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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

Ambulatory surgical care services

The Congress should eliminate the update to the payment rates for ambulatory surgical centers for calendar year 2018. The Congress should also require ambulatory surgical centers to submit cost data

  • Ambulatory care settings

March 2017

Home health care services

The Congress should reduce home health payment rates by 5 percent in 2018 and implement a two-year rebasing of the payment system beginning in 2019. The Congress should direct the Secretary to revise the prospective payment system to eliminate the use of the number of therapy visits as a factor in payment determinations, concurrent with… Read more »

  • Delivery system reforms
  • Post-acute care

March 2017

Hospice services

The Congress should eliminate the update to the hospice payment rates for fiscal year 2018.

  • Post-acute care

March 2017

Hospital inpatient and outpatient services (1)

The Secretary should require hospitals to add a modifier on claims for all services provided at off-campus stand-alone emergency department facilities.

  • Hospital

March 2017

Hospital inpatient and outpatient services (2)

The Congress should update the inpatient and outpatient payments by the amounts specified in current law

  • Hospital

March 2017

Inpatient rehabilitation facility services

The Congress should reduce the Medicare payment rate for inpatient rehabilitation facilities by 5 percent for fiscal year 2018. Additionally, the Commission reiterates its March 2016 recommendations on the inpatient rehabilitation facility prospective payment system.

  • Post-acute care

March 2017

Long-term care hospital services

The Congress should eliminate the update to the payment rates under the long-term care hospital prospective payment system for fiscal year 2018.

  • Post-acute care

March 2017

Outpatient dialysis services

The Congress should increase the outpatient dialysis base payment rate by the update specified in current law for calendar year 2018.

  • Ambulatory care settings

March 2017

Physician and other health professional services

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

  • Physicians and other health professionals

March 2017

Skilled nursing facility services

The Congress should eliminate the market basket updates for 2018 and 2019 and direct the Secretary to revise the prospective payment system (PPS) for skilled nursing facilities. In 2020, the Secretary should report to the Congress on the impacts of the reformed PPS and make any additional adjustments to payments needed to more closely align… Read more »

  • Delivery system reforms
  • Post-acute care

March 2017