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 Collection: Congressional Research Service Reports
Nursing Homes and the Congress: A Brief History of Developments and Issues
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Medicare/Medicaid Reimbursement: Selected References
This report is a compilation of selected articles, books, and executive agency and congressional publications on Medicare and Medicaid reimbursement, primarily to health facilities and physicians. digital.library.unt.edu/ark:/67531/metacrs8868/
Medicare: Physician Payments
This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule. digital.library.unt.edu/ark:/67531/metacrs8886/
Medicare: Payments to HMOs and Other Private Plans Under the Medicare+Choice Program
This report describes how payments will be calculated under the Medicare+Choice program established under the new law. digital.library.unt.edu/ark:/67531/metacrs372/
Medicare: Private Contracts
This report discusses private contracting for medicare,which is the term used to describe situations where a physician and a patient agree not to submit a claim for a service which would otherwise be covered and paid for by Medicare. digital.library.unt.edu/ark:/67531/metacrs373/
Older Americans Act: 105th Congress Issues
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Medicare: Payments to Physicians
This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule. digital.library.unt.edu/ark:/67531/metacrs503/
Medicare Expansion: President Clinton's Proposals to Allow Coverage Before Age 65
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. digital.library.unt.edu/ark:/67531/metacrs502/
Medicare: Financing the Part A Hospital Insurance Program
This report discusses Medicare, which consists of two distinct parts — Part A (Hospital Insurance (HI)) and Part B (Supplementary Medical Insurance (SMI)). Part A is financed primarily through payroll taxes levied on current workers and their employers. Income from these taxes is credited to the HI trust fund. Part B is financed through a combination of monthly premiums paid by current enrollees and general revenues. Income from these sources is credited to the SMI trust fund. digital.library.unt.edu/ark:/67531/metacrs501/
The Financial Outlook for Social Security and Medicare
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Older Americans Act: 106th Congress Legislation
This report provides brief legislative background for Older Americans Act programs expired at the end of FY1995. The report discusses issues with re-authorization and 106th Congress proposals. digital.library.unt.edu/ark:/67531/metadc821096/
Medicare: Changes to Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Provisions
This report summarizes the major provisions of the agreement between the by House and Senate negotiators on the Medicare provisions. digital.library.unt.edu/ark:/67531/metacrs829/
Housing for the Elderly: Legislation in the 106th Congress
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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
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. digital.library.unt.edu/ark:/67531/metacrs1047/
Trends in Medicare Spending: Fact Sheet
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Military Technicians: The Issue of Mandatory Retirement for Non-Dual-Status Technicians
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. digital.library.unt.edu/ark:/67531/metacrs1049/
Medicare: Prescription Drug Proposals
This report provides an overview of the President’s plan and the legislation introduced to date in the 106th Congress. It digital.library.unt.edu/ark:/67531/metacrs1048/
Civil Service Retirement Bills in the 106th Congress
Among the civil service retirement issues addressed in bills introduced thus far in the 106th Congress are the correction of retirement coverage errors for federal employees assigned to the wrong retirement system; immediate eligibility for federal employees to participate in the Thrift Savings Plan (TSP); improved portability of pension benefits; and repeal of the temporary increase in employee retirement contributions that was mandated by the Balanced Budget Act of 1997. Other bills would expand TSP eligibility to include members of the armed services; improve pension coverage for temporary and part-time federal employees; and designate several categories of federal employees as law enforcement officers for purposes of determining their retirement benefits. digital.library.unt.edu/ark:/67531/metacrs1241/
Older Americans Act: Programs and Funding
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Medicare: Selected Prescription Drug Proposals
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Medicare: Side-by-Side Comparison of Selected Prescription Drug Bills
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Pharmacy Benefit Managers
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Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000
This report discusses Medicaid and the State Children’s Health Insurance Program (SCHIP). The report also discusses other major health provisions provisions of H.R. 5661 are incorporated, by reference into H.R. 4577, the Consolidated Appropriations Act 2001. digital.library.unt.edu/ark:/67531/metacrs1362/
The Cost of Prescription Drugs for the Uninsured Elderly and Legislative Approaches
The purpose of this report is to explain why many of those who are least able to afford high drug costs are those who are most frequently charged the most. This report describes the basic economic theory underlying price differentiation and, in the context of the pharmaceutical market, analyzes the role and behavior of pharmacy benefit managers (PBMs), pharmaceutical manufacturers, and retail pharmacies, respectively. It also looks at a number of the criticisms that have been made of the practice of differential pricing. Finally, this report discusses various policy approaches aimed at assisting the elderly to purchase prescription drugs. digital.library.unt.edu/ark:/67531/metacrs1520/
The Financial Outlook for Social Security and Medicare
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Social Security and Medicare "Lock Boxes"
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Medicare's Skilled Nursing Facility Benefit
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Medicare Provisions in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA, P.L. 106-554)
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Medicare Structure Reform: Background and Options
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Social Security and Medicare "Lock Boxes"
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Older Workers: Employment and Retirement Trends
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Summary of the Medicare Regulatory and Contracting Reform Act of 2001 (H.R. 3391)
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Social Security and Medicare Taxes and Premiums: Fact Sheet
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The Financial Outlook for Social Security and Medicare
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Medicare+Choice Payments
This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments. digital.library.unt.edu/ark:/67531/metacrs2080/
President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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Social Security: Raising the Retirement Age Background and Issues
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. digital.library.unt.edu/ark:/67531/metadc26050/
Major Provisions of the Medicare Modernization and Prescription Drug Act of 2002, H.R. 4954, as Passed by the House
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Medicaid: Eligibility for the Aged and Disabled
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Medicare: Major Prescription Drug Provisions of Selected Bills
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Medicare: Major Prescription Drug Provisions of Selected Bills
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Medicare: Major Prescription Drug Provisions of Selected Bills
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President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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Benefits for the Aged and the Federal Budget: Short- and Long-Term Projections
As the 108th Congress addresses short-term budget decisions, it may also want to consider the long-run impacts of those decisions and the major shifts in budget composition that are underway. Congress may be pressed to add new benefits in response to population aging, such as improved support for long-term care and broader Medicare drug coverage. digital.library.unt.edu/ark:/67531/metacrs7483/
Retirement Savings and Household Wealth in 2000: Analysis of Census Bureau Data
This report examines recent trends in retirement saving and the policy implications. The aging of the American population and the impending retirement of the "baby boom" will place significant strains over the next several decades on both Social Security and on retirees' own financial resources. With continued increases in average life expectancies, retirees in the 21st century will have to stretch their savings and other assets over longer periods of retirement than were experienced by their parents and grandparents. digital.library.unt.edu/ark:/67531/metadc824473/
Social Security and Medicare Taxes and Premiums: Fact Sheet
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Medicare+Choice Payments
This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments. digital.library.unt.edu/ark:/67531/metacrs3697/
Medicare Structural Reform: Background and Options
THis report provides a brief overview of major issues underlying the debate about possible structural reforms or improvements to the current Medicare system. Medicare is a nationwide health insurance program for the aged and certain disabled persons. digital.library.unt.edu/ark:/67531/metadc824714/
President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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Medicare Prescription Drug Proposals: Estimates of Aged Beneficiaries Who Fall Below Income Criteria, by State
This report discusses bills related to Medicare benefits, which include additional assistance for low-income beneficiaries. The assistance would have been in the form of reduced, subsidized or eliminated premiums, deductibles and other cost-sharing. Proposals in the 108th Congress will probably also include some of these features for low-income beneficiaries. digital.library.unt.edu/ark:/67531/metadc847645/
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