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 |
|---|---|---|
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. |
|
February 2008 |
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 » |
|
March 2006 |
Skilled nursing facility services (2)The Secretary should develop a new classification system for care in skilled nursing facilities. Until this happens, the Congress should authorize the Secretary to: * Remove some or all of the 6.7 percent payment add-on currently applied to the rehabilitation RUG-III groups, and * Reallocate the money to the nonrehabilitation RUG-III groups to achieve a… Read more » |
|
March 2005 |
Strategies to improve care: Pay for performance and information technology (A)The Congress should establish a quality incentive payment policy for hospitals in Medicare. |
|
March 2005 |
Strategies to improve care: Pay for performance and information technology (C)The Congress should establish a quality incentive payment policy for home health agencies in Medicare. |
|
March 2005 |
Strategies to improve care: Pay for performance and information technology (E)The Congress should establish a quality incentive payment policy for physicians in Medicare. |
|
March 2005 |
Strategies to improve care: Pay for performance and information technology (H)The Congress should direct CMS to include measures of functions supported by the use of information technology in Medicare initiatives to financially reward providers on the basis of quality. |
|
March 2005 |
Medicare+Choice payment and eligibility policyThe Congress should establish a quality incentive payment policy for all Medicare Advantage plans. |
|
February 2004 |
Outpatient dialysis services (2)The Congress should establish a quality incentive payment policy for physicians and facilities providing outpatient dialysis services. |
|
February 2004 |
Skilled nursing facility services (2)The Secretary should develop a new classification system for care in skilled nursing facilities. Until this happens, the Congress should authorize the Secretary to: * Remove some or all of the 6.7 percent payment add-on currently applied to the rehabilitation RUG-III groups, and Reallocate the money to the nonrehabilitation RUG-III groups to achieve a better… Read more » |
|
February 2004 |