Medicare Payment Advisory Commission Report to the Congress: Medicare Payment Policy, March 2008 (379 pages, PDF). “The report contains five chapters:

• The first chapter provides context for the chapters that follow by documenting the rise in Medicare and total health care spending as a share of the economy.
• The report then assesses payment adequacy and provides the Commission’s update and other recommendations on eight payment systems in traditional Medicare.
• The report has two chapters on private plans—both Medicare Advantage plans and plans that provide prescription drug coverage only. Both chapters provide updated statistics on enrollment and offerings and offer recommendations for these programs.
• The last chapter of the report provides recommendations for improving participation in programs for low-income Medicare beneficiaries.”