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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) Date

Updating and reforming prospective payment for hospital inpatient care (C)

For Medicare’s disproportionate share payments: The Congress should require that disproportionate share payments be distributed according to each hospital’s share of low-income patient costs, defined broadly to include all care to the poor. The measure of low-income costs should reflect: * Medicare patients eligible for Supplemental Security Income, Medicaid patients, patients sponsored by other indigent… Read more »

  • Hospital

March 1999

Updating and reforming prospective payment for hospital inpatient care (D)

For Medicare’s disproportionate share payments: Through a minimum threshold for low-income share, the formula for distributing disproportionate share payments should concentrate payments among hospitals with the highest shares of poor patients. A reasonable range for this threshold would be levels that make between 50 percent and 60 percent of hospitals eligible for a payment. The… Read more »

  • Hospital

March 1999

Updating and reforming prospective payment for hospital inpatient care (E)

For Medicare’s disproportionate share payments: The Secretary should collect the data necessary to revise the disproportionate share payment system from all hospitals covered by prospective payment.

  • Hospital

March 1999