, and Tests

June 2023

Addressing high prices of drugs covered under Medicare Part B (2)

The Congress should give the Secretary the authority to establish a single average sales price–based payment rate for drugs and biologics with similar health effects.

  • Drugs, Devices, and Tests

June 2023

Addressing high prices of drugs covered under Medicare Part B (1)

The Congress should require the Secretary to cap the Medicare payment rate for Part B drugs and biologics that are approved under the accelerated approval program (with limited circumstances for the Secretary to waive the payment cap) if: In addition, the Congress should give the Secretary the authority to cap the Medicare payment rate of… Read more »

  • Drugs, Devices, and Tests

June 2023

Hospital inpatient and outpatient services (1)

For fiscal year 2024, the Congress should update the 2023 Medicare base payment rates for general acute care hospitals by the amount specified in current law plus 1 percent. 

  • Hospital

March 2023

Hospital inpatient and outpatient services (2)

In fiscal year 2024, the Congress should: 

  • Hospital

March 2023

Physician and other health professional services (1)

For calendar year 2024, the Congress should update the 2023 Medicare base payment rate for physician and other health professional services by 50 percent of the projected increase in the Medicare Economic Index. 

  • Physicians and other health professionals

March 2023

Physician and other health professional services (2)

The Congress should enact a non-budget-neutral add-on payment, not subject to beneficiary cost sharing, under the physician fee schedule for services provided to low-income Medicare beneficiaries. These add-on payments should equal a clinician’s allowed charges for these beneficiaries multiplied by: 

  • Physicians and other health professionals

March 2023