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 Collection: Congressional Research Service Reports
Increases in Tricare Costs: Background and Options for Congress

Increases in Tricare Costs: Background and Options for Congress

Date: October 23, 2008
Creator: Jansen, Don J.
Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
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Increases in Tricare Costs: Background and Options for Congress

Increases in Tricare Costs: Background and Options for Congress

Date: July 25, 2008
Creator: Jansen, Don J.
Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
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Increases in Tricare Costs: Background and Options for Congress

Increases in Tricare Costs: Background and Options for Congress

Date: May 14, 2009
Creator: Jansen, Don J.
Description: This report discusses budgetary matters for the U.S. Department of Defense (DOD), specifically regarding past instances of debate regarding the Tricare system. The dollar amounts allocated to health care in the budget of the DOD have more than doubled since FY2001, growing from about $17 billion to over $44.8 billion in FY2009.
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Increases in Tricare Costs: Background and Options for Congress

Increases in Tricare Costs: Background and Options for Congress

Date: August 15, 2008
Creator: Jansen, Don J. & Best, Richard
Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
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Beneficiary Information and Decision Supports for the Medicare-Endorsed Prescription Drug Discount Card

Beneficiary Information and Decision Supports for the Medicare-Endorsed Prescription Drug Discount Card

Date: March 24, 2005
Creator: Justice, Diane
Description: On December 8, 2003 the President signed into law the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA, P.L. 108-173). This legislation establishes a Medicare prescription drug benefit, effective January 1, 2006. In the interim, the legislation requires the Department of Health and Human Services (HHS) to establish a temporary program of Medicare-endorsed prescription drug discount cards. This report discusses the objectives and benefits of this legislation.
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Military Technicians: The Issue of Mandatory Retirement for Non-Dual-Status Technicians

Military Technicians: The Issue of Mandatory Retirement for Non-Dual-Status Technicians

Date: March 28, 2000
Creator: Kapp, Lawrence
Description: This report describes the mandatory retirement provisions for certain “non-dual-status” military technicians contained in the National Defense Authorization Act for Fiscal Year 2000 (P.L. 106-65), discusses the stated rationale behind the policy, and quantifies the impact it will likely have on individual technicians.
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The Financial Outlook for Social Security and Medicare

The Financial Outlook for Social Security and Medicare

Date: March 19, 2001
Creator: Koitz, David Stuart & Kollmann, Geoffrey
Description: None
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The Financial Outlook for Social Security and Medicare

The Financial Outlook for Social Security and Medicare

Date: May 7, 1998
Creator: Koitz, David Stuart & Kollmann, Geoffrey
Description: None
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Social Security and Medicare "Lock Boxes"

Social Security and Medicare "Lock Boxes"

Date: March 21, 2001
Creator: Koitz, David Stuart; Kollmann, Geoffrey & Nuschler, Dawn
Description: None
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Social Security and Medicare "Lock Boxes"

Social Security and Medicare "Lock Boxes"

Date: August 28, 2001
Creator: Koitz, David Stuart; Kollmann, Geoffrey & Nuschler, Dawn
Description: None
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Social Security and Medicare Taxes and Premiums: Fact Sheet

Social Security and Medicare Taxes and Premiums: Fact Sheet

Date: February 6, 2002
Creator: Kollmann, Geoffrey
Description: None
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Social Security and Medicare Taxes and Premiums: Fact Sheet

Social Security and Medicare Taxes and Premiums: Fact Sheet

Date: January 2, 2003
Creator: Kollmann, Geoffrey
Description: None
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Social Security: Raising the Retirement Age Background and Issues

Social Security: Raising the Retirement Age Background and Issues

Date: June 24, 2002
Creator: Kollmann, Geoffrey
Description: The Social Security "full retirement age" will gradually rise from 65 to 67 beginning with people who attain age 62 in 2000 (i.e., those born in 1938). Early retirement benefits will still be available beginning at age 62, but at lower levels. To help solve Social Security's long-range financing problems, it has been proposed that these ages be raised further.
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The Financial Outlook for Social Security and Medicare

The Financial Outlook for Social Security and Medicare

Date: March 27, 2002
Creator: Kollmann, Geoffrey & Nuschler, Dawn
Description: None
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The Financial Outlook for Social Security and Medicare

The Financial Outlook for Social Security and Medicare

Date: April 28, 2003
Creator: Kollmann, Geoffrey & Nuschler, Dawn
Description: None
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Older Displaced Workers in the Context of an Aging and Slowly Growing Population

Older Displaced Workers in the Context of an Aging and Slowly Growing Population

Date: January 15, 2010
Creator: Levine, Linda
Description: This report analyzes the labor market experiences of those older workers who have involuntarily lost long-held jobs for reasons unrelated to their own performance (e.g., veteran factory workers at plants closed because of import competition, experienced information technology workers whose jobs have been outsourced to workers in other countries, and mid-level managers in positions eliminated through corporate restructuring). It examines current policies targeted at the reemployment of older displaced workers which, if successful, might lengthen their stay in the workforce.
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Medicare Expansion: President Clinton's Proposals to Allow Coverage Before Age 65

Medicare Expansion: President Clinton's Proposals to Allow Coverage Before Age 65

Date: March 31, 1998
Creator: Lyke, Bob; Fuchs, Beth C; O'Sullivan, Jennifer & Smith, Madeleine T
Description: This report discusses medicare expansion; President Clinton's proposal to allow people ages 62 through 64 to buy into Medicare if they do not have access to employer-sponsored or federal health insurance.
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Medicare Beneficiary Access to Care: The Effects of New Prospective Payment Systems on Outpatient Hospital Care, Home Health Care, and Skilled Nursing Facility Care

Medicare Beneficiary Access to Care: The Effects of New Prospective Payment Systems on Outpatient Hospital Care, Home Health Care, and Skilled Nursing Facility Care

Date: February 2, 2000
Creator: Merck, Carolyn L
Description: This report discusses the Balanced Budget Act of 1997 (BBA 97), which required that prospective payment systems replace retrospective cost-based reimbursement systems for Medicare beneficiaries receiving care in hospital outpatient departments, from home health care agencies, and in skilled nursing facilities.
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Medicaid Reimbursement Policy

Medicaid Reimbursement Policy

Date: November 2, 2004
Creator: Merlis, Mark
Description: This report begins with a summary of basic federal requirements applicable to payments for all services and an overview of major developments in federal Medicaid reimbursement policy over the last 20 years. This overview provides a historical context for current policies and highlights some issues that have been perennial concerns for federal and state policymakers. The next four sections of the report provide a detailed discussion of Medicaid reimbursement for four basic categories of services or providers.
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Medicare Advantage

Medicare Advantage

Date: March 3, 2009
Creator: Morgan, Paulette C.
Description: This report is an overview of the Medicare Advantage (MA) program, an alternative way for Medicare beneficiaries to receive covered benefits, and includes legislative history and analysis of recent trends.
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Factors Affecting the Demand for Long-Term Care Insurance: Issues for Congress

Factors Affecting the Demand for Long-Term Care Insurance: Issues for Congress

Date: May 27, 2009
Creator: Mulvey, Janemarie
Description: This report will discuss the role of long-term care insurance (LTCI) in financing long term care (LTC) costs and current trends in the LTCI industry; factors affecting the demand for LTCI, including cost and complexity of the product and adequacy of consumer protections; and key features of legislative proposals in the 111th Congress to address these issues.
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Converting Retirement Savings into Income: Annuities and Periodic Withdrawals

Converting Retirement Savings into Income: Annuities and Periodic Withdrawals

Date: December 1, 2008
Creator: Mulvey, Janemarie & Purcell, Patrick
Description: To a worker contemplating retirement, there is perhaps no more important question than "How long will my money last?" Congress has a strong interest in the income security of older Americans because much of their income is either provided directly from public programs like Social Security, or in the case of pensions and retirement accounts, is subsidized through tax deductions and deferrals. This report looks at strategies to help deal with the following risks: longevity, investment, inflation, and unexpected events.
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Converting Retirement Savings into Income: Annuities and Periodic Withdrawals

Converting Retirement Savings into Income: Annuities and Periodic Withdrawals

Date: December 1, 2008
Creator: Mulvey, Janemarie & Purcell, Patrick
Description: To a worker contemplating retirement, there is perhaps no more important question than "How long will my money last?" Congress has a strong interest in the income security of older Americans because much of their income is either provided directly from public programs like Social Security, or in the case of pensions and retirement accounts, is subsidized through tax deductions and deferrals. This report discusses risks involved with retirement fund disbursement and strategies for dealing with such risks.
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Older Americans Act: FY2015 Appropriations Overview

Older Americans Act: FY2015 Appropriations Overview

Date: January 30, 2015
Creator: Napili, Angela & Colello, Kirsten J.
Description: This report discusses Older Americans Act (OAA) funding. It begins with an overview of OAA's FY2015 funding and provides a detailed breakdown of current-year funding for each of the act's programs and activities. The report then reviews OAA's funding history since FY2001. Next, it summarizes FY2015 legislative activity with respect to OAA appropriations. It concludes with a discussion of FY2015 funding decisions for selected OAA programs.
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