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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

Prospective payment for post-acute care: current issues and long-term agenda (D)

The Secretary should conduct demonstrations to test the feasibility of including a larger scope of services in the payment bundle.

  • Post-acute care

March 2001 - Chapter 6

Prospective payment for post-acute care: current issues and long-term agenda (E)

The Secretary should develop a new classification system for skilled nursing facility care while continuing to monitor access and quality.

  • Delivery system reforms
  • Post-acute care

March 2001 - Chapter 6

Prospective payment for post-acute care: current issues and long-term agenda (F)

Until a core set of common data elements for post-acute care is developed, the Secretary should require the Functional Independence Measure as the patient assessment tool for the inpatient rehabilitation prospective payment system.

  • Post-acute care

March 2001 - Chapter 6

Prospective payment for post-acute care: current issues and long-term agenda (G)

The Secretary should require a high-cost outlier policy of 5 percent for the inpatient rehabilitation payment system and study whether a different percentage policy is needed.

  • Post-acute care

March 2001 - Chapter 6

Prospective payment for post-acute care: current issues and long-term agenda (H)

The Secretary should reexamine the disproportionate share adjustment for the inpatient rehabilitation prospective payment system.

  • Post-acute care

March 2001 - Chapter 6

Prospective payment for post-acute care: current issues and long-term agenda (I)

In monitoring the performance of the payment system, the Secretary should pay particular attention to the use of significant change in condition payment adjustments and payments for patients with wound care needs.

  • Post-acute care

March 2001 - Chapter 6

Reconciling Medicare+Choice payments and fee-for-service spending (A)

The Medicare program should be financially neutral as to whether beneficiaries enroll in Medicare+Choice plans or in the traditional Medicare program. Therefore, Congress should make Medicare payments for beneficiaries in the two sectors of a local market substantially equal, after accounting for risk.

  • Part C (Medicare Advantage)

March 2001 - Chapter 7

Reconciling Medicare+Choice payments and fee-for-service spending (B)

The Secretary should study variation in spending under the traditional Medicare program to determine how much is caused by differences in input prices and health risk and how much is caused by differences in provider practice patterns, the availability of providers and services, and beneficiary preferences. He should report to the Congress and make recommendations… Read more »

  • Part C (Medicare Advantage)

March 2001 - Chapter 7

Reconciling Medicare+Choice payments and fee-for-service spending (C)

The Secretary should study how beneficiaries, providers, and insurers each benefit from the additional Medicare+Choice payments made in floor counties.

  • Part C (Medicare Advantage)

March 2001 - Chapter 7

Reconciling Medicare+Choice payments and fee-for-service spending (D)

In defining local payment areas, the Secretary should explore using areas that contain sufficient numbers of Medicare beneficiaries to produce reliable estimates of spending and risk.

  • Part C (Medicare Advantage)
  • Regional issues

March 2001 - Chapter 7