As part of its mandate from Congress, the Medicare Payment Advisory Commission (MedPAC) reports each June on improvements to Medicare payment systems and issues affecting the Medicare program, including changes to health care delivery and the market for health care services. This year’s report addresses approaches for updating clinician payments and incentivizing participation in alternative payment models, rural considerations for network adequacy standards and prior authorization in Medicare Advantage, assessing health care utilization data sources for Medicare Advantage enrollees, paying for software technologies in Medicare, and Medicare’s Acute Hospital Care at Home program.