September 30, 2014

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September 29, 2014

Medicare Payment Advisory Commission (MedPAC) Recommends Changes in Medicare Payments

On Friday, March 15, 2013, the Medicare Payment Advisory Commission (MedPAC) released its annual report to Congress in which it recommended annual rate adjustments for Medicare’s fee-for-service providers.  A copy of the 435-page report is available here and the executive summary is available here.

Specifically, MedPAC made recommendations related to inpatient and outpatient hospitals; physicians and other health care providers; ambulatory surgical centers; outpatient dialysis; skilled nursing facilities; home health agencies; inpatient rehabilitation facilities; long-term care hospitals; and hospice.  In addition, MedPAC’s March report also discussed the status of the Medicare Advantage and Medicare Part D programs.

MedPAC is required by Congress to provide annual “updates” – or changes to Medicare payment policies.  While MedPAC is widely seen as an influential body, its recommendations have no force of law – Congress must enact legislation to implement MedPAC’s recommendations.

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About this Author

Medicare Reimbursement and Health Policy Director

Anna Schwamlein Howard is the Medicare Reimbursement & Health Policy Director in the firm’s Health Government Relations team.

A nationally recognized authority on health care reform issues, Anna has considerable experience in government relations and regulatory affairs. Specifically, she has extensive knowledge with the Medicare Modernization Act, medical privacy and prescription drug issues, Medicare physician payment legislation, the Affordable Care Act, and other federal health issues impacting the lives of older Americans.

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