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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

Eliminating Medicare’s coverage limits on stays in freestanding inpatient psychiatric facilities

The Congress should eliminate both:

  • Post-acute care

March 2025

Hospice services

For fiscal year 2026, the Congress should eliminate the update to the 2025 Medicarebase payment rates for hospice.

  • Post-acute care

March 2025

Inpatient rehabilitation services

For fiscal year 2026, the Congress should reduce the 2025 Medicare base paymentrate for inpatient rehabilitation facilities by 7 percent.

  • Post-acute care

March 2025

Home health care services

For calendar year 2026, the Congress should reduce the 2025 Medicare basepayment rate for home health agencies by 7 percent.

  • Post-acute care

March 2025

Skilled nursing facility services

For fiscal year 2026, the Congress should reduce the 2025 Medicare base paymentrates for skilled nursing facilities by 3 percent.

  • Post-acute care

March 2025

Outpatient dialysis services

For calendar year 2026, the Congress should update the 2025 Medicare basepayment rate for outpatient dialysis services by the amount determined undercurrent law.

  • Ambulatory care settings

March 2025

Physician and other health professional services

The Congress should:

  • Physicians and other health professionals

March 2025

Hospital inpatient and outpatient services

The Congress should:

  • Hospital

March 2025

Ambulatory surgical center services

The Commission reiterates its March 2022 recommendation that the Secretary require ambulatory surgical centers to report cost data.

  • Ambulatory care settings

March 2024

Hospice services

For fiscal year 2025, the Congress should eliminate the update to the 2024 Medicare base payment rates for hospice.

  • Post-acute care

March 2024