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	Appeared In
Hospice services For fiscal year 2027, the Congress should eliminate the update to the 2026 Medicare base payment rates for hospice.	Post-acute care	March 2026	March 2026 - Chapter 10
Inpatient rehabilitation services For fiscal year 2027, the Congress should reduce the 2026 Medicare base payment rate for inpatient rehabilitation facilities by 7 percent.	Post-acute care	March 2026	March 2026 - Chapter 9
Home health care services For calendar year 2027, the Congress should reduce the 2026 Medicare base payment rate for home health agencies by 7 percent.	Post-acute care	March 2026	March 2026 - Chapter 8
Skilled nursing facility services For fiscal year 2027, the Congress should reduce the 2026 Medicare base payment rates for skilled nursing facilities by 4 percent.	Post-acute care	March 2026	March 2026 - Chapter 7
Eliminating Medicare’s coverage limits on stays in freestanding inpatient psychiatric facilities The Congress should eliminate both:	Post-acute care	March 2025	March 2025 - Chapter 13
Hospice services For fiscal year 2026, the Congress should eliminate the update to the 2025 Medicare base payment rates for hospice.	Post-acute care	March 2025	March 2025 - Chapter 9
Inpatient rehabilitation services For fiscal year 2026, the Congress should reduce the 2025 Medicare base payment rate for inpatient rehabilitation facilities by 7 percent.	Post-acute care	March 2025	March 2025 - Chapter 8
Home health care services For calendar year 2026, the Congress should reduce the 2025 Medicare base payment rate for home health agencies by 7 percent.	Post-acute care	March 2025	March 2025 - Chapter 7
Skilled nursing facility services For fiscal year 2026, the Congress should reduce the 2025 Medicare base payment rates for skilled nursing facilities by 3 percent.	Post-acute care	March 2025	March 2025 - Chapter 6
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	March 2024 - Chapter 9