Titre : Commission consultative indépendante MEDPAC (USA)

Commission consultative indépendante MEDPAC (USA) : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Rôle de MEDPAC 5

#1

Quel est le rôle principal de MEDPAC ?

MEDPAC conseille le Congrès sur les politiques de paiement de Medicare.
Medicare Politique de santé
#2

Qui compose la Commission MEDPAC ?

MEDPAC est composé d'experts en santé, économistes et professionnels du secteur.
Commissions consultatives Économie de la santé
#3

Comment MEDPAC influence-t-il les politiques ?

MEDPAC émet des recommandations basées sur des analyses de données et des études.
Analyse de données Recommandations politiques
#4

MEDPAC évalue-t-il la qualité des soins ?

Oui, MEDPAC évalue la qualité des soins dans le cadre de ses recommandations.
Qualité des soins Évaluation des soins
#5

MEDPAC publie-t-il des rapports ?

Oui, MEDPAC publie des rapports annuels sur les tendances et les recommandations.
Rapports Tendances en santé

Défis et critiques 5

#1

Quels défis MEDPAC rencontre-t-il ?

MEDPAC fait face à des défis liés à la complexité des systèmes de santé et des coûts.
Défis en santé Systèmes de santé
#2

MEDPAC est-il critiqué pour ses recommandations ?

Oui, certaines recommandations de MEDPAC sont critiquées par divers groupes d'intérêt.
Critiques Groupes d'intérêt
#3

Comment MEDPAC répond-il aux critiques ?

MEDPAC répond aux critiques par des analyses supplémentaires et des ajustements.
Réponse aux critiques Analyse approfondie
#4

MEDPAC doit-il s'adapter aux changements ?

Oui, MEDPAC doit s'adapter aux évolutions du système de santé et des besoins.
Adaptation Évolutions en santé
#5

Quels sont les enjeux futurs pour MEDPAC ?

Les enjeux futurs incluent le financement, l'accès et l'innovation dans les soins.
Enjeux futurs Innovation en santé

Impact sur Medicare 5

#1

Quel impact MEDPAC a-t-il sur Medicare ?

MEDPAC influence les changements de politique et les ajustements de paiement.
Medicare Ajustements de paiement
#2

MEDPAC traite-t-il des coûts des soins ?

Oui, MEDPAC analyse les coûts des soins pour formuler des recommandations.
Coûts des soins Analyse économique
#3

Comment MEDPAC aborde-t-il l'accès aux soins ?

MEDPAC évalue l'accès aux soins et propose des solutions pour l'améliorer.
Accès aux soins Équité en santé
#4

MEDPAC s'occupe-t-il des soins préventifs ?

Oui, MEDPAC recommande des politiques pour promouvoir les soins préventifs.
Soins préventifs Politique de santé
#5

MEDPAC évalue-t-il les inégalités en santé ?

Oui, MEDPAC examine les inégalités en santé dans ses analyses.
Inégalités en santé Évaluation des soins

Recommandations et rapports 5

#1

Quels types de recommandations MEDPAC fait-il ?

MEDPAC fait des recommandations sur les paiements, l'accès et la qualité des soins.
Recommandations Qualité des soins
#2

À quelle fréquence MEDPAC publie-t-il des rapports ?

MEDPAC publie des rapports annuels et des rapports spéciaux selon les besoins.
Rapports annuels Publications
#3

Les recommandations de MEDPAC sont-elles contraignantes ?

Non, les recommandations de MEDPAC ne sont pas contraignantes mais influentes.
Recommandations Influence politique
#4

MEDPAC consulte-t-il d'autres organismes ?

Oui, MEDPAC collabore avec d'autres organismes pour des analyses approfondies.
Collaboration Analyse de données
#5

Comment les rapports de MEDPAC sont-ils utilisés ?

Les rapports de MEDPAC sont utilisés par le Congrès pour orienter les décisions politiques.
Utilisation des rapports Décisions politiques
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Dr Olivier Menir

Contenu validé par Dr Olivier Menir

Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale


Validation scientifique effectuée le 05/05/2026

Contenu vérifié selon les dernières recommandations médicales

Auteurs principaux

Amol S Navathe

8 publications dans cette catégorie

Affiliations :
  • Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
  • Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania 19104, USA.
  • Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

Joshua M Liao

6 publications dans cette catégorie

Affiliations :
  • Department of Medicine, School of Medicine, University of Washington, Seattle, Washington 98195, USA; email: joshliao@uw.edu.
  • Value and Systems Science Lab, School of Medicine, University of Washington, Seattle, Washington 98195, USA.
  • Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

Karen E Joynt Maddox

5 publications dans cette catégorie

Affiliations :
  • Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, Missouri.
  • Center for Health Economics and Policy, Institute for Public Health, Washington University in St Louis, St Louis, Missouri.
  • Associate Editor, JAMA.

Andrew M Ryan

4 publications dans cette catégorie

Affiliations :
  • School of Public Health, Brown University, Providence, Rhode Island.

Jie Zheng

4 publications dans cette catégorie

Affiliations :
  • Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Virginia Wang

4 publications dans cette catégorie

Affiliations :
  • Departments of Population Health Sciences.
  • Medicine, Duke University School of Medicine.
  • Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System.

Caroline E Sloan

4 publications dans cette catégorie

Affiliations :
  • Medicine, Duke University School of Medicine.
  • Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System.

Matthew L Maciejewski

4 publications dans cette catégorie

Affiliations :
  • Departments of Population Health Sciences.
  • Medicine, Duke University School of Medicine.
  • Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System.

Rachel M Werner

3 publications dans cette catégorie

Affiliations :
  • Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
  • Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania 19104, USA.
  • Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

Baris Gulseren

3 publications dans cette catégorie

Affiliations :
  • School of Public Health, University of Michigan, Ann Arbor.
  • Center for Evaluating Health Reform, University of Michigan, Ann Arbor.

Arnold M Epstein

3 publications dans cette catégorie

Affiliations :
  • Division of General Internal Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
  • Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Publications dans "Commission consultative indépendante MEDPAC (USA)" :

Cynthia J Coffman

3 publications dans cette catégorie

Affiliations :
  • Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System.
  • Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC.
Publications dans "Commission consultative indépendante MEDPAC (USA)" :

Abby Hoffman

3 publications dans cette catégorie

Affiliations :
  • Departments of Population Health Sciences.
  • Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC.

Qian Huang

3 publications dans cette catégorie

Affiliations :
  • Qian Huang is a statistical analyst in the Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania.

E John Orav

3 publications dans cette catégorie

Affiliations :
  • Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.

Hyunjee Kim

3 publications dans cette catégorie

Affiliations :
  • Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, Oregon, USA.

Thomas H A Meath

3 publications dans cette catégorie

Affiliations :
  • Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, Oregon, USA.

Michael L Barnett

2 publications dans cette catégorie

Affiliations :
  • Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Publications dans "Commission consultative indépendante MEDPAC (USA)" :

Michael E Chernew

2 publications dans cette catégorie

Affiliations :
  • Harvard Medical School, Boston, Massachusetts.

Erin Trish

2 publications dans cette catégorie

Publications dans "Commission consultative indépendante MEDPAC (USA)" :

Sources (1498 au total)

Medicare Payment for Opioid Treatment Programs.

Medicare began paying for medications for opioid use disorder (MOUD) at opioid treatment programs (OTPs) that dispense methadone and other MOUD in January 2020. There has been little research describi... To describe how many and which Medicare beneficiaries receive care from OTPs and how this compares to those receiving MOUD in other settings.... This cross-sectional study included all patients receiving MOUD care identified in 2019-2022 100% US Medicare Parts B and D claims. Patients receiving care in an OTP who were dually insured with Medic... Receiving MOUD care in an OTP.... Comparisons of 2022 beneficiaries treated in OTPs vs other non-OTP settings in 2022.... The share of Medicare beneficiaries treated by OTPs rose steadily from 4 per 10 000 (14 160 beneficiaries) in January 2020 to 7 per 10 000 (25 596 beneficiaries) in August 2020, then plateaued through... This study showed that since the initiation of Medicare OTP coverage in 2020, there has been a rapid increase in the number of Medicare beneficiaries with claims for OTP services for MOUD, and most OT...

Gender Differences in Medicare Practice and Payments to Neurosurgeons.

Despite efforts to promote diversity within the neurosurgical workforce, individuals from underrepresented groups face significant challenges.... To compare practice metrics and earning potential between female and male neurosurgeons and investigate factors associated with gender disparity in Medicare reimbursement.... This retrospective cross-sectional study used publicly accessible Medicare data on reimbursements to female and male neurosurgeons for procedural and evaluation and management services delivered in bo... The primary outcome was the mean annual payments received and charges submitted by female and male neurosurgeons for services rendered between 2013 and 2020. Secondary outcomes included the total numb... A total of 6052 neurosurgeons (5540 men [91.54%]; 512 women [8.46%]) served the Medicare fee-for-service patient population. Female neurosurgeons billed for lesser Medicare charges (mean [SE], $395 85... This study found significant gender-based variation in practice patterns and reimbursement among neurosurgeons serving the Medicare fee-for-service population. Female surgeons were reimbursed less tha...

Growth of Medicare Advantage After Plan Payment Reductions.

Various policy proposals would reduce federal payments to Medicare Advantage (MA) plans. However, it is unclear whether payment reductions would compromise beneficiary access to the MA program.... To quantify the association between MA payment reductions under the Affordable Care Act (ACA) and MA enrollment growth.... This retrospective cohort study examined the MA market before and after the ACA, which mandated cuts to MA benchmark payment rates. Using 2008 to 2019 county-level enrollment and payment data, a diffe... The primary outcome was the MA enrollment rate, defined as the proportion of a county's Medicare beneficiaries enrolled in MA. A secondary analysis examined MA plan payments per member per month.... Among 3138 counties with 37 639 county-year observations, ACA-induced benchmark cuts were sizeable and varied, ranging from 0% to 42.9% (mean [SD], 5.9% [6.6%]). Counties with benchmark cuts above the... This cohort study found no evidence that the MA benchmark and ensuing payment cuts imposed by the ACA were associated with reduced MA enrollment, compromising access to MA. This evidence can inform on...

Medicare payment trends compared to inflation for anesthesia services.

Identify changes and trends in the real value of Medicare payments for anesthesia services between 2000 and 2020 and how it may affect practices.... Retrospective analysis.... We utilized the Physician/Supplier Procedure Summary (PSPS) datasets of Medicare Part B claims to identify high volume anesthesia services in 2020 with 20 years of data. The Consumer Price Index was u... The PSPS datasets contain summaries of all annual Medicare Part B claims and payment amounts by carrier and locality.... Patients receiving anesthesia services.... For each service, identified by Current Procedural Terminology (CPT) codes, we trended the average Medicare payment per procedure from 2000 to 2020 and calculated year to year changes and compound ann... The average Medicare payment in the study sample increased 20.1% from 2000 to 2020. After adjusting for inflation, the average Medicare payment per anesthesia service decreased by 20.8% over that peri... Average Medicare payment for common anesthesia services after adjusting for inflation have decreased from 2000 to 2020, consistent with findings in other physician specialties. Understanding these tre...

Variation in Ischemic Stroke Payments in the USA: A Medicare Beneficiary Study.

The growing cost of stroke care has created the need for outcome-oriented and cost-saving payment models. Identifying imbalances in the current reimbursement model is an essential step toward designin... This Medicare Fee-For-Service claims study examines USA beneficiaries who suffered an ischemic stroke from 2021Q1 to 2022Q2 identified using the Medicare-Severity Diagnosis-Related Groups (MS-DRGs). D... 227,273 ischemic stroke cases were included in our analysis. Significant variations were observed among all DRGs defined by medical complexity, treatment modality, and states (p < 0.001). Differenc... The payment variability observed across USA suggests that the current reimbursement system needs to be aligned with stroke treatment costs. Future studies may go one step further to evaluate accurate ...

Trends in Medicare Submitted Charges to Allowed Payment Ratios for Ophthalmology Services.

Many physicians charge more than the Medicare insurance program pays. Current charge-to-payment ratios in ophthalmology and trends over the years are unknown. In this work, we examined physician charg... We utilized data from 100% final-action physician/supplier Part B Medicare fee-for-service (FFS) population from 2015 to 2020. We retrieved data on ophthalmic procedures and consultations, both facili... We find that the median charge-to-payment ratio for all current procedural terminology (CPT) codes in 2020 was 2.23 (Interquartile range (IQR): 1.54-3.27) as compared to 2.00 (IQR: 1.39-2.92) in 2015,... We found that the submitted charge-to-Medicare payment ratios among ophthalmic procedures and consultations have steadily increased since 2015. However, there was a relatively low rate of excess charg...

Medicare Payments and ACOs for Dementia Patients Across Race and Social Vulnerability.

This study investigated variations in Medicare payments for Alzheimer's disease and related dementia (ADRD) by race, ethnicity, and neighborhood social vulnerability, together with cost variations by ... We used merged datasets of longitudinal Medicare Beneficiary Summary File (2016-2020), the Social Vulnerability Index (SVI), and the Medicare Shared Savings Program (MSSP) ACO to measure beneficiary-l... Among those newly diagnosed, Black and Hispanic patients encountered higher total costs compared to White patients, and ADRD patients living in the most vulnerable areas experienced the highest total ... Black and Hispanic ADRD patients and ADRD patients living in areas with higher social vulnerability would gain more from ACO enrollment compared to their counterparts....