REPORT TO THE CONGRESS Medicare and the Health Care Delivery System
MedPAC June 14, 2019
Executive summary
As part of its mandate from the Congress, each June the Commission reports on refinements to Medicare payment systems and issues affecting the Medicare program, including broader changes in health care delivery and the market for health care services. The 12 chapters of this report include:
• Beneficiary enrollment in Medicare: Eligibility notification, enrollment process, and Part B late-enrollment penalties. Under current law, the government does not notify all individuals that
they are eligible for Medicare. As a result, eligible persons who are not notified might not enroll in Part
B when required to do so and then have to pay a lateenrollment penalty. We suggest several steps to help
rectify this issue.
• Restructuring Medicare Part D for the era...