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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 (1)

For calendar year 2023, the Congress should eliminate the update to the 2022 Medicare conversion factor for ambulatory surgical centers.

  • Ambulatory care settings

March 2022

Ambulatory surgical center services (2)

The Secretary should require ambulatory surgical centers to report cost data.

  • Ambulatory care settings

March 2022

Outpatient dialysis services

For calendar year 2023, the Congress should update the 2022 Medicare end-stage renal disease prospective payment system base rate by the amount determined under current law.

  • Ambulatory care settings

March 2022

Ambulatory surgical center services (1)

For calendar year 2022, the Congress should eliminate the update to the 2021 Medicare conversion factor for ambulatory surgical centers.

  • Ambulatory care settings

March 2021

Ambulatory surgical center services (2)

The Secretary should require ambulatory surgical centers to report cost data.

  • Ambulatory care settings

March 2021

Outpatient dialysis services

For calendar year 2022, the Congress should eliminate the update to the 2021 Medicare end-stage renal disease prospective payment system base rate.

  • Ambulatory care settings

March 2021

Improving Medicare’s end-stage renal disease prospective payment system (1)

The Congress should direct the Secretary to eliminate the end-stage renal disease prospective payment system’s transitional drug add-on payment adjustment for new drugs in an existing end-stage renal disease functional category.

  • Ambulatory care settings

June 2020

Improving Medicare’s end-stage renal disease prospective payment system (2)

The Secretary should replace the current low-volume and rural payment adjustments in the end-stage renal disease prospective payment system with a single adjustment for dialysis facilities that are isolated and consistently have low volume, where low-volume criteria are empirically derived.

  • Ambulatory care settings
  • Regional issues

June 2020

Ambulatory surgical center services

The Secretary should also require ambulatory surgical centers to report cost data. For calendar year 2021, in the absence of cost data, the Congress should eliminate the update to the calendar year 2020 Medicare conversion factor for ambulatory surgical centers.

  • Ambulatory care settings

March 2020

Outpatient dialysis services

For CY 2021, the Congress should update the CY 2020 Medicare ESRD PPS base rate by the amount determined in current law

  • Ambulatory care settings

March 2020