The federal Medicare program has an array of complex payment policies for health care providers, health plans, and prescription drug plans. Fortunately, the outstanding staff at the Medicare Payment Advisory Commission (MedPAC) offer a series of crisp primers on Medicare reimbursement policy. MedPAC updates these annually to reflect changes in CMS payment rules and Congressional legislation.

Medicare Hospital Payment Policies:

Medicare Post-Acute Provider Payment Policies:

Medicare Payment Policies for Physicians and Other Ambulatory Providers:

Medicare Health Plans and Prescription Drug Plan Payment Policies:

Medicare Payment Policies for Other Providers, Labs, Medical Equipment, and Supplies: