The Medicare Payment Advisory Commission (MedPAC) is an independent, non-partisan legislative branch agency headquartered in
Washington, D.C.
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MedPAC was established by the
Balanced Budget Act of 1997
The Balanced Budget Act of 1997 () was an omnibus legislative package enacted by the United States Congress, using the budget Reconciliation (U.S. Congress), reconciliation process, and designed to balance the federal budget by 2002. This act wa ...
(P.L. 105–33). The BBA formed MedPAC by merging two predecessor commissions, the Prospective Payment Assessment Commission (ProPAC), established in 1983, and the Physician Payment Review Commission (PPRC), which formed in 1985.
The commission's 17 members bring diverse expertise in the financing and delivery of health care services. Commissioners are appointed to three-year terms (subject to renewal) by the
Comptroller General of the United States
The Comptroller General of the United States is the director of the Government Accountability Office (GAO, formerly known as the General Accounting Office), a legislative-branch agency established by Congress in 1921 to ensure the fiscal and ma ...
and serve part-time. Its primary role is to advise the
US Congress
The United States Congress is the legislature of the federal government of the United States. It is bicameral, composed of a lower body, the House of Representatives, and an upper body, the Senate. It meets in the U.S. Capitol in Washingto ...
on issues affecting the administration of the
Medicare program. Specifically the commission's mandate is to advise the US Congress on payments to private health plans participating in Medicare and health providers serving Medicare beneficiaries. MedPAC is also relied on by Medicare administrators and policy makers to evaluate beneficiaries' access to care and the quality of care received. MedPAC's mandate is broad enough that it can also evaluate other issues affecting Medicare.
[MedPAC]
About MedPAC.
Retrieved 2010-03-16.
MedPAC produces two major reports to the
United States Congress
The United States Congress is the legislature of the federal government of the United States. It is bicameral, composed of a lower body, the House of Representatives, and an upper body, the Senate. It meets in the U.S. Capitol in Washing ...
each year that contain recommendations to improve Medicare.
For example, its June 2008 report to Congress, "Reforming the Delivery System," made several recommendations along "a path to
bundled payment Bundled payment is the reimbursement of health care providers (such as hospitals and physicians) "on the basis of expected costs for defined episodes of care." It has been described as "a middle ground" between fee-for-service reimbursement (in wh ...
."
Current commissioners
:
[MedPAC]
MedPAC Commissioners.
Retrieved 2021-10-18.
* Chairman: Michael Chernew, Ph.D.
* Vice Chairman: Paul B. Ginsburg, Ph.D.
* Lynn Barr, M.P.H.
* Lawrence Casalino, M.D., Ph.D.
* Brian DeBusk, Ph.D.
* Stacie B. Dusetzina, Ph.D.
* Marjorie Ginsburg, B.S.N., M.P.H.
* David Grabowski, Ph.D.
* Jonathan Jaffery, M.D., M.S., M.M.M.
* Amol Navathe, M.D., Ph.D.
* Jonathan Perlin, M.D., Ph.D., M.S.H.A.
* Bruce Pyenson, F.S.A., M.A.A.A.
* Betty Rambur, Ph.D., R.N., F.A.A.N.
* Wayne J. Riley, M.D.
* Jaewon Ryu, M.D., J.D.
* Dana Gelb Safran, Sc.D.
* Pat Wang, J.D.
Commission leadership
* Executive Director: James E. Mathews, Ph.D.
* Deputy Director: Dana Kelley, M.P.A.
* Assistant Director: Stephanie Cameron, Sc.M.
* Chief Financial Officer: Mary Beth Spittel, M.S.
See also
*
Accountable care organization
An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitione ...
*
Independent Payment Advisory Board
The Independent Payment Advisory Board, or IPAB, was to be a fifteen-member United States Government agency created in 2010 by sections 3403 and 10320 of the Patient Protection and Affordable Care Act which was to have the explicit task of achiev ...
*
Medicare Advantage
Medicare Advantage (Medicare Part C, MA) is a capitated program for providing Medicare benefits in the United States. Under Part C, Medicare pays a private-sector health insurer a fixed payment. The insurer then pays for the health care expenses ...
*
Specialty Society Relative Value Scale Update Committee
The Specialty Society Relative Value Scale Update Committee or Relative Value Update Committee (RUC, pronounced "ruck") is a volunteer group of 31 physicians who have made highly influential recommendations on how to value a physician's work when ...
(or Relative Value Update Committee; RUC)
References
External links
Official MedPAC website
Agencies of the United States Congress
Medical and health organizations based in Washington, D.C.
Medicare and Medicaid (United States)
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