MACPAC

What MACPAC does

MACPAC (Medicaid and CHIP Payment and Access Commission) is a non-partisan legislative branch agency of the United States federal government, established by Section 502 of the Patient Protection and Affordable Care Act of 2010 and headquartered at 1800 M Street NW, Suite 650 South, Washington, DC. The agency provides policy and data analysis and makes formal recommendations to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states on issues affecting Medicaid and the State Children's Health Insurance Program (CHIP), including eligibility, benefits, financing, program integrity, access to care, managed care, prescription drugs, long-term services and supports, and coverage for dually eligible beneficiaries.

Its core 'products' are policy publications rather than commercial goods: bi-annual Reports to Congress (March and June of each year), supplemented by Issue Briefs, Policy Briefs, Comment Letters, Fact Sheets, MACStats interactive data compilations, Contractor Reports, State Policy Compendia, Data Books, Congressional Testimony, and presentations from public meetings. MACPAC works through 4–6 publicly webcast meetings per year, conducts outreach to states, plans, providers, and beneficiaries, and accepts public comment at its meetings; its Commissioners are appointed by the Comptroller General of the United States.

The agency's business model is non-commercial. It is funded through annual Congressional appropriations and generates no revenue from product sales, services, licensing, or contracting beyond its statutory mandate. All publications are released to the public domain and freely downloadable from macpac.gov. There is no equity, no parent company, no subsidiaries, and no commercial transactions; the entity is not investable in a PE/VC/M&A sense and operates solely within the U.S. national policy advisory scope.

Name

MACPAC

Legal name

Medicaid and CHIP Payment and Access Commission

Website

https://macpac.gov

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

11–50 employees

Short description

MACPAC is a non-partisan U.S. federal legislative branch agency, established in 2010, that provides policy and data analysis and formal recommendations to Congress, the HHS Secretary, and states on Medicaid and CHIP issues, funded by Congressional appropriations.

Ownership category

akta.pro rank

Product category

Healthcare Policy Analysis

NAICS

Public Administration (92)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Medicaid/CHIP Dental & Vision Benefits Administration (FSAIAHAK)

Keywords

• Medicaid policy analysis
• CHIP policy recommendations
• Federal health policy advisory
• Medicaid financing analysis
• Healthcare program integrity

Headquarters

HQ city

Washington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure

Distribution channels2 records

Marketing channels5 records

Core offering

MACPAC (Medicaid and CHIP Payment and Access Commission) is a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to the U.S. Congress, the Secretary of Health and Human Services, and the states on issues affecting Medicaid and the State Children's Health Insurance Program (CHIP). It produces Reports to Congress (March and June annually), issue briefs, fact sheets, comment letters, MACStats data, and other publications, and holds regular public meetings to inform Medicaid and CHIP policy.

Product overview

MACPAC (Medicaid and CHIP Payment and Access Commission) is a non-partisan legislative branch agency that produces policy analysis and recommendations for Congress. The organization does not offer a commercial product suite; rather, it publishes a portfolio of policy publications including Reports to Congress, Issue Briefs, Fact Sheets, Comment Letters, Congressional Testimony, Data Books, MACStats, Policy Briefs, Contractor Reports, and State Policy Compendia. These publications cover topics such as Medicaid program integrity, pharmacy benefit managers, assistive technology coverage, children with special health care needs transitions, and prior authorization automation. The organization also holds regular public meetings to discuss Medicaid and CHIP issues.

Differentiator

Problem solved

Functional benefit

Products and services

• Reports to Congress
• Issue Briefs

Quantifiable outcome

• MACPAC provides analysis and recommendations that inform Congressional legislation and HHS regulatory decisions affecting Medicaid and CHIP programs serving millions of beneficiaries nationwide.

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Others

• KFF (Kaiser Family Foundation): KFF is a leading nonpartisan health policy research organization that extensively analyzes Medicaid and CHIP enrollment, spending, and policy. It complements MACPAC's analytic mission with independent research frequently cited alongside MACPAC publications.
• Commonwealth Fund: Commonwealth Fund conducts independent research on healthcare including Medicaid and CHIP performance, with policy briefs and scorecards that complement MACPAC's analytic output. It serves overlapping policy and research audiences.
• Bipartisan Policy Center (BPC): BPC's Health Program publishes analysis and recommendations on Medicaid and CHIP financing, delivery system reform, and long-term services and supports. Its advisory posture to Congress and state policymakers parallels MACPAC's role from a think-tank vantage point.

Direct peers

• Congressional Research Service (CRS): CRS provides non-partisan policy analysis directly to Members of Congress and their staff on virtually every legislative topic including Medicaid and CHIP. It shares MACPAC's non-partisan posture, Congressional customer base, and policy-reporting mission.
• MedPAC (Medicare Payment Advisory Commission): The direct statutory analog to MACPAC for Medicare. MedPAC is an independent legislative branch advisory body that analyzes Medicare payment, access, and quality issues and reports directly to Congress — the same operational model, customer set, and deliverable cadence as MACPAC, but for the Medicare program.
• National Academy for State Health Policy (NASHP): NASHP is a nonpartisan policy academy that conducts analysis on state health policy including Medicaid and CHIP, serving state Medicaid agencies directly. It complements MACPAC's state-level policy work with comparable publications and convenings targeted at state officials.

Broad incumbents

• Congressional Budget Office (CBO): CBO provides non-partisan budget and economic analysis to Congress, including scoring of Medicaid and CHIP legislation. While broader in scope, CBO shares MACPAC's legislative-branch advisory posture, customer base (Congress), and analytic publication cadence.
• Government Accountability Office (GAO): GAO is Congress's investigative and audit arm and routinely publishes reports on Medicaid program integrity, financing, and oversight. It shares MACPAC's legislative-branch customer set and publishes reports to Congress, though GAO's mandate spans the entire federal government.
• Centers for Medicare & Medicaid Services (CMS): CMS administers the Medicaid and CHIP programs that MACPAC advises on. While CMS is an operational regulator rather than an advisor, it is a primary consumer of MACPAC recommendations and shares deep subject-matter overlap in Medicaid financing, managed care, and program integrity.

Emerging players

• ASPE (HHS Office of the Assistant Secretary for Planning and Evaluation): ASPE is the principal policy advisory unit within HHS and produces data analysis and policy reports on Medicaid, CHIP, and broader health programs. It shares MACPAC's Medicaid analytic portfolio and serves overlapping executive-branch stakeholders.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/macpacgov
• YouTubeyoutube.com/channel/UCgX1mH5aQ0eJl0Z0Jl3tGvw
• LinkedInlinkedin.com/company/macpac
• Instagraminstagram.com/macpacgov

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about MACPAC