Tag: Medicare Payment Advisory Commission (MedPAC)
GAO names new MedPAC members
May 28, 2024HME News Staff
WASHINGTON – The U.S. Government Accountability Office has appointed two new members to the Medicare Payment Advisory Commission (MedPAC) and reappointed four current members. The newly appointed members are Paul Casale, MD, MPH, executive director of NewYork Quality Care and Professor of Population Health Sciences and Clinical Medicine at Weill Cornell Medicine, and Joshua Liao, MD, MSc, professor of medicine and division chief of general internal medicine at the University...
In brief: Industry’s reimbursement uncertainty, MedPAC’s MA takedown, CMS’s Change flexibilities
March 20, 2024HME News Staff
WASHINGTON – Industry stakeholders are on the hunt for another vehicle for their legislation to extend the 75/25 blended Medicare reimbursement rate in non-rural areas through 2024.
AAHomecare reports that its lobbyists and HME advocates on the Hill have indicated that reimbursement relief will not be included in a second segment of appropriations language that must pass Congress by March 22 to prevent another government shutdown.
“We will continue to look for other...
MedPAC on MA: ‘Major overhaul’ needed
March 19, 2024HME News Staff
WASHINGTON – When accounting for favorable selection of enrollees in Medicare Advantage and higher coding intensity, Medicare spends approximately 22% more for MA enrollees than for FFS Medicare enrollees, a difference that translates into a projected $83 billion in 2024, according to an annual report from the Medicare Payment Advisory Committee (MedPAC).
Additionally, premiums will be about $13 billion higher in 2024 because of higher MA spending, according to MedPAC’s “2024...
New data book provides dual-eligible landscape
January 23, 2024HME News Staff
WASHINGTON – People who are dually eligible for Medicare and Medicaid account for a disproportionate share of spending in both programs, according to an updated data book from MedPAC and MACPAC.
Dual-eligible beneficiaries totalled 19% of the Medicare population in 2021 but accounted for 35% of Medicare spending. Similarly, dual-eligible beneficiaries accounted for 13% of all Medicaid beneficiaries but 27% of Medicaid spending.
“The existence of separate Medicaid and...
In brief: MedPAC details spending, FTC slaps Surescripts
August 2, 2023HME News Staff
WASHINGTON – The Medicare Payment Advisory Commission (MedPAC) has released its 2023 data book on health care spending and the Medicare program.
The 200-page report provides Medicare data on spending, demographics, beneficiary access to care, and quality of care, among other information.
Among MedPAC’s findings:
Medicare was the largest single purchaser of personal health care in the U.S., gobbling up 24% of total spend;
Medicare spending...
MedPAC makes payment recommendations
March 20, 2023HME News Staff
WASHINGTON – MedPAC recommends a higher-than-current law fee-for-service payment update in 2024 for acute care hospitals, as part of its March 2023 “Report to Congress: Medicare Payment Policy.” It also recommends positive updates for clinicians paid under the physician fee schedule and outpatient dialysis facilities; and negative updates for skilled nursing facilities, home health agencies and inpatient rehabilitation facilities. Additionally, it recommends a positive payment update...
MedPAC provides data on dual-eligibles
February 6, 2023HME News Staff
WASHINGTON – The Medicare Payment Advisory Commission (MedPAC) and CHIP Payment and Access Commission (MACPAC) have released an updated data book, “Beneficiaries Dually Eligible for Medicare and Medicaid,” that presents information on the demographic and other personal characteristics, expenditures and health care utilization of individuals who were dually eligible for Medicare and Medicaid coverage in 2020. “We hope these data will provide a comprehensive picture of program...
MedPAC, MACPAC update data book
February 3, 2022HME News Staff
WASHINGTON – MedPAC and the Medicaid and CHIP Payment and Access Commission (MACPAC) have released the newly updated data book, Beneficiaries Dually Eligible for Medicare and Medicaid. This version of the book is the first to use data from the Transformed Medicaid Statistical Information System, which captures more recent data and information than previously available. The book compares subgroups of dually eligible beneficiaries, including those with full versus partial benefits and those...
In brief: MedPAC finds no change in health outcomes, CMS suspends CERT reviews
April 17, 2020HME News Staff
WASHINGTON - Medicare spending for diabetes testing supplies decreased by 88% between 2010-2017, according to a new report from the Medicare Payment Advisory Commission, but health outcomes have remained stable.
Since the national mail-order program was implemented in 2013, the use of diabetes testing supplies is down overall, but retail sales of supplies is up, says the report, “Examining Impacts of the National Mail-Order Program on Medicare Service Utilization and Beneficiary Health Outcomes.”
MedPAC...
In brief: Stakeholders now await final rule on bidding, MedPAC comments on proposed changes
September 14, 2018HME News Staff
WASHINGTON - A CMS proposed rule that, among other things, outlined changes to the competitive bidding program drew 514 comments by a Sept. 10 deadline.“This is an incredible leap from last week, when we reported 216 submissions,” VGM stated in a bulletin. “These comments are crucial to demonstrating the need for additional relief for the non-rural areas among the other areas where CMS fell short in their proposals.”The comments, which are public, can be read here.In...