CHA News Article

MACPAC and MedPAC Release Annual Reports to Congress

The Medicaid and CHIP Payment and Access Commission (MACPAC) has released its annual report to Congress providing policy and data analysis on a wide range of issues affecting Medicaid and the Children’s Health Insurance Program (CHIP). Of particular interest to hospitals, MACPAC examined the policy implications of non-disproportionate share hospital (DSH) supplemental payments (e.g. provider tax or fee program) through an analysis of five state Medicaid programs’ payment and financing approaches. The data confirmed that non-DSH supplemental payments can be a significant source of Medicaid payments, particularly to hospitals, but more data on both health care related taxes and supplemental payment are needed to meaningfully analyze the adequacy of Medicaid payments at either the state or provider level.

MACPAC recommends the Department of Health and Human Services collect provider level non-DSH supplemental payment data in order to better understand and evaluate the adequacy of Medicaid payments to providers. The full report, including an updated MACStats section, is available at .

The Medicare Payment Advisory Commission (MedPAC) also released its annual report on Medicare payment policy. The report includes MedPAC’s final recommendations to Congress as voted on in January and reported in CHA News on Jan. 17. MedPAC’s full report is available from its website,