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 Resource Type: Report
 Collection: Congressional Research Service Reports
Medicare Advantage (MA)--Proposed Benchmark Update and Other Adjustments for CY2016: In Brief
This report provides a brief background on how Medicare Advantage (Part C or MA) payments are determined through a comparison of a plan's estimated cost (bid) and the maximum amount Medicare will pay a plan (benchmark). digital.library.unt.edu/ark:/67531/metadc503456/
The Independent Payment Advisory Board
This report, which provides an overview of the Payment Advisory Board, begins with a discussion of the rationale behind the creation of an independent Medicare board and briefly reviews prior proposals for similar boards and commissions. The report then describes the structure of the Board, the calculations and determinations required to be made by the Office of the Chief Actuary (the Chief Actuary) in the Centers for Medicare & Medicaid Services (CMS) that trigger a Board proposal, and the content of and constraints on Board proposals--including the Medicare productivity exemptions under Section 3401 of the The Patient Protection and Affordable Care Act (PPACA). digital.library.unt.edu/ark:/67531/metadc463057/
The Independent Payment Advisory Board
In response, in part, to overall growth in Medicare program expenditures and growth in expenditures per Medicare beneficiary, the Patient Protection and Affordable Care Act created the Independent Payment Advisory Board (IPAB, or the Board) and charged the Board with developing proposals to "reduce the per capita rate of growth in Medicare spending." This report discusses the responsibilities and duties. digital.library.unt.edu/ark:/67531/metadc86569/
Medicare: Part B Premium Penalty
No Description digital.library.unt.edu/ark:/67531/metacrs7324/
How Medicaid Works - Program Basics
No Description digital.library.unt.edu/ark:/67531/metacrs7424/
Medicare: Financing the Part A Hospital Insurance Program
No Description digital.library.unt.edu/ark:/67531/metacrs7307/
Medicaid: A Fact Sheet
No Description digital.library.unt.edu/ark:/67531/metacrs7053/
Health Insurance: A Primer
No Description digital.library.unt.edu/ark:/67531/metacrs6679/
Medicare Payment Policies
No Description digital.library.unt.edu/ark:/67531/metacrs6350/
How Medicaid Works: Program Basics
No Description digital.library.unt.edu/ark:/67531/metacrs5938/
Health Insurance: Uninsured by State, 2000
No Description digital.library.unt.edu/ark:/67531/metacrs3133/
Health Insurance: Uninsured by State, 2001
No Description digital.library.unt.edu/ark:/67531/metacrs3134/
Managed Health Care: A Primer
No Description digital.library.unt.edu/ark:/67531/metacrs455/
Medicaid: 105th Congress
No Description digital.library.unt.edu/ark:/67531/metacrs711/
NFIB v. Sebelius: Constitutionality of the Individual Mandate
Report that provides an overview of the Court's holding with respect to the individual mandate of the Patient Protection and Affordable Care Act (ACA) under the Commerce Clause and the Taxing Power. It also addresses possible implications of the decision on existing federal law and future legislation. digital.library.unt.edu/ark:/67531/metadc227797/
Health Insurance: Small is the New Large
This report discusses aspects of the Patient Protection and Affordable Care Act that expand the definition of small employer to include employers with 100 or fewer employees. States must implement the expanded definition for plan years beginning in 2016, but have the option of implementing the expanded definition prior to the deadline. digital.library.unt.edu/ark:/67531/metadc743516/
The Independent Payment Advisory Board (IPAB): Frequently Asked Questions
This report responds to frequently asked questions about the Independent Payment Advisory Board (IPAB), including the board's background, current status, controversial issues including legal challenges, and recent legislative efforts to repeal the IPAB. digital.library.unt.edu/ark:/67531/metadc795587/
Medicare Advantage
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. digital.library.unt.edu/ark:/67531/metadc795844/
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/
Medicaid Issues for the 109th Congress
This report provides background information for medicaid reforms and discuses proposals for reform. digital.library.unt.edu/ark:/67531/metacrs7617/
Medicaid: A Primer
This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits. digital.library.unt.edu/ark:/67531/metacrs8053/
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/
The ACA Medicaid Expansion
This report provides an overview of the ACA Medicaid expansion, and the impact of the Supreme Court decision on the ACA Medicaid expansion. Then, the report describes who is covered under the expansion, the expansion rules, and how the expansion is financed. In addition, enrollment and expenditure estimates for the ACA Medicaid expansion are provided. Finally, the report reviews state decisions whether or not to implement the ACA Medicaid expansion, and the implications of those decisions on certain individuals, employers, and hospitals. digital.library.unt.edu/ark:/67531/metadc821147/
Medicare Primer
This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing. digital.library.unt.edu/ark:/67531/metadc847725/
Medicare: Enrollment in Medicare Drug Plans
This report discusses the enrollment process for private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. At a minimum, these plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. Beneficiaries are required to enroll in one of these private plans in order to obtain coverage. digital.library.unt.edu/ark:/67531/metadc847769/
Medicare: FY2008 Budget Issues
This report discusses President's budget request to Congress for Medicare, for the following federal fiscal year, along with projections for the five-year budget window. The President’s 2008 budget includes Medicare legislative proposals with estimated savings of $4.3 billion in 2008 and $65.6 billion over the five-year budget window. digital.library.unt.edu/ark:/67531/metadc822013/
Medicaid Citizenship Documentation
Due to recent changes in federal law, individuals who declare that they are citizens for Medicaid eligibility purposes must present documentation that proves citizenship and documents personal identity. This report discusses issues related to Medicaid citizenship documentation that have received considerable media and interest group attention, as well as proposed legislation that would affect the requirement. digital.library.unt.edu/ark:/67531/metadc821644/
Medicare: FY2007 Budget Issues
This report discusses President's budget request to Congress for Medicare, for the following federal fiscal year, along with projections for the five-year budget window. The President’s 2007 budget includes Medicare legislative proposals for Part A (Hospital Insurance) and Part B (Supplementary Medical Insurance) spending with estimated savings of $2.5 billion in 2007 and $35.9 billion over the five-year budget window. digital.library.unt.edu/ark:/67531/metadc821466/
Medicaid: A Primer
This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits. The recently passed Deficit Reduction Act of 2005 or DRA, as amended by the Tax Relief and Health Care Act of 2006, included many provisions affecting Medicaid. DRA provides states with opportunities to make fundamental changes in Medicaid program design, including covered benefits and beneficiary cost-sharing. These and other major DRA changes are summarized here. Lastly, basic program statistics and citations to in-depth CRS reports on specific topics are provided. digital.library.unt.edu/ark:/67531/metadc822687/
Medicaid Issues for the 109th Congress
Medicaid is jointly financed by the federal and state governments, but each state designs and administers its own state program under broad federal guidelines. Accordingly, state variation in eligibility, covered services, and the delivery of, and reimbursement for, services is the rule rather than the exception. How is Congress to respond to the numerous proposals to move Medicaid forward into the near and long term? This report lays out some of these issues, explains the factors underlying them, and provides links to CRS products that can help Members of Congress and their staff prepare to discuss Medicaid’s role today and into the future. digital.library.unt.edu/ark:/67531/metadc820888/
Discretionary Spending Under the Affordable Care Act (ACA)
The Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) reauthorized funding for numerous existing discretionary grant programs administered by the Department of Health and Human Services (HHS). The ACA also created many new discretionary grant programs and provided for each an authorization of appropriations. Generally, the law authorized (or reauthorized) appropriations through FY2014 or FY2015. This report summarizes all the discretionary spending provisions in the ACA. digital.library.unt.edu/ark:/67531/metadc491520/
A Federal Pause in Potentially Risky Influenza Research
This report briefly discusses a recently implemented federal research moratorium that has highlighted concerns about the general appropriateness of research on biological pathogens and the sufficiency of certain biosecurity efforts. digital.library.unt.edu/ark:/67531/metadc490863/
Appropriations and Fund Transfers in the Affordable Care Act (ACA)
This report summarizes all the mandatory appropriations and Medicare trust fund transfers in the Affordable Care Act (ACA) and provides details on the status of obligation of these funds. The information is presented in two tables. The report also includes a brief discussion of the impact that sequestration is having on ACA mandatory spending. digital.library.unt.edu/ark:/67531/metadc462816/
Centers for Disease Control and Prevention Global Health Programs: FY2001-FY2011
This report explains the role the Centers for Disease Control and Prevention (CDC) plays in U.S. global health assistance, highlights how much the agency has spent on global health efforts from FY2001 to FY2010, and discusses how funding to each of its programs has changed during this period. digital.library.unt.edu/ark:/67531/metadc501495/
Tax Options for Financing Health Care Reform
This report reviews the revenue raisers proposed to fund health care reform. Other financing proposals are presented including those made by the Obama Administration and those introduced in earlier congressional work. The final sections discuss other proposals suggested by the round-table discussion participants. digital.library.unt.edu/ark:/67531/metadc503565/
The Community Health Center Fund: In Brief
This report provides information on the Community Health Center Fund (CHCF) that may be useful for discussions about the fund's future. Specifically, it includes information on: the types of grants awarded, total funds disbursed, and the amount of CHCF funds that facilities in each state and territory received. digital.library.unt.edu/ark:/67531/metadc503374/
Appropriations and Fund Transfers in the Affordable Care Act (ACA)
This report summarizes all the mandatory appropriations and Medicare trust fund transfers in the ACA and provides details on the status of obligation of these funds. The information is presented in two tables. The report also includes a brief discussion of the impact that sequestration is having on ACA mandatory spending. This report is periodically revised and updated to reflect important legislative and other developments. digital.library.unt.edu/ark:/67531/metadc503381/
Medicare Financing
This report provides an overview of how the Medicare program is financed, including a description of the Medicare trust funds and a summary of key findings and estimates from the 2013 Report of the Medicare Board of Trustees regarding 2012 program operations and future financial soundness. digital.library.unt.edu/ark:/67531/metadc227685/
Health Insurance Continuation Coverage Under COBRA
No Description digital.library.unt.edu/ark:/67531/metacrs6916/
Final Equal Employment Opportunity Commission Rules on Retiree Health Plans and the Age Discrimination in Employment Act
No Description digital.library.unt.edu/ark:/67531/metacrs6133/
Health Savings Accounts
No Description digital.library.unt.edu/ark:/67531/metacrs6124/
Health Insurance Continuation Coverage under COBRA
No Description digital.library.unt.edu/ark:/67531/metacrs5011/
Health Insurance Continuation Coverage under COBRA
No Description digital.library.unt.edu/ark:/67531/metacrs3143/
Health Insurance Continuation Coverage under COBRA
No Description digital.library.unt.edu/ark:/67531/metacrs3144/
Health Insurance Continuation Coverage under COBRA
No Description digital.library.unt.edu/ark:/67531/metacrs3145/
Long-Term Care: What Direction for Public Policy?
No Description digital.library.unt.edu/ark:/67531/metacrs3149/
Long-Term Care: What Direction for Public Policy?
No Description digital.library.unt.edu/ark:/67531/metacrs1815/
Treatment of Noncitizens in H.R. 3200
This report outlines the treatment of noncitizens under H.R. 3200, America's Affordable Health Choices Act of 2009. The report analyzes specific provisions in H.R. 3200, and whether there are eligibility requirements for noncitizens in the selected provisions. digital.library.unt.edu/ark:/67531/metadc689167/
Centers for Disease Control and Prevention Global Health Programs: FY2001-FY2010
This report explains the role the Centers for Disease Control and Prevention (CDC) plays in U.S. global health assistance, highlights how much the agency has spent on global health efforts from FY2001 to FY2010, and discusses how funding to each of its programs changed during this period. digital.library.unt.edu/ark:/67531/metadc689302/
The Japanese Health Care System
This report provides (1) a description of the coverage, benefits, financing and administration of the Japanese health insurance plans; (2) a discussion of the way in which reimbursement levels for health care providers are determined; and (3) an analysis of the way in which the provision of health care system is organized in Japan. digital.library.unt.edu/ark:/67531/metacrs2/
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