Medicare & Medicaid: Council on Medical Service reports

These Council reports anticipate and respond to Medicare and Medicaid program changes addressing such issues as program rules that impact medical practice, physician payment and the emergence of Alternative Payment Models (APMs).

2025

• Payment Models to Sustain Rural Hospitals (PDF) CMS Report 3-I-25
• Medicaid Estate Recovery Reform (PDF) CMS Report 5-A-25
• Prescription Medication Price Negotiation (PDF) CMS Report 6-A-25

2024

• Sustainable Payment for Community Practices (PDF) CMS Report 8-A-24

2023

• Monitoring of Alternative Payment Models within Traditional Medicare (PDF) CMS Report 1-I-23
• Medicaid Unwinding (PDF) CMS Report 5-I-23. Read the issue brief for this report: Medicaid Unwinding Update (PDF).
• Medicare Coverage of Dental, Vision and Hearing (PDF) CMS Report 02-A-23
• Bundled Payments and Medically Necessary Care (PDF) CMS Report 04-A-23

2022

• Incentives to Encourage Efficient Use of Emergency Departments (PDF) CMS Report 01-I-22
• Parameters of Medicare Drug Price Negotiation (PDF) CMS Report 04-A-22

2021

• Reducing Inequities and Improving Access to Insurance for Maternal Health Care (PDF) CMS-CSAPH joint report N-21
• End-of-Life Care (PDF) CMS Report 1-N-21
• Covering the Remaining Uninsured (PDF) CMS Report 3-N-21
• Integrating Care for Individuals Dually Eligible for Medicare and Medicaid (PDF) CMS Report 5-N-21. Read the issue brief for this report: Integrated Care for Individuals Dually Eligible for Medicare and Medicaid (PDF).
• Rural Hospitals (PDF) CMS Report 09-JUN-21. Read the issue brief for this report: Rural Hospitals (PDF).

2020

• Medicare Prescription Drug and Vaccine Coverage and Payment (PDF) CMS Report 3-November 2020
• Medicaid Reform (PDF) CMS Report 5-November 2020. Read the issue brief for this report: Medicaid Reform (PDF)
• Health Plan Initiatives Addressing Social Determinants of Health (PDF) CMS Report 7-November 2020

2019

• Improving Risk Adjustment in Alternative Payment Models (PDF) CMS report 3-I-19
• Medicare Coverage for Dental Services (PDF) CMS report 3-A-19
• Reclassification of Complex Rehabilitation Technology (PDF) CMS report 4-A-19
• Alternative Payment Models and Vulnerable Populations (PDF) CMS report 10-A-19

2018

• Coverage for Colorectal Cancer Screening (PDF) CMS/CSAPH joint report A-18
• The Site-of-Service Differential (PDF) CMS report 4-I-18. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF). Read research related to this report: A Comparison of Medicare Pay in the Office and Hospital Outpatient Settings (PDF).
• Addressing the Site-of-Service Differential (PDF) CMS report 8-A-18

2017

• Physician-Focused Payment Models: Reducing Barriers (PDF) CMS report 10-A-17. Read the issue briefs for this report: Physician-Focused APMs (PDF) and Reducing Barriers to PFPMs (PDF).
• Reaffirmation of AMA Policy Opposing Caps On Federal Medicaid Funding (PDF) CMS report 5-I-17

2016

• Affordable Care Act Medicaid Expansion (PDF) CMS report 2-A-16. Read the issue brief for this report: Taking Steps forward To Cover the Uninsured (PDF).
• Virtual Supervision of "incident To" Services (PDF) CMS report 5-A-16
• Billing of "incident To" Services (PDF) CMS report 8-A-16
• Physician-Focused Alternative Payment Models (PDF) CMS report 9-A-16. Read the issue briefs for this report: Physician-Focused APMs (PDF) and Reducing Barriers to PFPMs (PDF).
• Health Care While incarcerated (PDF) CMS report 2-I-16
• Providers and the Annual Wellness Visit (PDF) CMS report 3-I-16
• Concurrent Hospice and Curative Care (PDF) CMS report 4-I-16. Read the issue brief for this report: Hospice and Palliative Care (PDF). 

2015

• Physician Payment by Medicare (PDF) CMS report 2-A-15
• Improving Home Health Care (PDF) CMS report 8-A-15
• Medication Administration in Assisted Living Facilities (PDF) CMS report 9-A-15
• Hearing Aid Coverage (PDF) CMS report 6-I-15

2014

• Medicare Update Formulas Across Outpatient Sites of Service (PDF) CMS report 3-A-14. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).
• Analysis of Place-of-Service Code for Observation Services (PDF) CMS report 4-A-14
• Hospital Admissions and Patient Management Contractors (PDF) CMS report 1-I-14
• Medicaid Expansion Options and Alternatives (PDF) CMS report 5-I-14
• Medicaid Primary Care Payment increases (PDF) CMS report 7-I-14

2013

• Payment Variations Across Outpatient Sites of Service (PDF) CMS report 3-A-13. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).
• Delivery of Care and Financing Reform for Medicare and Medicaid Dually Eligible Beneficiaries (PDF) CMS report 5-A-13
• Hospital-Based Physicians and the Value Based Payment Modifier (PDF) CMS report 3-I-13
• Strengthening Medicare Through Competitive Bidding (PDF) CMS report 7-I-13

2012

• Medicaid Financing Reform (PDF) CMS report 1-A-12
• Medicaid Patient-Centered Medical Home Models (PDF) CMS report 3-A-12
• Basic Health Program (PDF) CMS report 5-A-12
• Strengthening Medicare for Current and Future Generations (PDF) CMS report 5-I-12

2011

• Physician Payment Reform Update (PDF) CMS report 1-A-11
• Medicaid Coverage of Adults in Psychiatric Hospitals (PDF) CMS report 3-A-11
• Pay for Value (PDF) CMS report 4-A-11
• Implementing Alternative Health Care Delivery and Physician Payment Models (PDF) CMS report 8-A-11
• Practice Expense Data and the Medicare Economic index (PDF) CMS report 1-I-11
• Medicare Financing Reform (PDF) CMS report 4-I-11
• Medicaid Waivers and Maintenance of Effort Requirements (PDF) CMS report 5-I-11

2009

• Medicare Physician Payment Reform (PDF) CMS report 6-A-09
• The Patient-Centered Medical Home (PDF) CMS report 8-A-09

2008

• The Medicare Trust Funds (PDF) CMS report 6-A-08
• Medicaid Long-Term Care Financing (PDF) CMS report 1-I-08
• Emerging Medicare Physician Payment Methodologies (PDF) CMS report 4-I-08
• Improving the Medicare Economic index (PDF) CMS report 6-I-08

2007

• No Child Left Uninsured (PDF) CMS report 1-A-07
• Strategies To Strengthen the Medicare Program (PDF) CMS report 10-A-07
• State Efforts To Expand Coverage To the Uninsured (PDF) CMS report 3-I-07
• Strategies To Strengthen the Medicare Program (PDF) CMS report 6-I-07

Additional information

Access all council reports prior to 2007 or learn more about the Council on Medical Service.