Medicare Payment Advisory Commission (MedPAC)

By: Meredith Miller
Published: Monday, March 11 2019
Last Updated: 4 months ago

One of the common debates of today is spurred by a little US government agency known simply as MedPAC (formally known as the Medicare Payment Advisory Commission). The debate is whether it's even important to the world of medical, much less the citizens who the medical field serves. Hopefully, we can shed some light on this today as well as help you develop a better understanding of what exactly it is that MedPAC does day in and day out.

What Is MedPAC?

Brought to life by the Balanced Budget Act of 1997, MedPAC is an independent federal body that calls Washington DC home. As far as operations are concerned, those who serve do so on 3-year terms after being selected by the Comptroller of the United States. The most common tasks that it's in charge of handling includes, but shall not be limited to:

  • Evaluation of how patients go about accessing care and the quality of care they receive.
  • Letting congress know about payments made to providers from Medicare and anything that could have a direct impact on the results that are produced.
  • Sharing information about issues that directly affect Medicare administration.

Who is in charge?

The Medicare Payment Advisory Commission is headed up by an executive director that oversees its operation and helps envision processes and reviews to make sure it is aligned with the agency's overall purpose. At the time of this writing, the executive director is James E. Mathews. Every 3 years, you usually see new faces throughout every staff position, but it's not uncommon to have their terms side-by-side with the terms of the president that's in office during the time of their presence as members/staff of MedPAC.

Aside from the executive director, there's a commission of MedPAC members watching him and the entire agency itself. Below are the ones who were on the commission at the time of development.

  • Francis J. Crosson
  • Jon B. Christianson
  • Amy Bricker
  • Kathy Buto
  • Brian DeBusk
  • Karen DeSalvo
  • Marjorie Ginsburg
  • Paul Ginsburg
  • David Grabowski
  • Johnathan Jaffery
  • Johnathan Perlin
  • Bruce Pyenson
  • Jaewon Ryu
  • Dana Geld Safran
  • Warner Thomas
  • Susan Thompson
  • Pat Wang

Medicare Payment Advisory Commissioner Areas of Research

The medical industry is far from a small sector, and Medicare makes sure that it also covers the same areas so that they always know they're updated. Since its aim is to help make things easier for medical professionals who are MedPAC members in their own sense, while testing the value produced to customers, it's constantly evolving.

Some of the areas of research include medical sectors such as:

  • Ambulatory Care Settings
  • Beneficiaries and Coverage
  • Delivery and Payment Reform
  • Drugs, Devices, Tests
  • Hospitals
  • Medicare Spending and Financing
  • Physicians and Other Health Professionals
  • Private Plans
  • Post-Acute Care Settings
  • Quality
  • Regional Issues

Impact On Prescriptions

The Medicare prescription program is one of the most critical aspects of Medicare due to the part it plays upholding the health of those across the country. In order to make sure it's as strong as possible, MedPAC prescriptions process requires those involved to conduct periodic reviews the processes and regulations used to administer the program. MedPAC prescriptions have led to pricing that's reasonable for medications, safer selections, and the most viable solutions possible for patients.

Impact On Telehealth

Since Medicare does, in fact, cover telehealth, it makes sense that MedPAC plays a role in overseeing the new age program. If you are unfamiliar with telehealth and Medicare, it refers to healthcare services administered via the internet, video, telephone, or any other remote communication method.

Where to Find the Next MedPAC Meeting

Thankfully, we have a tech to make things easier for us once again. You'll find that the tickets are cheaper when purchased in advance rather than waiting to buy at the door. Plus, at the door you have the chance of them selling out before you get your ticket, leaving you with nothing but wasted time. Just go to the official MedPAC website, they have a page for their various requirements.