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 Country: United States
 Decade: 2000-2009
 Collection: Congressional Research Service Reports
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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Medicaid Issues for the 109th Congress

Medicaid Issues for the 109th Congress

Date: October 20, 2005
Creator: Hearne, Jean P
Description: This report provides background information for medicaid reforms and discuses proposals for reform.
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Medicaid: A Primer

Medicaid: A Primer

Date: December 19, 2005
Creator: Herz, Elicia J
Description: 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.
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Medicare Structural Reform: Background and Options

Medicare Structural Reform: Background and Options

Date: January 28, 2003
Creator: Chaikind, Hinda R.; O'Sullivan, Jennifer & Boulanger, Jennifer
Description: 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.
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Medicare: Enrollment in Medicare Drug Plans

Medicare: Enrollment in Medicare Drug Plans

Date: October 20, 2006
Creator: O'Sullivan, Jennifer
Description: 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.
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Medicare: FY2008 Budget Issues

Medicare: FY2008 Budget Issues

Date: February 6, 2007
Creator: Chaikind, Hinda; Jacobson, Gretchen A.; Hahn, Jim; Morgan, Paulette C.; O’Sullivan, Jennifer & Stockdale, Holly Sue
Description: 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.
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Medicaid Citizenship Documentation

Medicaid Citizenship Documentation

Date: April 15, 2008
Creator: Grady, April
Description: 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.
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Medicaid: A Primer

Medicaid: A Primer

Date: January 24, 2007
Creator: Herz, Elicia J.
Description: 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.
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Medicare: FY2007 Budget Issues

Medicare: FY2007 Budget Issues

Date: March 31, 2006
Creator: Chaikind, Hinda; Morgan, Paulette C.; O’Shaughnessy, Carol; O’Sullivan, Jennifer; Stone, Julie & Tilson, Sibyl
Description: 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.
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Medicaid Issues for the 109th Congress

Medicaid Issues for the 109th Congress

Date: April 10, 2006
Creator: Hearne, Jean
Description: 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.
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Medicare: Enrollment in Medicare Drug Plans

Medicare: Enrollment in Medicare Drug Plans

Date: January 3, 2006
Creator: O'Sullivan, Jennifer
Description: 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.
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Treatment of Noncitizens in H.R. 3200

Treatment of Noncitizens in H.R. 3200

Date: August 26, 2009
Creator: Siskin, Alison & Lunder, Erika K.
Description: 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.
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Centers for Disease Control and Prevention Global Health Programs: FY2001-FY2010

Centers for Disease Control and Prevention Global Health Programs: FY2001-FY2010

Date: August 21, 2009
Creator: Salaam-Blyther, Tiaji
Description: 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.
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Treatment of Noncitizens in H.R. 3200

Treatment of Noncitizens in H.R. 3200

Date: August 25, 2009
Creator: Siskin, Alison & Lunder, Erika K.
Description: 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.
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Health Care Reform: An Introduction

Health Care Reform: An Introduction

Date: July 29, 2009
Creator: Bob Lyke
Description: This report provides an introduction to health care reform. It focuses on the three predominant concerns just mentioned--coverage, cost and spending, and quality--and some of the legislative issues within which they likely will be debated, including the scope of reform (particularly whether Medicare and Medicaid should be included); the choice between public and private coverage; whether employment-based insurance should be strengthened, weakened, or left alone; and what role states might play.
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American Recovery and Reinvestment Act of 2009 (ARRA, P.L. 111-5): Title V, Medicaid Provisions

American Recovery and Reinvestment Act of 2009 (ARRA, P.L. 111-5): Title V, Medicaid Provisions

Date: March 17, 2009
Creator: Binder, Cliff; Baumrucker, Evelyne P.; Grady, April & Herz, Elicia J.
Description: In addition to reducing some taxes and funding infrastructure projects, American Recovery and Reinvestment Act of 2009 (ARRA) provisions were designed to provide: temporary support to families and individuals by increasing unemployment compensation benefits; financial assistance for individuals to maintain their health coverage under provisions in the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA); temporary increases in Medicaid matching rates; and increases in disproportionate share hospital allotments. This report is a summary of ARRA's Medicaid provisions.
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Health Insurance Premium Assistance for the Unemployed: The American Recovery and Reinvestment Act of 2009

Health Insurance Premium Assistance for the Unemployed: The American Recovery and Reinvestment Act of 2009

Date: March 6, 2009
Creator: Mulvey, Janemarie; Chaikind, Hinda & Fernandez, Bernadette
Description: This report discusses employer-sponsored health insurance coverage and barriers to accessing health insurance for the unemployed; provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) with respect to unemployment and health insurance; and potential impact of ARRA provisions on the unemployed.
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State Medicaid and SCRIP Coverage of Noncitizens

State Medicaid and SCRIP Coverage of Noncitizens

Date: February 12, 2009
Creator: Wasem, Ruth Ellen
Description: This report focuses on the laws governing noncitizen eligibility for Medicaid and the State Children's Health Insurance Program (SCHIP) and -- to the extent of available data -- implementation of these policies at the state level
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Medicaid and Outpatient Hospital Services

Medicaid and Outpatient Hospital Services

Date: February 17, 2009
Creator: Herz, Elicia J. & Tilson, Sibyl
Description: This report discusses a recently-proposed Medicaid rule that would change the definition of outpatient hospital and rural health clinic services, as well as the methods that states must use to demonstrate compliance with the federal upper payment limit on outpatient hospital services provided in private outpatient facilities. A number of groups have expressed concern that this rule will have a significant negative impact on coverage of certain services, which may harm Medicaid beneficiaries.
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Health Savings Accounts: Some Current Policy Issues

Health Savings Accounts: Some Current Policy Issues

Date: May 5, 2006
Creator: Lyke, Bob
Description: This report discusses the Health Savings Accounts (HSAs), which are one way that people can pay for their unreimbursed medical expenses (deductibles, copayments, and services not covered by insurance) on a tax-advantaged basis
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Transitional Medical Assistance (TMA) Under Medicaid

Transitional Medical Assistance (TMA) Under Medicaid

Date: July 24, 2008
Creator: Grady, April
Description: This report provides an overview of transitional medical assistance (TMA). While Section 1925 of the Social Security Act outlines the provisions requiring states to provide TMA for up to 12 months, states have considerable flexibility in designing and implementing their TMA programs.
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Medicaid Expenditures, FY2003 and FY2004

Medicaid Expenditures, FY2003 and FY2004

Date: January 17, 2006
Creator: Tritz, Karen
Description: This report discusses the federal medical assistance percentage (FMAP), which is the percentage of Medicaid benefit costs paid for by the federal government.
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Health Care and Markets

Health Care and Markets

Date: January 5, 2007
Creator: Austin, D. Andrew & Government and Finance Division
Description: Health care spending is one of the most rapidly growing portions of the federal budget. Projections suggest if the rapid growth in health care costs is not curtailed, governments at all levels will face an uncomfortable choice between significant cuts in other spending priorities or major tax increases. This report examines the economic justification for government intervention and involvement in health care markets.
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Federal Drug Price Negotiation: Implications for Medicare Part D

Federal Drug Price Negotiation: Implications for Medicare Part D

Date: April 19, 2007
Creator: Hahn, Jim
Description: This report discusses what it means for the federal government to “negotiate” drug prices under existing public programs, the arguments for and against such activities, and some implications for the pharmaceutical industry, Medicare beneficiaries, and others if similar federal involvement were to occur on behalf of the Medicare Part D program.
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