On March 13, the Medicare Payment Advisory Commission (MedPAC), an independent congressional agency, released its March 2025 report to Congress.  It contains recommendations–not mandates for action–on topics including an assessment of payment adequacy and access across Medicare settings. An upcoming report, scheduled for June, usually includes chapters with more long term work that the commission is undertaking.

Recommendations and highlights from the March report include:

• Home health base payment Fee for Service (FFS) 7%  base payment cut. We strongly disagree with and have pushed MedPAC to look at various aspects of the program.
• We are pleased that MedPAC is doing a deep dive on Medicare Advantage and home health and look forward to seeing that work published in June.
• Hospice base payment of no increase (i.e., flat reimbursement), which we also disagree with.
• Skilled Nursing Facility base payment FSS  3% cut, which we also disagree with.