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.

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

Ambulatory surgical center services

The Congress should eliminate the calendar year 2019 update to the Medicare payment rates for ambulatory surgical centers. The Congress should also require ambulatory surgical centers to submit cost data.

  • Ambulatory care settings

March 2018

Home health care services

The Congress should reduce Medicare payments to home health agencies by 5 percent in calendar year (CY) 2019 and implement a two-year rebasing of the payment system beginning in CY 2020. The Congress should direct the Secretary to revise the prospective payment system to eliminate the use of therapy visits as a factor in payment… Read more »

  • Delivery system reforms
  • Post-acute care

March 2018

Hospice services

The Congress should eliminate the fiscal year 2019 update to the Medicare payment rates for hospice services.

  • Post-acute care

March 2018

Hospital inpatient and outpatient services

For 2019, the Congress should update the 2018 Medicare base payment rates (inpatient and outpatient) for acute care hospitals by the amount determined under current law.

  • Hospital

March 2018

Inpatient rehabilitation facility services

The Congress should reduce the fiscal year 2019 Medicare payment rate for inpatient rehabilitation facilities by 5 percent. Additionally, the Commission reiterates its March 2016 recommendations on the inpatient rehabilitation facility prospective payment system.

  • Post-acute care

March 2018

Long-term care hospital services

The Secretary should eliminate the fiscal year 2019 Medicare payment update for long-term care hospitals.

  • Post-acute care

March 2018

Mandated report: Telehealth services and the Medicare program

Vote to forward telehealth report to Congress.

  • Delivery system reforms

March 2018

Moving beyond the Merit-based Incentive Payment System

The Congress should: eliminate the current Merit-based Incentive Payment System; and establish a new voluntary value program in fee-for-service Medicare in which: clinicians can elect to be measured as part of a voluntary group; and clinicians in voluntary groups can qualify for a value payment based on their group’s performance on a set of population-based… Read more »

  • Delivery system reforms
  • Physicians and other health professionals

March 2018

Outpatient dialysis services

For 2019, the Congress should update the calendar year 2018 Medicare end-stage renal disease prospective payment system base rate by the amount determined under current law.

  • Ambulatory care settings

March 2018

Physician and other health professional services

For calendar year 2019, the Congress should increase the calendar year 2018 payment rates for physician and other health professional services by the amount specified in current law.

  • Physicians and other health professionals

March 2018