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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

Ambulatory surgical center services

The Commission reiterates its March 2022 recommendation that the Secretary require ambulatory surgical centers to report cost data.

  • Ambulatory care settings

March 2024

Hospice services

For fiscal year 2025, the Congress should eliminate the update to the 2024 Medicare base payment rates for hospice.

  • Post-acute care

March 2024

Inpatient rehabilitation facility services

For fiscal year 2025, the Congress should reduce the 2024 Medicare base payment rate for inpatient rehabilitation facilities by 5 percent.  

  • Post-acute care

March 2024

Home health care services

For calendar year 2025, the Congress should reduce the 2024 Medicare base payment rates for home health agencies by 7 percent.

  • Post-acute care

March 2024

Skilled nursing facility services

For fiscal year 2025, the Congress should reduce the 2024 Medicare base payment rates for skilled nursing facilities by 3 percent.

  • Post-acute care

March 2024

Outpatient dialysis services

For calendar year 2025, the Congress should update the 2024 Medicare end-stage renal disease prospective payment system base rate by the amount determined under current law.  

  • Ambulatory care settings

March 2024

Physician and other health professional services

The Congress should:

  • Physicians and other health professionals

March 2024

Hospital inpatient and outpatient services

For fiscal year 2025, the Congress should update the 2024 Medicare base payment rates for general acute care hospitals by the amount specified in current law plus 1.5 percent. In addition, the Congress should:

  • Hospital

March 2024

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