The MedPAC Blog

  • Use of low-value care in Medicare is substantial

    by MedPAC Staff | May 21, 2015
    The issue of wasteful or “low-value” health care has attracted a lot of attention in the policy community because it represents an opportunity to reduce health care spending while maintaining or even improving quality for patients. The Commission has been working on ways to measure the incidence of low-value care within Medicare. The most recent iteration of this work, which was presented at our April meeting [link to presentation], contributes to the evidence that Medicare beneficiaries are receiving a significant amount of low-value care.
    Full post
  • March report highlight: MedPAC recommends per beneficiary payment for primary care

    by MedPAC Staff | May 11, 2015
    MedPAC’s March 2015 report continues the Commission’s focus on increasing support for primary care with a recommendation to create a per beneficiary payment for primary care providers.
    Full post
  • March report highlight: MedPAC recommends site neutral payment for IRFs and SNFs

    by MedPAC Staff | May 07, 2015
    MedPAC’s March 2015 report continues the Commission’s focus on site-neutral payments with a recommendation to eliminate differences in payment rates between inpatient rehabilitation facilities (IRFs) and skilled nursing facilities (SNFs) for selected conditions.
    Full post
  • March report highlight: MedPAC quantifies plan coding practices

    by MedPAC Staff | Mar 27, 2015
    This year, MedPAC examined coding differences between beneficiaries in FFS Medicare and those enrolled in MA plans. We found that beneficiaries in MA had more growth in risk scores than beneficiaries who had remained in FFS. And those differences grew the longer enrollees stayed in MA.
    Full post
  • The hospital readmission penalty: How well is it working?

    by MedPAC Staff | Mar 24, 2015
    The hospital readmission reduction program (HRRP), established under the Patient Protection and Affordable Care Act of 2010, has helped to reduce hospital readmissions. Since the introduction of the HRRP, readmission rates have fallen for Medicare beneficiaries across all types of hospitals, including those seeing higher shares of poor patients.
    Full post
  • MedPAC releases March 2015 Report to Congress

    by MedPAC Staff | Mar 13, 2015
    Today, MedPAC releases its March 2015 Report to the Congress: Medicare Payment Policy. The report includes MedPAC’s analyses of payment adequacy in fee-for-service (FFS) Medicare and provides a review of Medicare Advantage (MA) and the prescription drug benefit, Part D.
    Full post
  • Comment letter on the Medicare Shared Savings Program

    by MedPAC Staff | Feb 02, 2015
    Today MedPAC submitted a comment letter on CMS’s proposed rule regarding the Medicare Shared Savings Program (MSSP). The MSSP and the Pioneer Program are two options for Accountable Care Organizations to have the opportunity to share in savings with the Medicare program if they achieve spending below a target and meet certain quality metrics. This post highlights a key issue discussed in the letter: how the benchmarks for ACOs are determined.
    Full post
  • Comment Letter on Quality Measurement in Medicare

    by MedPAC Staff | Jan 13, 2015
    Today MedPAC posted a comment letter to CMS on the list of Medicare quality measures under consideration for use in Medicare’s quality reporting or value-based purchasing programs. This year’s “list of measures under consideration” is a 329-page document listing hundreds of quality and resource use measures. Under the statute, CMS may consider including any of these measures during upcoming rule-making for its quality program. The list does not include the dozens of measures already adopted for Medicare’s quality programs, only potential new measures.
    Full post
  • New report: Need for skilled nursing facility payment reform is urgent

    by MedPAC Staff | Jan 13, 2015
    The Commission released a report today finding that Medicare’s payments to skilled nursing facilities (SNFs) for therapy and nontherapy ancillary services are the least accurate they have been since 2006, despite Medicare’s numerous revisions to the payment system during this period.
    Full post
  • New data book on beneficiaries dually eligible for Medicare and Medicaid

    by MedPAC Staff | Jan 09, 2015
    Today, MedPAC and the Medicaid and CHIP Payment and Access Commission (MACPAC) jointly released a data book: Beneficiaries Dually Eligible for Medicare and Medicaid. This is the second edition of this book, updated with 2010 data and new displays of 2007-2010 trends in the dually eligible population’s composition, service use, and spending.
    Full post

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