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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

Inpatient rehabilitation facility services

The Congress should update payment rates for inpatient rehabilitation services by 1 percent for fiscal year 2008.

  • Post-acute care

March 2007

Long-term care hospital services

The Secretary should eliminate the update to payment rates for long-term care hospital services for rate year 2008.

  • Post-acute care

March 2007

Skilled nursing facility services

The Congress should eliminate the update to payment rates for skilled nursing facility services for fiscal year 2008.

  • Post-acute care

March 2007

Home health services

The Congress should eliminate the update to payment rates for home health care services for calendar year 2007.

  • Post-acute care

March 2006

Inpatient rehabilitation facility services

The Congress should eliminate the update to payment rates for inpatient rehabilitation facility services for fiscal year 2007.

  • Post-acute care

March 2006

Long-term care hospital services

The Congress should eliminate the update to payment rates for long-term care hospital services for 2007.

  • Post-acute care

March 2006

Skilled nursing facility services (1)

The Congress should eliminate the update to payment rates for skilled nursing facility services for fiscal year 2007.

  • Post-acute care

March 2006

Skilled nursing facility services (2)

The Secretary should modify the PPS for skilled nursing facilities to more accurately capture the cost of providing care to different types of patients. This new system should: * Reflect clinically relevant categories of patients; * More accurately distribute payments for nontherapy ancillary services; * Improve incentives to provide rehabilitation services based on the need… Read more »

  • Delivery system reforms
  • Post-acute care

March 2006

Skilled nursing facility services (3)

To improve quality measurement, the Secretary should: * Collect information on activities of daily living at admission and at discharge; * Develop and use more quality indicators, including process measures, specific to short-stay patients in skilled nursing facilities; and * Put a high priority on developing appropriate quality measures for pay for performance.

  • Post-acute care
  • Quality

March 2006

Home health services

The Congress should eliminate the update to payment rates for home health care services for calendar year 2006.

  • Post-acute care

March 2005