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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

Updating payment rates in traditional Medicare

The Congress should not establish a single overall expenditure target that determines payment updates for physicians’ services and ambulatory care facilities. Within existing statutory authority, the Secretary should not establish setting-specific expenditure targets.

  • Ambulatory care settings
  • Physicians and other health professionals

March 2000 - Chapter 4

Access to home health services (A)

The Secretary should speed the development of regulations that outline home health care coverage and eligibility criteria based on clinical characteristics of beneficiaries. The Secretary should report to the Congress recommending the legislation needed to accomplish the implementation of these regulations.

  • Beneficiaries and coverage
  • Post-acute care

June 1999 - Chapter 6

Access to home health services (B)

The Secretary should use criteria based on clinical characteristics of beneficiaries to monitor use of home health services.

  • Post-acute care

June 1999 - Chapter 6

Access to home health services (C)

If the Congress is not confident that the Secretary can implement a prospective payment system for home health services by 2000, then it should explore the feasibility of establishing a process for agencies to exclude a small share of their patients from the aggregate per-beneficiary limits. Such a policy should be implemented in a budget-neutral… Read more »

  • Delivery system reforms
  • Post-acute care

June 1999 - Chapter 6

Access to home health services (D)

The Secretary should establish a national uniform process to ensure that fiscal intermediaries have the training and ability to provide timely and accurate coverage and payment information to home health agencies.

  • Post-acute care

June 1999 - Chapter 6

Access to home health services (E)

The Secretary should improve the applicability of the Medicare fee-for-service appeals process for home health users and establish a mechanism for informing beneficiaries about their rights to appeal determinations of noncoverage by home health agencies.

  • Post-acute care

June 1999 - Chapter 6

Addressing health care errors under Medicare (A)

The Secretary should establish patient safety as a quality improvement priority for Medicare and should take steps to minimize the incidence of preventable errors in the delivery of care provided to beneficiaries.

  • Quality

June 1999 - Chapter 3

Addressing health care errors under Medicare (B)

The Secretary should support and make use of ongoing public and private error-reduction initiatives- including those that promote incident reporting by providers, analysis of root causes and patterns in occurrence, and dissemination of information designed to prevent recurrence- through Medicare’s policies and quality improvement activities.

  • Quality

June 1999 - Chapter 3

Addressing health care errors under Medicare (C)

The Congress should enact legislation to protect the confidentiality of individually identifiable information relating to errors in health care delivery when that information is reported for quality improvement purposes.

  • Quality

June 1999 - Chapter 3

Addressing health care errors under Medicare (D)

The Secretary should consider opportunities for minimizing avoidable errors in health care delivery through coverage and payment policies, quality measurement initiatives, and quality improvement programs

  • Quality

June 1999 - Chapter 3