The MedPAC Blog

  • New Report on Medicare Home Health Payment Rebasing

    by MedPAC Staff | Dec 22, 2014
    Today, the Commission released a report to the Congress assessing the impact of Medicare’s home healthcare payment rebasing on beneficiary access and quality. The report was mandated by the Patient Protection and Affordable Care Act, which also created the rebasing policy. The report’s primary finding is that rebasing – in other words, reducing the base payment rate for home healthcare – will not threaten beneficiary access to home health services or compromise quality of care.
    Full post
  • Hospital Costs: What to Make of Them

    by MedPAC Staff | Dec 11, 2014
    Each year during its update process (read this post for more on that), the Commission examines Medicare’s payments to hospitals for inpatient and outpatient care. As part of this analysis, MedPAC compares Medicare’s payments to hospitals’ costs to determine a Medicare “margin.” For several years, these margins have been negative, indicating that on average, Medicare’s payments are less than hospitals’ costs. Some would argue that negative margins are an indication that Medicare needs to increase its payments to cover hospital costs. A different way to think about the issue is to ask whether hospitals’ costs have to be as high as they are and whether hospitals have the ability to control costs. Said differently, we wondered, “Are hospital costs immutable?”
    Full post
  • Upcoming: MedPAC's Annual Payment Updates

    by MedPAC Staff | Dec 02, 2014
    At our November meeting, we had a session on beneficiary access to hospital services, which was the first part of MedPAC's yearly work on payment updates. Here’s an explainer on why we do this work and what it entails...
    Full post
  • Opioid use among Medicare Part D enrollees

    by MedPAC Staff | Oct 22, 2014
    At MedPAC’s October public meeting, the Commission discussed patterns of potentially inappropriate opioid use in Medicare’s prescription drug benefit, Part D. In 2011, 10 million beneficiaries, or about 32 percent of Part D enrollees filled at least one prescription for an opioid. The share of Part D enrollees who use opioids in varies considerably across states.
    Full post
  • Getting the Payment Rates Right in Medicare's Fee Schedule for Physicians, Nurses, and Allied Health Professionals

    by MedPAC Staff | Oct 20, 2014
    At MedPAC’s October public meeting, the Commission had a session that focused on how Medicare can get the payment rates right in its fee schedule for physicians, nurses, and allied health professionals.
    Full post
  • Payment Basics: A Traveler's Guide to Medicare's Payment Systems

    by MedPAC Staff | Oct 17, 2014
    Medicare has more than 20 distinct systems for paying health care providers who serve Medicare beneficiaries. Even we’d admit that it’s a lot to keep up with. MedPAC's Payment Basics series can help.
    Full post
  • Explainer: Risk sharing mechanisms in Part D

    by MedPAC Staff | Oct 15, 2014
    At MedPAC’s public meeting last week, the Commission discussed how Medicare shares financial risk with Part D prescription drug plans.
    Full post
  • Medicare Spending: Making Sense of the Growth Rates

    by MedPAC Staff | Sep 18, 2014
    If you missed the Commission meeting last week, you might have missed this piece of analysis of the spending growth trends in Medicare.
    Full post
  • Do new Medicare beneficiaries choose Medicare Advantage right away?

    by MedPAC Staff | Sep 15, 2014
    If you missed the Commission meeting last week, you might have missed this piece of analysis. In 2012, about 28% of all Medicare beneficiaries (who have Part A and Part B) were enrolled in private Medicare Advantage (MA) plans. Recently, there has been a widely reported claim in the policy community that half of all new Medicare beneficiaries are now joining MA. The story sort of works like this: in 2012, the total number of beneficiaries in Medicare grew by two million, while the number of beneficiaries in MA grew by 1 million. These facts are true, but despite how it might sound, this does not mean that half of all new beneficiaries chose MA.
    Full post
  • MedPAC on Accountable Care Organizations

    by MedPAC Staff | Sep 08, 2014
    This week at our September public meeting, the Commission will discuss the latest information available on Accountable Care Organizations (ACOs) in Medicare. In the meantime, here is some background about the Commission’s work on the issue to date.
    Full post

Next Public Meeting


For the latest news and press releases from MedPAC

Click Here

Join Our Mailing List

Sign up to recieve e-mail notices of Commission meetings and new posts to our website.

Sign Up Now

Filter posts by subject