Tag: Medicare Payment Advisory Commission (MedPAC)
MedPAC report recommends increased pay for physicians, increased oversight of Medicare Advantage
March 16, 2026HME News Staff
WASHINGTON – The Medicare Payment Advisory Committee (MedPAC) recommends updating payments above current law for physicians and other health care professional services. It also recommends eliminating the update for outpatient dialysis services and hospice services; and reducing payments for skilled nursing facilities, home health agencies and inpatient rehabilitation facilities.
In its March 2026 Report to the Congress: Medicare Payment Policy, MedPAC also recommends updating payments at...
MedPAC, MACPAC publish data book on dual eligibles
December 3, 2025HME News Staff
WASHINGTON – The Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC) have released a newly updated data book: Beneficiaries Dually Eligible for Medicare and Medicaid.
This edition describes the dually eligible population’s composition, service use and spending in calendar year 2022, and includes new data on Medicaid service use and spending for dually eligible beneficiaries in...
In brief: Waud Capital’s new partner, CMS’s warning to states, MedPAC’s spending analysis
July 23, 2025HME News Staff
CHICAGO – Private equity firm Waud Capital has announced a strategic executive partnership with Bill Mixon, former CEO of Advanced Diabetes Supply (ADS), to acquire a platform investment in the medical device and health care supply chain services market.
The firm plans to invest over $100 million in equity capital to support this initiative, targeting high-growth opportunities in the fragmented health care supply chain sector.
“We are thrilled to partner with Bill,”...
MedPAC details health care spending
July 21, 2025HME News Staff
WASHINGTON – The Medicare Payment Advisory Commission (MedPAC) has released its 2025 data book on health care spending and the Medicare program.
The data book includes Medicare’s share of national spending on personal health care varied by type of service for 2023, including durable medical equipment (DME). Medicare’s share of spending on DME was 21%, while Medicaid and CHIP were 30% and other was 64%. Other includes private health insurance, out-of-pocket spending, and other...
AMA supports MedPAC on payment update
January 20, 2025HME News Staff
WASHINGTON – The American Medical Association supports a recommendation from MedPAC to link next year’s physician payment update to the growth in the cost of providing care. MedPAC recently voted to recommend a 2026 payment update of Medicare Economic Index minus 1%, slightly adjusting the formula it endorsed last year to increase payment by 50% of MEI. “While neither recommendation covers the estimated inflation that physician practices face, both approaches embrace the fact that...
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...