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 Country: United States
 Collection: Congressional Research Service Reports
Medicare: Payments to HMOs and Other Private Plans Under the Medicare+Choice Program

Medicare: Payments to HMOs and Other Private Plans Under the Medicare+Choice Program

Date: September 18, 1997
Creator: Smith, Madeleine T
Description: This report describes how payments will be calculated under the Medicare+Choice program established under the new law.
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Medicare: Private Contracts

Medicare: Private Contracts

Date: October 21, 1997
Creator: O'Sullivan, Jennifer & Echeverria, Cecilia O
Description: 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.
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Medicare: Financing the Part A Hospital Insurance Program

Medicare: Financing the Part A Hospital Insurance Program

Date: May 5, 1998
Creator: O'Sullivan, Jennifer
Description: 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.
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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: Payments to Physicians

Medicare: Payments to Physicians

Date: January 28, 1998
Creator: O'Sullivan, Jennifer
Description: This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule.
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Medicare: Prescription Drug Proposals

Medicare: Prescription Drug Proposals

Date: June 8, 2000
Creator: O'Sullivan, Jennifer
Description: This report provides an overview of the President’s plan and the legislation introduced to date in the 106th Congress. It
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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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Medicare: Changes to Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Provisions

Medicare: Changes to Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Provisions

Date: November 19, 1999
Creator: O'Sullivan, Jennifer; Merck, Carolyn L; Smith, Madeleine T & Tilson, Sibyl L
Description: This report summarizes the major provisions of the agreement between the by House and Senate negotiators on the Medicare provisions.
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Medicare+Choice Payments

Medicare+Choice Payments

Date: May 8, 2002
Creator: Chaikind, Hinda Ripps & Morgan, Paulette C
Description: This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
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Medicare+Choice Payments

Medicare+Choice Payments

Date: January 22, 2003
Creator: Chaikind, Hinda Ripps & Morgan, Paulette C
Description: This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
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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

Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

Date: January 4, 2001
Creator: Hearne, Jean P; Herz, Elicia J & Baumrucker, Evelyne P
Description: 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.
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Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation

Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation

Date: July 25, 2003
Creator: Peterson, Chris L
Description: This report provides an analysis of how the cost-sharing and premium provisions under the Prescription Drug and Medicare Improvement Act of 2003 (S. 1) and the Medicare Prescription Drug and Modernization Act of 2003 (H bill would affect the amount that a beneficiary would pay annually for prescription drugs.
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Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Date: June 17, 2003
Creator: Peterson, Chris L
Description: This report examines these proposals as well as the “Medicare Rx Drug Benefit and Discount Act of 2003,” which was introduced by Representative Charles Rangel, the ranking member of the House Ways and Means Committee. Specifically, this report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs.
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Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Date: June 26, 2003
Creator: Peterson, Chris L
Description: This report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs. In addition, this report gives examples of how annual cost-sharing would differ for beneficiaries with various levels of total prescription drug spending in 2006 under the plans.
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Medicare Prescription Drug and Reform Legislation

Medicare Prescription Drug and Reform Legislation

Date: June 19, 2003
Creator: O'Sullivan, Jennifer; Chaikind, Hinda Ripps; Tilson, Sibyl L; Boulanger, Jennifer & Morgan, Paulette C
Description: This report describes the major features of S. 1, as ordered reported, and the measure to be considered by the House Ways and Means Committee, H.R. 2473, as ordered reported.
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Medicare Prescription Drug Provisions of S.1, as Passed by the Senate, and H.R. 1, as Passed by the House

Medicare Prescription Drug Provisions of S.1, as Passed by the Senate, and H.R. 1, as Passed by the House

Date: July 11, 2003
Creator: O'Sullivan, Jennifer
Description: This report discusses differences in the specifics of the prescription drug provisions in S. 1 and H.R. 1 and provides a side-by-side comparison of the Title I provisions of both bills.
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Prescription Drug Coverage Under Medicaid

Prescription Drug Coverage Under Medicaid

Date: March 12, 2004
Creator: Hearne, Jean & Grady, April
Description: Medicaid is a joint federal-state entitlement program that pays for medical services on behalf of certain groups of low-income persons. It is the third largest social program in the federal budget, exceeded only by Social Security and Medicare and is typically the second largest spending item for states. This report discusses prescription drug policies under the program.
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Individuals with Disabilities Education Act (IDEA) and Medicaid

Individuals with Disabilities Education Act (IDEA) and Medicaid

Date: January 31, 2003
Creator: Apling, Richard N & Herz, Elicia J
Description: This report begins with an overview of Individuals with Disabilities Education Act (IDEA). It then discusses the distinction made in IDEA between medical services and health services. The report then summarizes the provisions in law that link Medicaid funding to IDEA. Next the report provides an overview of the complexities of Medicaid eligibility and covered services. Following that discussion, the report analyzes possible reasons why Medicaid appears to cover relatively little of IDEA health-related costs. Finally the report outlines possible legislative approaches with respect to Medicaid and IDEA.
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Medicaid and SCHIP: The President's FY2006 Budget Proposals

Medicaid and SCHIP: The President's FY2006 Budget Proposals

Date: June 9, 2005
Creator: Grady, April; Hearne, Jean P; Herz, Elicia J; Scott, Christine; Stone-Axelrad, Julie & Tritz, Karen
Description: This report describes the proposal and provides an estimate of the cost or savings based on publicly available information. The report provides a brief background for the proposal and provides a listing of current Congressional Research Service (CRS) reports related to the proposal.
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Hurricane Katrina: Medicaid Issues

Hurricane Katrina: Medicaid Issues

Date: September 15, 2005
Creator: Baumrucker, Evelyne P; Grady, April; Hearne, Jean P; Herz, Elicia J; Rimkunas, Richard; Stone-Axelrad, Julie et al.
Description: This report discusses the following: Medicaid’s rules on eligibility, benefits, and financing in the context of current questions and issues raised by Hurricane Katrina. Recent state actions in response to Medicaid issues raised by the hurricane. Federal Medicaid waiver authority, including information on current activity in this area and the New York Disaster Relief Medicaid waiver granted in response to the September 11 terrorist attacks. Current federal legislation related to Medicaid and Hurricane Katrina relief efforts.
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Health Insurance Coverage for Retirees

Health Insurance Coverage for Retirees

Date: June 9, 2005
Creator: Ripps Chaikind, Hinda & Larkins, Fran
Description: This report provides an introduction to demographics of the retiree population. The report discusses health insurance coverage for retirees and reasons for eroding coverage and issues, as well as legislative proposals.
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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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A CRS Review of 10 States: Home and Community-Based Services — States Seek to Change the Face of Long-Term Care: Indiana

A CRS Review of 10 States: Home and Community-Based Services — States Seek to Change the Face of Long-Term Care: Indiana

Date: December 15, 2003
Creator: Tilly, Jane; O'Shaughnessy, Carol & Weissert, Rob
Description: Many states have devoted significant efforts to respond to the desire for home and community-based care for persons with disabilities and their families. Nevertheless, financing of nursing home care, chiefly by Medicaid, still dominates most states’ spending for long-term care today. To assist Congress in understanding issues that states face in providing long-term care services, the Congressional Research Service (CRS) undertook a study of 10 states in 2002. This report, one in a series of 10 state reports, presents background and analysis about long-term care in Indiana.
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The Global Fund and PEPFAR in U.S. International AIDS Policy

The Global Fund and PEPFAR in U.S. International AIDS Policy

Date: November 3, 2005
Creator: Copson, Raymond W.
Description: The international HIV/AIDS pandemic continues to deepen. According to UNAIDS, the Joint United Nations Program on HIV/AIDS, an estimated 39.4 million people were living with HIV in 2004, including 4.9 million who were newly infected during the year. This report discusses the President’s Emergency Plan for AIDS Relief (PEPFAR), which includes bilateral programs and contributions to the multilateral Global Fund for AIDS, Tuberculosis, and Malaria.
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