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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

Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare (3)

The Secretary should have all health plan types in Medicare Advantage report on the same basis, including reporting measures based on medical record review, and the Congress should remove the statutory exceptions for preferred provider organizations and private fee-for-service plans with respect to such reporting.

  • Part C (Medicare Advantage)
  • Quality

March 2010 - Chapter 6

Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare (4)

The Secretary should collect and report the same survey-based data that are collected in Medicare Advantage through the Health Outcomes Survey for the Medicare fee-for-service population, unless the Secretary determines that such data cannot meaningfully differentiate quality among Medicare Advantage plans and between fee-for-service and Medicare Advantage.

  • Part C (Medicare Advantage)
  • Quality

March 2010 - Chapter 6

Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare (5)

The Secretary should expeditiously publish specifications for forthcoming Medicare Advantage plan encounter data submissions to obtain the data needed to calculate patient outcome measures.

  • Part C (Medicare Advantage)
  • Quality

March 2010 - Chapter 6

Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare (6)

The Secretary should calculate fee-for-service results for Healthcare Effectiveness Data and Information Set administrative-only measures for those measures the Secretary determines can provide a valid comparison of the two sectors.

  • Part C (Medicare Advantage)

March 2010 - Chapter 6

Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare (7)

The Secretary should develop and report on additional quality measures for Medicare Advantage plan and Medicare Advantage–to–fee-for-service comparisons that address gaps in current quality measures.

  • Part C (Medicare Advantage)
  • Quality

March 2010 - Chapter 6

Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare (8)

The Congress should provide the Secretary with sufficient resources to implement the Commission’s recommendations in this report.

  • Part C (Medicare Advantage)

March 2010 - Chapter 6

Update on the Medicare Advantage program (1)

The Congress should require the Secretary to establish additional, tailored performance measures for special needs plans and evaluate their performance on those measures within three years.

  • Part C (Medicare Advantage)

March 2008 - Chapter 3

Update on the Medicare Advantage program (2)

The Secretary should furnish beneficiaries and their counselors with information on special needs plans that compares their benefits, other features, and performance with other Medicare Advantage plans and traditional Medicare.

  • Part C (Medicare Advantage)

March 2008 - Chapter 3

Update on the Medicare Advantage program (3)

The Congress should direct the Secretary to require chronic condition special needs plans to serve only beneficiaries with complex chronic conditions that influence many other aspects of health, have a high risk of hospitalization or other significant adverse health outcomes, and require specialized delivery systems.

  • Delivery system reforms
  • Part C (Medicare Advantage)

March 2008 - Chapter 3

Update on the Medicare Advantage program (4)

The Congress should require dual-eligible special needs plans within three years to contract, either directly or indirectly, with states in their service areas to coordinate Medicaid benefits.

  • Part C (Medicare Advantage)

March 2008 - Chapter 3