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 Collection: Congressional Research Service Reports
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/
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/
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: 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: 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/
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/
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/
Medicare: Selected Prescription Drug Proposals
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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/
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: Side-by-Side Comparison of Selected Prescription Drug Bills
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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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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/
Medicare Structure Reform: Background and Options
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Summary of the Medicare Regulatory and Contracting Reform Act of 2001 (H.R. 3391)
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Major Provisions of the Medicare Modernization and Prescription Drug Act of 2002, H.R. 4954, as Passed by the House
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Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation
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. digital.library.unt.edu/ark:/67531/metacrs3698/
Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits
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. digital.library.unt.edu/ark:/67531/metacrs3699/
Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits
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. digital.library.unt.edu/ark:/67531/metacrs3700/
Medicare Prescription Drug and Reform Legislation
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. digital.library.unt.edu/ark:/67531/metacrs3701/
Overview of the Medicare Prescription Drug and Reform Legislation
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Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
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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
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. digital.library.unt.edu/ark:/67531/metacrs3704/
Medicare's Skilled Nursing Facility Benefit
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Trends in Medicare Spending: Fact Sheet
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Reaching Low-Income, Uninsured Children: Are Medicaid and SCHIP Doing the Job?
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Association Health Plans, Health Marts and the Small Group Market for Health Insurance
An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees. digital.library.unt.edu/ark:/67531/metacrs3885/
Association Health Plans, Health Marts and the Small Group Market for Health Insurance
An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees. digital.library.unt.edu/ark:/67531/metacrs3886/
Association Health Plans, Health Marts and the Small Group Market for Health Insurance
An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees. digital.library.unt.edu/ark:/67531/metacrs3887/
The State Children's Health Insurance Program: Guidance on Frequently Asked Questions
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SCHIP Financing Issues for the 108th Congress
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SCHIP Financing Issues for the 108th Congress
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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/
President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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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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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Military Medical Care Services: Questions and Answers
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