ADVI Analysis: MedPAC December 2023 Meeting

MedPAC held a meeting on December 7-8, 2023 (link). The following relevant topics were discussed:

• Assessing payment adequacy and updating payments: Physician and other health professional services
• Assessing payment adequacy and updating payments: Hospital inpatient and outpatient services

ADVI Angle

Key takeaways from the December meeting include:

• Assessing payment adequacy and updating payments: Physician and other health professional services
  • Commissioners were generally supportive of the recommendations to update payment by half of the projected increase in Medicare Economic Index and establish add-on payments for services furnished to low-income beneficiaries.
• Assessing payment adequacy and updating payments: Hospital inpatient and outpatient services
  • MedPAC staff looked at hospital payment rates and how they related to access for beneficiaries.
  • Most commissioners reluctantly agreed to the recommendation to maintain payments high enough to ensure beneficiaries’ access but low enough to be close to hospitals’ cost of providing care to ensure value.

This is an abridged and delayed release. Full ADVI Analysis content is distributed in real time for retainer clients. Get in touch to learn more about how we can support your commercialization, market access, and policy needs.

---