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) Publication

Improving care at the end of life (A)

Make end-of-life care a national quality improvement priority for Medicare+Choice and traditional Medicare.

  • Part C (Medicare Advantage)
  • Quality

June 1999 - Chapter 7

Improving care at the end of life (C)

Sponsor projects to develop and test measures of the quality of end-of-life care for Medicare beneficiaries, and enlist quality improvement organizations and Medicare+Choice plans to implement quality improvement programs for care at the end of life.

  • Part C (Medicare Advantage)
  • Quality

June 1999 - Chapter 7

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 - Chapter 2

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 - Chapter 5

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 - Chapter 5

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 - Chapter 5

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 - Chapter 5

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 - Chapter 5

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 - Chapter 5

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 - Chapter 5