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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

Replacing the Medicare Advantage quality bonus program

The Congress should replace the current Medicare Advantage (MA) quality bonus program with a new MA value incentive program that: scores a small set of population-based measures; evaluates quality at the local market level; uses a peer-grouping mechanism to account for differences in enrollees’ social risk factors; establishes a system for distributing rewards with no… Read more »

  • Part C (Medicare Advantage)
  • Quality

June 2020

Hospital inpatient and outpatient services

The Congress should: For 2021, update the 2020 Medicare base payment rates for acute care hospitals by 2 percent; and Provide hospitals with an amount equal to the difference between the update recommendation and the amount specified in current law through the Commission’s recommended hospital value incentive program (HVIP)

  • Hospital
  • Quality

March 2020

Hospital inpatient and outpatient services

The Congress should: Replace Medicare’s current hospital quality programs with a new hospital value incentive program (HVIP) that: includes a small set of population-based outcome, patient experience, and value measures; scores all hospitals based on the same absolute and prospectively set performance targets; accounts for differences in patients’ social risk factors by distributing payment adjustments… Read more »

  • Hospital
  • Quality

March 2019

The Medicare Advantage program: Status report (1)

For Medicare Advantage contract consolidations involving different geographic areas, the Secretary should: for any consolidations effective on or after January 1, 2018, require companies to report quality measures using the geographic reporting units and definitions as they existed prior to consolidation, and determine star ratings as though the consolidations had not occurred, and maintain the… Read more »

  • Part C (Medicare Advantage)
  • Quality

March 2018

The Medicare Advantage program: Status report (2)

The Secretary should: establish geographic areas for Medicare Advantage quality reporting that accurately reflect health care market areas, and calculate star ratings for each contract at the geographic level for public reporting and for the determination of quality bonuses.

  • Part C (Medicare Advantage)
  • Quality
  • Regional issues

March 2018

The Medicare Advantage program: Status report (1)

The Congress should eliminate the cap on benchmark amounts and the doubling of the quality increases in specified counties.

  • Part C (Medicare Advantage)
  • Quality

March 2016

Home health care services

The Congress should direct the Secretary to reduce payments to home health agencies with relatively high risk-adjusted rates of hospital readmission.

  • Post-acute care
  • Quality

March 2014

Outpatient dialysis services (2)

The Congress should direct the Secretary to: * include a measure that assesses poor outcomes related to anemia in the End-Stage Renal Disease Quality Incentive Program. * redesign the low-volume payment adjustment to consider a facility’s distance to the nearest facility. * audit dialysis facilities’ cost report data.

  • Ambulatory care settings
  • Quality

March 2014