MedPAC Meets

Last week the Medicare Payment Advisory Commission held two days of public meetings in Washington, D.C.

During the sessions MedPAC, a non-partisan legislative branch agency that advises Congress on Medicare payment issues, addressed the following subjects:

  • a Medicare Advantage status report
  • a Medicare prescription drug program (Part D) status report
  • hospital inpatient and outpatient payments
  • physician payments
  • ambulatory surgical center, dialysis center, and hospice payments
  • post-acute care facility payments
  • the hospital readmissions reduction program
  • telehealth
  • accountable care organizations

Go here to see the issue briefs and presentations used during the meetings.

MedPAC Meets

The Medicare Payment Advisory Commission met in Washington, D.C. last week.

Among the issues on the agenda of the independent agency that advises Congress on Medicare payment issues were:

  • payment adequacy for physicians and other health professional services
  • An alternative to the merit-based incentive payment system (MIPS)
  • payment adequacy for hospital inpatient and outpatient services
  • payment adequacy for ambulatory surgical center services
  • the status of the Medicare Advantage program

Find links to issue briefs on these subjects and the presentations offered at the meeting by going here, to the MedPAC web site.

MedPAC Meets

The independent agency that advises Congress and the administration on Medicare payment policies met last week in Washington, D.C.

Among the issues discussed at the meeting of the Medicare Payment Advisory Commission were:

  • the merit-based incentive payment system
  • telehealth
  • a redesign of Medicare’s hospital value incentive program

Many of the issues MedPAC addresses – including those noted above – are very important to private safety-net hospitals.

Find the presentations and issue briefs for these subjects and others discussed at the MedPAC meeting here, on MedPAC’s web site.

MedPAC Comments on Proposed Physician Fee Schedule

The Medicare Payment Advisory Commission has written to the Centers for Medicare & Medicaid Services to convey its views on CMS’s proposed revisions to Medicare physician payment policies for 2018.

Among the issues MedPAC addresses in its comment letter are proposed payments to physicians for nonexcepted items and services provided in nonexcepted off-campus provider-based hospital departments, the Medicare shared savings program, and the Medicare diabetes prevention program.

Return here later this week to learn about NAUH’s comment letter about the same proposed regulation.

See MedPAC’s comment letter here.

MedPAC Comments on Proposed Medicare Outpatient Payment Rule

The Medicare Payment Advisory Commission has weighed in with the Centers for Medicare & Medicaid Services on its proposed regulation governing the 2018 hospital outpatient prospective payment system and ambulatory surgical center payment systems and quality reporting programs.

Among the issues MedPAC addresses in its comment letter to CMS are the proposal to reduce Medicare reimbursement for 340B-covered prescription drugs; how to reinvest the savings such a payment cut would produce; the ability of hospitals to expand the services they offer at hospital-based outpatient departments; proposed changes in the Medicare hospital outpatient quality reporting program and ambulatory surgery center quality reporting program; and more.

Visit this space later this week to see NAUH’s comment letter on the same subject.

 See MedPAC’s formal comment letter here.

MedPAC Delivers Annual Report to Congress

The Medicare Payment Advisory Commission has issued its annual report and recommendations to Congress.

The major issues addressed in the report include:

  • implementing a unified payment system for post-acute care
  • reforming Medicare payment for drugs under Part B
  • redesigning the merit-based incentive payment system (MIPS) and strengthening advanced alternative payment models
  • using premium support for Medicare
  • the relationship between clinician services and other Medicare services
  • payments from drug and device manufacturers to physicians and teaching hospitals in 2015
  • the medical device industry
  • stand-alone emergency departments
  • hospital and skilled nursing facility use by Medicare beneficiaries who reside in nursing facilities
  • the role of Medicare policy in provider consolidation

To learn more about MedPAC’s annual report to Congress, see this MedPAC news release, this fact sheet, and the report itself.

MedPAC Meets

The Medicare Payment Advisory Committee met last week in Washington, D.C.

Among the issues on MedPAC’s agenda were:

  • using premium support in Medicare
  • regional variation in Medicare Part A, Part B, and Part D spending and service use
  • measuring low-value care in Medicare
  • the role of Medicare policy in provider consolidation

Find the issue briefs and presentations that supported MedPAC commissioners’ discussion of these issues here and find a transcript of the two days of meetings here.

MedPAC Offers Provider Rate Recommendations for FY 2018

The Medicare Payment Advisory Commission has submitted its annual Medicare payment rate recommendations to Congress.

The recommendations, required by law, include:

  • rate increases as required by current law for hospital inpatient payments, hospital outpatient payments, physicians, other health professional services, and outpatient dialysis payments;
  • no updates for ambulatory surgical centers, skilled nursing facilities, long-term-care hospitals, and hospices; and
  • five percent rate reductions for home health agencies and inpatient rehabilitation facilities.

MedPAC continued its past practice of recommending reform of the manner in which Medicare pays for post-acute-care services, maintaining that the unified payment system it has proposed would save $30 billion over the next ten years.

The report also addresses the status of the Medicare Advantage program and the Medicare prescription drug program (Medicare Part D).

While MedPAC’s recommendations to Congress are not binding, they are highly influential and often form the basis for future public policy.

Learn more about MedPAC’s recommendations in this fact sheet with highlights of the agency’s March 2017 report to Congress or the report itself, which can be found here.

MedPAC Meets, Discusses Issues

Members of the Medicare Payment Advisory Commission met for two days last week in Washington, D.C. to discuss a number of policy issues important to health care providers.  Among those issues were:

  • a unified payment system for post-acute care
  • hospital and skilled nursing facility use by Medicare beneficiaries who reside in nursing homes
  • refining merit-based incentive payment systems (MIPS) and Advanced Alternative Payment Systems (A-APMs) to encourage primary care

Go here to see the issue briefs and presentations used to guide MedPAC commissioners’ deliberations.

MedPAC Meets

Last week the independent agency that advises Congress on Medicare payment issues met for two days in Washington, D.C.

new medpacAmong the issues on the agenda of the Medicare Payment Advisory Commission were:

  • payments for hospital inpatient and outpatient services, ambulatory surgery centers, dialysis facilities, and hospice care
  • payments for post-acute-care providers
  • a unified payment system for post-acute-care services
  • Medicare Advantage
  • Medicare Part B and Part D payments
  • Medicare-covered primary care services
  • implementation of the Medicare Access and CHIP Reauthorization Act of 2015

Go here for links to the issue briefs and presentations used at the MedPAC meeting and for a transcript of the meeting.