Keeping Pace with Medicare Through MedPAC Protection Status
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By Glenda Motta RN, MPH

Anyone interested in keeping abreast of Medicare basics as well as payment policy should add the Medicare Payment Advisory Commission (MedPAC) to your list of resources. MedPAC, an independent congressional agency, advises the U.S. Congress on issues affecting the Medicare program. The Commission’s 17 members have diverse expertise in the financing and delivery of health care services.

MedPAC advises Congress on payments made to health plans participating in the Medicare Advantage program and providers in Medicare’s traditional fee-for-service program. In addition, the Commission analyzes access to care, quality of care, and other issues affecting Medicare beneficiaries.

At meetings open to the public, members discuss policy issues and formulate recommendations to Congress. In the course of these meetings, Commissioners consider the results of staff research, presentations by policy experts, and comments from interested parties. (Meeting transcripts are available here.)

Two reports—issued in March and June each year—contain Commission recommendations and are packed with helpful background information and data. The documents covering payment basics for each provider type are particularly helpful if you need a clearer understanding of what is often challenging to decipher. The website also lets you sign up for email and printed updates or reports as they become available.

As they say…the more you know!

To view the executive summary of the March 2012 Report to Congress, click here.
For the full report, click here.

About The Author
Glenda Motta RN, MPH is a reimbursement consultant and wound care expert, publishing over 125 articles and books, serving as the President of the WOCN (1987-1989), and founding GM Associates, Inc., a healthcare marketing and reimbursement firm.

The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, Kestrel Health Information, Inc., its affiliates, or subsidiary companies.

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