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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

Skilled nursing facility services

For fiscal year 2024, the Congress should reduce the 2023 Medicare base payment rates for skilled nursing facilities by 3 percent. 
  • Post-acute care

March 2023

Home health care services

For calendar year 2024, the Congress should reduce the 2023 Medicare base payment rate for home health agencies by 7 percent. 
  • Post-acute care

March 2023

Inpatient rehabilitation facility services

For fiscal year 2024, the Congress should reduce the 2023 Medicare base payment rate for inpatient rehabilitation facilities by 3 percent. 
  • Post-acute care

March 2023

Hospice services

For fiscal year 2024, the Congress should update the 2023 Medicare base payment rates for hospice by the amount specified in current law and wage adjust and reduce the hospice aggregate cap by 20 percent. 
  • Post-acute care

March 2023

Skilled nursing facility services

For fiscal year 2023, the Congress should reduce the 2022 Medicare base payment rates for skilled nursing facilities by 5 percent.
  • Post-acute care

March 2022

Home health care services (1)

For calendar year 2023, the Congress should reduce the 2022 Medicare base payment rates for home health agencies by 5 percent.
  • Post-acute care

March 2022

Home health care services (2)

The Secretary should require that home health agencies report telehealth services provided during a 30-day period.
  • Post-acute care

March 2022

Inpatient rehabilitation facility services

For fiscal year 2023, the Congress should reduce the 2022 Medicare base payment rate for inpatient rehabilitation facilities by 5 percent.
  • Post-acute care

March 2022

Long-term care hospital services

For fiscal year 2023, the Secretary should increase the 2022 Medicare base payment rate for long-term care hospitals by the estimate of market basket minus the applicable productivity adjustment.
  • Post-acute care

March 2022

Hospice services (1)

For fiscal year 2023, the Congress should eliminate the update to the 2022 Medicare base payment rates for hospice and wage adjust and reduce the hospice aggregate cap by 20 percent.
  • Post-acute care

March 2022