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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) Publication

Physician and other health professional services (1)

For calendar year 2023, the Congress should update the 2022 Medicare base payment rate for physician and other health professional services by the amount determined under current law.

  • Physicians and other health professionals

March 2022 - Chapter 4

Physician and other health professional services (2)

The Secretary should require that clinicians use a claims modifier to identify audio-only telehealth services.

  • Physicians and other health professionals

March 2022 - Chapter 4

Physician and other health professional services

For calendar year 2022, the Congress should update the 2021 Medicare payment rates for physician and other health professional services by the amounts determined under current law.

  • Physicians and other health professionals

March 2021 - Chapter 4

Physician and other health professional services

For calendar year 2021, the Congress should increase the calendar year 2020 payment rates for physician and other health professional services by the amount specified in current law.

  • Physicians and other health professionals

March 2020 - Chapter 4

Issues in Medicare beneficiaries’ access to primary care (1)

The Congress should require advanced practice registered nurses and physician assistants to bill the Medicare program directly, eliminating “incident to” billing for services they provide.

  • Physicians and other health professionals

June 2019 - Chapter 5

Issues in Medicare beneficiaries’ access to primary care (2)

The Secretary should refine Medicare’s specialty designations for advanced practice registered nurses and physician assistants.

  • Physicians and other health professionals

June 2019 - Chapter 5

Physician and other health professional services

For calendar year 2020, the Congress should increase the calendar year 2019 payment rates for physician and other health professional services by the amount specified in current law.

  • Physicians and other health professionals

March 2019 - Chapter 6

Moving beyond the Merit-based Incentive Payment System

The Congress should: eliminate the current Merit-based Incentive Payment System; and establish a new voluntary value program in fee-for-service Medicare in which: clinicians can elect to be measured as part of a voluntary group; and clinicians in voluntary groups can qualify for a value payment based on their group’s performance on a set of population-based… Read more »

  • Delivery system reforms
  • Physicians and other health professionals

March 2018 - Chapter 15

Physician and other health professional services

For calendar year 2019, the Congress should increase the calendar year 2018 payment rates for physician and other health professional services by the amount specified in current law.

  • Physicians and other health professionals

March 2018 - Chapter 4

Physician and other health professional services

The Congress should increase payment rates for physician and other health professional services by the amount specified in current law for calendar year 2018.

  • Physicians and other health professionals

March 2017 - Chapter 4