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 facilitiesThe Congress should eliminate both: |
|
March 2025 |
Hospice servicesFor fiscal year 2026, the Congress should eliminate the update to the 2025 Medicarebase payment rates for hospice. |
|
March 2025 |
Inpatient rehabilitation servicesFor fiscal year 2026, the Congress should reduce the 2025 Medicare base paymentrate for inpatient rehabilitation facilities by 7 percent. |
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March 2025 |
Home health care servicesFor calendar year 2026, the Congress should reduce the 2025 Medicare basepayment rate for home health agencies by 7 percent. |
|
March 2025 |
Skilled nursing facility servicesFor fiscal year 2026, the Congress should reduce the 2025 Medicare base paymentrates for skilled nursing facilities by 3 percent. |
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March 2025 |
Hospice servicesFor fiscal year 2025, the Congress should eliminate the update to the 2024 Medicare base payment rates for hospice. |
|
March 2024 |
Inpatient rehabilitation facility servicesFor fiscal year 2025, the Congress should reduce the 2024 Medicare base payment rate for inpatient rehabilitation facilities by 5 percent. |
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March 2024 |
Home health care servicesFor calendar year 2025, the Congress should reduce the 2024 Medicare base payment rates for home health agencies by 7 percent. |
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March 2024 |
Skilled nursing facility servicesFor fiscal year 2025, the Congress should reduce the 2024 Medicare base payment rates for skilled nursing facilities by 3 percent. |
|
March 2024 |
Mandated report: Evaluation of a prototype design for a post-acute care prospective payment systemThe Commission forwards to the Congress the report on a unified post-acute care payment system mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014. |
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June 2023 |