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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
Hospital inpatient and outpatient services For fiscal year 2023, the Congress should update the 2022 Medicare base payment rates for acute care hospitals by the amount specified in current law.	Hospital	March 2022
Physician and other health professional services (1) For calendar year 2023, the Congress should update the 2022 Medicare base payment rate for physician and other health professional services by the amount determined under current law.	Physicians and other health professionals	March 2022
Physician and other health professional services (2) The Secretary should require that clinicians use a claims modifier to identify audio-only telehealth services.	Physicians and other health professionals	March 2022
Ambulatory surgical center services (1) For calendar year 2023, the Congress should eliminate the update to the 2022 Medicare conversion factor for ambulatory surgical centers.	Ambulatory care settings	March 2022
Ambulatory surgical center services (2) The Secretary should require ambulatory surgical centers to report cost data.	Ambulatory care settings	March 2022
Outpatient dialysis services For calendar year 2023, the Congress should update the 2022 Medicare end-stage renal disease prospective payment system base rate by the amount determined under current law.	Ambulatory care settings	March 2022