MEDICARE PAYMENT ADVISORY COMMISSION RELEASES REPORT ON MEDICARE AND THE HEALTH CARE DELIVERY SYSTEM

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®

Washington, DC, June 15, 2018—Today the Medicare Payment Advisory Commission (MedPAC) releases its June 2018 Report to the Congress: Medicare and the Health Care Delivery System. As part of its mandate from the Congress, each June MedPAC reports on issues affecting the Medicare program as well as broader changes in health care delivery and the market for health care services.

The 407-page (10 chapters) report speaks to these topics as briefly described in the News Release and Fact Sheet :

  • Chapter 1: The effects of the Hospital Readmissions Reduction Program
  • Chapter 2: Using payment to ensure appropriate access to and use of hospital emergency department services
  • Chapter 3: Rebalancing Medicare’s physician fee schedule toward ambulatory evaluation and management services
  • Chapter 4: Paying for sequential stays in a unified prospective payment system for post-acute care
  • Chapter 5: Encouraging Medicare beneficiaries to use higher-quality post-acute care providers
  • Chapter 6: Issues in Medicare’s medical device payment policies
  • Chapter 7: Applying the Commission’s principles for measuring quality: Population-based measures and hospital quality incentives
  • Chapter 8: Medicare accountable care organization models: Recent performance and long-term issues
  • Chapter 9: Managed care plans for dual-eligible beneficiaries and
  • Chapter 10: Medicare coverage policy and use of low-value care

The Fact Sheet provides a bit more detail on the issues examined than does the News Release while the 12-page Executive Summary provides the reader with an overview of the Commission’s recommendations. The report itself provides more in-depth information about the background of each issue and the Commission’s conclusions. It also contains a cover letter to Congress, information regarding the Commission including its members and its responsibility established by the Balanced Budget Act of 1997 as well as the acronyms used throughout the report (and in our workplaces).

All 10 chapters are worth the read. I recommend LTC providers read Chapters 1, 4, 5 and 8 at a minimum. All acute and post-acute providers would benefit from reviewing the entire report.