MedPAC Report Addresses Synchronizing Medicare Policy Across Payment Models


The Medicare Payment Advisory Commission (MedPAC) recently released its biannual report to Congress.  In the report, MedPAC addresses synchronizing Medicare policy across payment models.  Historically, there have been two payment models: (1) Medicare fee-for-service, and (2) Medicare Advantage.  Starting in 2012, however, Medicare introduced a third payment model: the Accountable Care Organization (ACO).  In the report, MedPAC explains that a “major issue is that Medicare’s payment rules and quality improvement incentives are different and inconsistent across the three payment models.”  Accordingly, MedPAC “is examining synchronizing policy across payment models with respect to spending benchmarks, quality measurement, and risk adjustment and will be examining synchronizing regulatory oversight.”

In the report, MedPAC also examines the following issues:  

  • improving risk adjustment in the Medicare program;
  • reevaluating current approaches to measuring the quality of care in Medicare;
  • aligning financial assistance policies for low-income beneficiaries;
  • paying for primary care using a per beneficiary payment;
  • addressing Medicare payment differences across post-acute settings; and
  • measuring the effects of medication adherence on medical spending for the Medicare population.

The MedPAC report is available here.

Reporter, Stephanie Johnson, Atlanta, +1 404 572 4629,

Written by:

Published In:

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© King & Spalding | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »

All the intelligence you need, in one easy email:

Great! Your first step to building an email digest of JD Supra authors and topics. Log in with LinkedIn so we can start sending your digest...

Sign up for your custom alerts now, using LinkedIn ›

* With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name.