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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 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
Long-term care hospital services For fiscal year 2021, the Secretary should increase the fiscal year 2020 Medicare base payment rates for long-term care hospitals by 2 percent.	Post-acute care	March 2020
Skilled nursing facility services For fiscal year 2021, the Congress should eliminate the update to the fiscal year 2020 Medicare base payment rates for skilled nursing facilities.	Post-acute care	March 2020
Home health care services For 2020, the Congress should reduce the calendar year 2019 Medicare base payment rate for home health agencies by 5 percent.	Post-acute care	March 2019
Hospice services For 2020, the Congress should reduce the fiscal year 2019 Medicare base payment rates for hospice providers by 2 percent.	Post-acute care	March 2019