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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

Improving quality assurance for institutional providers (E)

The Congress should require that the Secretary annually survey at least one-third of each facility type to certify compliance with the conditions of participation. The Secretary should also monitor facilities’ compliance with conditions of participation on an ongoing basis.

  • Quality

June 2000 - Chapter 4

Improving quality assurance for institutional providers (F)

The Congress should assure that the federal appropriations process does not impede states’ abilities to fund Medicare and Medicaid survey and certification activities.

  • Quality

June 2000 - Chapter 4

Improving quality assurance for institutional providers (G)

State survey agencies should use health care quality measures and other measures of facility performance to: * Determine which facilities to survey more and less frequently, * Target specific issues or quality concerns for focused attention in the survey process, and Monitor facility performance between inspections.

  • Quality

June 2000 - Chapter 4

Improving quality assurance for institutional providers (H)

The Congress should authorize the Secretary to develop intermediate sanctions specific to each institutional provider type that reflect the scope and severity of the deficiency and to consider a provider’s past performance in levying sanctions.

  • Quality

June 2000 - Chapter 4

Improving quality assurance for institutional providers (I)

The Secretary should take additional steps to ensure that private accrediting organizations with Medicare deeming authority are, in fact, ensuring that facilities meet Medicare certification standards.

  • Quality

June 2000 - Chapter 4

Improving quality assurance for institutional providers (J)

The Secretary should make more information about the results of the survey and certification process available to beneficiaries.

  • Quality

June 2000 - Chapter 4

Reviewing the estimated payment update for physician services

When preparing the final 2001 update to the physician fee schedule’s conversion factor, the Secretary should review the data and methods used to project growth in enrollment in traditional Medicare and explain the methods used to project that growth.

  • Physicians and other health professionals

June 2000 - Chapter 7

Improving payment for end-stage renal disease services (A)

As soon as possible, the Secretary should risk-adjust payments for patients with end-stage renal disease (ESRD) enrolled in Medicare+Choice.

  • Ambulatory care settings
  • Delivery system reforms

March 2000 - Chapter 6

Improving payment for end-stage renal disease services (B)

The Congress should require HCFA to annually review the composite rate payment.

  • Ambulatory care settings

March 2000 - Chapter 6

Improving payment for end-stage renal disease services (C)

For fiscal year 2001, the composite rate for outpatient dialysis services should be increased by 2.4 percent.

  • Ambulatory care settings

March 2000 - Chapter 6