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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

Hospital inpatient and outpatient services (2)

The Congress should increase payment rates for the outpatient prospective payment system by the project increase in the hospital market basket index less 0.4 percent for calendar year 2006.

  • Hospital

March 2005 - Chapter 2A

Hospital inpatient and outpatient services (3)

The Congress should extend hold-harmless payments under the outpatient prospective payment system for rural sole community hospitals and other rural hospitals with 100 or fewer beds through calendar year 2006.

  • Hospital
  • Regional issues

March 2005 - Chapter 2A

Strategies to improve care: Pay for performance and information technology (A)

The Congress should establish a quality incentive payment policy for hospitals in Medicare.

  • Delivery system reforms
  • Hospital
  • Quality

March 2005 - Chapter 4

Strategies to improve care: Pay for performance and information technology (B)

CMS should require hospitals to identify which secondary diagnoses were present on admission on their claims forms.

  • Hospital

March 2005 - Chapter 4

Hospital inpatient and outpatient services (1)

The Congress should increase payment rates for the inpatient prospective payment system by the projected rate of increase in the hospital market basket index for fiscal year 2005.

  • Hospital

March 2004 - Chapter 3A

Hospital inpatient and outpatient services (2)

The Congress should increase payment rates for the outpatient prospective payment system by the projected rate of increase in the hospital market basket index for calendar year 2005.

  • Hospital

March 2004 - Chapter 3A

Hospital inpatient and outpatient services (3)

The Congress should eliminate the outlier policy under the outpatient prospective payment system.

  • Hospital

March 2004 - Chapter 3A

Hospital inpatient and outpatient services (1)

The Secretary should add 13 DRGs to the post-acute transfer policy in fiscal year 2004 and then evaluate the effects on hospitals and beneficiaries before proposing further expansions.

  • Hospital
  • Post-acute care

March 2003- Chapter 2A

Hospital inpatient and outpatient services (2)

The Congress should enact a low-volume adjustment to the rates used in the inpatient PPS. This adjustment should apply only to hospitals that are more than 15 miles from another facility offering acute inpatient care.

  • Hospital

March 2003 - Chapter 2A

Hospital inpatient and outpatient services (3)

The Secretary should reevaluate the labor share used in the wage index system that geographically adjusts rates in the inpatient PPS, with any resulting changed phased in over two years.

  • Hospital

March 2003 - Chapter 2A