From the Report Introduction:

The Medicare Payment Advisory Commission (MedPAC) is an independent congressional agency established by the Balanced Budget Act of 1997 (P.L. 105–33) to advise the U.S. Congress on issues affecting the Medicare program. Two reports—issued in March and June each year—are the primary outlets for Commission recommendations.

This report contains 13 chapters:

• a chapter that provides context for those that follow by documenting the rise in Medicare and total health care spending.
• a chapter that describes the Commission’s analytical framework for assessing payment adequacy.
• nine chapters that describe the Commission’s recommendations on rate updates and related issues, such as distribution of payments and program integrity, for nine payment systems used by traditional Medicare.
• a chapter with updated statistics on enrollment, plan offerings, and payments in Medicare Advantage plans.
• a chapter with updated statistics on enrollment and plan offerings for plans that provide prescription drug coverage.

Links:

• Download the report here