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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: Evaluating the skilled nursing facility value-based purchasing program (1)

The Congress should eliminate Medicare’s current skilled nursing facility (SNF) value-based purchasing program and establish a new SNF value incentive program (VIP) that: scores a small set of performance measures; incorporates strategies to ensure reliable measure results; establishes a system for distributing rewards that minimizes cliff effects; accounts for differences in patient social risk factors… Read more »

  • Post-acute care
  • Quality

June 2021

Mandated report: Evaluating the skilled nursing facility value-based purchasing program (2)

The Secretary should finalize development of and begin to report patient experience measures for skilled nursing facilities.

  • Post-acute care
  • Quality

June 2021

Home health care services

For calendar year 2022, the Congress should reduce the 2021 Medicare base payment rate for home health agencies by 5 percent.

  • Post-acute care

March 2021

Hospice services

For fiscal year 2022, the Congress should eliminate the update to the 2021 Medicare base payment rates for hospice and wage adjust and reduce the hospice aggregate cap by 20 percent.

  • Post-acute care

March 2021

Inpatient rehabilitation facility services

For fiscal year 2022, the Congress should reduce the 2021 Medicare base payment rate for inpatient rehabilitation facilities by 5 percent.

  • Post-acute care

March 2021

Long-term care hospital services

For fiscal year 2022, the Secretary should increase the 2021 Medicare base payment rate for long-term care hospitals by 2 percent.

  • Post-acute care

March 2021

Skilled nursing facility services

For fiscal year 2022, the Congress should eliminate the update to the 2021 Medicare base payment rates for skilled nursing facilities.

  • Post-acute care

March 2021

Home health care services

For 2021, the Congress should reduce the calendar year 2020 Medicare base payment rate for home health agencies by 7 percent.

  • Post-acute care

March 2020

Hospice services

The Congress should: for 2021, eliminate the update to the FY 2020 Medicare base payment rates for hospice, and wage adjust and reduce the hospice aggregate cap by 20 percent.

  • Post-acute care

March 2020

Inpatient rehabilitation facility services

For fiscal year 2021, the Congress should reduce the fiscal year 2020 Medicare base payment rate for inpatient rehabilitation facilities by 5 percent. Additionally, the Commission reiterates its March 2016 recommendations on the inpatient rehabilitation facility prospective payment system.

  • Post-acute care

March 2020