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

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

In the long term, the Secretary should set capitation payments for frail beneficiaries based on their characteristics, not of the type of plan to which they belong.

  • Part C (Medicare Advantage)

June 1999

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

Performance measures for programs for frail Medicare beneficiaries should reflect the beneficiaries’ health care needs and special practices for their care.

  • Part C (Medicare Advantage)

June 1999

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

The Secretary should include special measures for evaluating and monitoring care for frail Medicare beneficiaries in the Medicare+Choice plan quality measurement and reporting requirements.

  • Part C (Medicare Advantage)
  • Quality

June 1999

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

The Secretary should not now limit enrollment into the Program of All-Inclusive care for the Elderly to a particular time of the year.

  • Part C (Medicare Advantage)

June 1999

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

The Commission will await results from the Secretary’s demonstration of for-profit entities in the Program of All-Inclusive Care for the Elderly before making a recommendation on allowing them to participate.

  • Part C (Medicare Advantage)

June 1999

Structuring informed beneficiary choice (A)

The Congress should allow HCFA more administrative flexibility in meeting its obligations to inform beneficiaries by relaxing legislative requirements pertaining to content of consumer information materials and means of dissemination.

  • Quality

June 1999

Structuring informed beneficiary choice (B)

The Congress should fund HCFA’s education initiatives adequately and directly through the appropriations process rather than through assessing user fees on Medicare+Choice organizations.

  • Part C (Medicare Advantage)
  • Quality

June 1999

Structuring informed beneficiary choice (C)

The Secretary should develop and evaluate interactive tools that give beneficiaries a framework for understanding their choices and that help them to process information.

  • Quality

June 1999

Structuring informed beneficiary choice (D)

The Secretary should define and regularly update appropriate standard terms for describing Medicare coverage options. HCFA should use these terms in its informational materials, require their use by Medicare+Choice organizations, and encourage their use by medigap policy carriers and others who provide beneficiary information.

  • Part C (Medicare Advantage)
  • Quality

June 1999

Structuring informed beneficiary choice (E)

The Secretary should study the enrollment patterns of beneficiaries, giving particular attention to vulnerable groups, to assess whether their informational needs are adequately met.

  • Quality

June 1999