An official website of the United States Government —

Here’s how you know

Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

GAO makes MedPAC Commissioner appointments:

More information here.

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) Date

Improving the quality of care for beneficiaries with end-stage renal disease (D)

In fulfilling the requirements of the BBA regarding improving the quality of dialysis care, the Secretary should take into consideration the quality assessment and assurance efforts of renal organizations.

  • Ambulatory care settings
  • Quality

June 1999

Influencing quality in traditional Medicare (A)

The Secretary should define and prioritize program-wide goals for improving Medicare beneficiaries’ care. Examples of such goals might include minimizing preventable errors in health care delivery or increasing patients’ participation in their care. These goals should be periodically identified and reassessed through a formal, public process involving all stakeholders.

  • Quality

June 1999

Influencing quality in traditional Medicare (B)

The Secretary should ensure that systems for monitoring, safeguarding, and improving the quality of Medicare beneficiaries’ care are, to the extent possible, comparable under traditional Medicare and Medicare+Choice and that the systems are coordinated with each other as needed to maximize opportunities to reach quality improvement goals.

  • Part C (Medicare Advantage)
  • Quality

June 1999

Influencing quality in traditional Medicare (C)

The Secretary should ensure that Medicare works with other interested parties to promote the development and use of common, core sets of quality measures that represent the full spectrum of care obtained by beneficiaries.

  • Quality

June 1999

Influencing quality in traditional Medicare (D)

The Congress should provide HCFA with demonstration authority to test various mechanisms—such as payment incentives, preferred provider designations, or reduced administrative oversight—for rewarding health care organizations and providers that exceed quality and performance goals to counterbalance existing penalties for substandard performance.

  • Quality

June 1999

Influencing quality in traditional Medicare (E)

The Secretary should ensure that the methods and mechanisms used to influence quality under traditional Medicare are consistent with best practices used by private health plans and purchasers.

  • Quality

June 1999

Influencing quality in traditional Medicare (F)

The Secretary should develop and disseminate consumer-oriented information on quality of care to help beneficiaries compare enrollment options and providers. This information should include geographic area-specific information on the quality of care furnished to beneficiaries enrolled in traditional Medicare and provider-specific information on the quality of care furnished by health care facilities and practitioners participating… Read more »

  • Quality

June 1999

Managed care for frail Medicare beneficiaries: payment methods and program standards (A)

The Secretary should study factors affecting the costs of care of frail beneficiaries and all other Medicare beneficiaries to determine if changes are needed to improve Medicare+Choice claims-based risk adjustment for frail beneficiaries. This study should identify data needed to support improvements in the Medicare+Choice risk adjustment system.

  • Part C (Medicare Advantage)

June 1999

Managed care for frail Medicare beneficiaries: payment methods and program standards (B)

The Secretary should evaluate the use of partial capitation payment approaches for frail Medicare beneficiaries in specialized and Medicare+Choice plans.

  • Part C (Medicare Advantage)

June 1999

Managed care for frail Medicare beneficiaries: payment methods and program standards (C)

The Secretary should postpone by at least one year the application of the interim Medicare+Choice risk adjustment system to specialized plans. Plans should be paid using existing payment methods until a risk adjustment or other payment system is developed that adequately pays for care for frail Medicare beneficiaries.

  • Part C (Medicare Advantage)

June 1999