Medicare Payment Advisory Commission (MedPAC) Reports
The Medicare Payment Advisory Commission (MedPAC) is a Congressional agency that provides independent, non-partisan policy and technical advice on issues affecting the Medicare program.
Annual Reports to Congress: Medicare Payment Policy
As required by Congress, each March MedPAC reviews Medicare payment policies and makes recommendations for payment systems that include skilled nursing, LTC hospitals and hospice. MedPAC also reviews the status of Medicare Advantage (MA) and prescription drug plans (Part D).
- March 2011 View Report View Table of Contents View Fact Sheet
- March 2010 View Report View Table of Contents View Fact Sheet
- March 2009 View Report View Table of Contents View Fact Sheet
- March 2008 View Report View Table of Contents
Data Book: Health Care Spending and the Medicare Program | June 2011
MedPAC analyzes national health care and Medicare spending as well as Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care in the Medicare program, and Medicare beneficiary and other payer liability. It also examines provider settings and presents data on Medicare spending, beneficiaries’ access to care in the setting and the sector’s Medicare profit margins. In addition, it covers the MA program and prescription drug coverage for Medicare beneficiaries.
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Report to Congress: Medicare and the Health Care Delivery System | June 2011
MedPAC focuses on alternatives to the sustainable growth rate system, describes the design of Medicare’s traditional fee-for-service benefit package and its impact on beneficiaries and the program overall, and examines care coordination for dual eligibles, among other topics.
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Report to Congress: Regional Variation in Medicare Service Use | January 2011
MedPAC focuses on regional variation in spending and service use among Medicare beneficiaries and discusses how to measure variation, how large the variation is, what drives variation, and begins the discussion on what policies should be pursued.
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Assesing Payment Adequacy: Skilled Nursing Facilities | December 2010
MedPAC analyzes the adequacy of Medicare payments for Skilled Nursing Facilities and provides recommendations.
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Medicare Background: Payment Basics | October 2010
MedPAC updates its guide to understanding the program’s complex payment system - focused on 18 categories of service. This series of fact sheets is intended to help congressional staff, members of the public, media and others better understand the Medicare program.
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Contractor Report: Medicare Part D Formularies, 2006-1010 | October 2010
A report commissioned by MedPAC and carried out by by staff from the National Opinion Research Center at the University of Chicago, Georgetown University, and Social & Scientific Systems, Inc. The report outlines the methodological approach and key results from an analysis of Part D Plan formularies from 2006 to 2010.
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Report to the Congress: Aligning Incentives in Medicare | June 2010
MedPAC focuses on how incentives Medicare can be leveraged to promote quality of care and efficient use of resources. Includes an examination of characteristics and utilization patterns of dual-eligible beneficiaries and an assessment of current approaches to integrated care for these beneficiaries.
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Report to Congress: Improving Incentives in the Medicare Program | June 2009
MedPAC focuses on how incentives in the Medicare payment systems could be changed to strengthen the program and promote quality care for beneficiaries.
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Report to Congress: Reforming the Delivery System | June 2008
MedPAC focuses on reforms in payment and delivery systems with specific recommendations in three areas: primary care, care provided around a hospitalization, and skilled nursing facility (SNF) payments.
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Contractor Report: Medicare Part D and Its Impact in the Nursing Home Sector | May 2010
The follow-up study conducted by staff from Harvard Medical School for MedPAC updates changes in the LTCP industry since 2007 and describes the recent impact of Part D focusing on plan assignment/selection, PDP formularies and drug coverage, mechanics of dispensing medications to nursing home residents, and drug utilization and health outcomes for nursing home residents.
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Contractor Report: Drugs on Specialty Tiers in Part D | February 2009
A study conducted for MedPAC by staff from the National Opinion Research Center at the University of Chicago and Georgetown University.
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Contractor Report: Modeling Alternative Designs for a Revised PPS for Skilled Nursing Facilities | June 2008
A study conducted for MedPAC by the Urban Institute to develop and evaluate alternative Prospective Payment System (PPS) designs to address the problems with the current system using updated data.
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Contractor Report: Medicare Part D, Nursing Homes, and Long Term Care (LTC) Pharmacies | June 2007
The initial study conducted by staff from Harvard Medical School for MedPAC to to explore how the introduction of Part D changed the operations of LTC Pharmacies and Nusing Homes, as well as the implications of those changes for beneficiaries and the Medicare program.
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