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Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act (ACA)

Description: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each ACA market reform, grouped under the following categories: obtaining coverage, keeping coverage, cost of purchasing coverage, covered services, cost-sharing limits, consumer assistance and other health care protections, and plan requirements related to health care providers.
Date: February 10, 2016
Creator: Mach, Annie L. & Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department
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Finding Medicare Enrollment Statistics

Description: This report presents basic categories and definitions for terms related to Medicare enrollment data, a quick reference table that summarizes key data available in selected resources, and a more detailed overview of core resources.
Date: January 12, 2017
Creator: Malloy, Michele L.
Partner: UNT Libraries Government Documents Department
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Contractors and HealthCare.gov: Answers to Frequently Asked Questions

Description: This report provides answers to 20 frequently asked questions regarding contractors and HealthCare.gov, the federal online health insurance portal called for by the Patient Protection and Affordable Care Act (ACA) (P.L. 111-148, as amended). Over 50 contractors, including CGI Federal and Quality Software Services, Inc. (QSSI), helped in building the site, which was reportedly largely unusable when it first became available to the public on October 1, 2013.
Date: January 24, 2014
Creator: Manuel, Kate M.; Murrill, Brandon J. & Perry, Rodney M.
Partner: UNT Libraries Government Documents Department
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Hospital Reimbursement

Description: This report discusses the process of hospital reimbursement by health insurers and regulations governing the process.
Date: September 9, 1974
Creator: Markus, Glenn R.
Partner: UNT Libraries Government Documents Department
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World Health Organization: A Fact Sheet

Description: The World Health organization (WHO), established in 1948, is the United Nations system's authority on international public health issues. It assists governments in improving national health services and in establishing worldwide standards for foods, chemicals, and biological and pharmaceutical products. WHO concentrates on preventive rather than curative programs, including efforts to eradicate endemic and other widespread diseases, stabilize population growth, improve nutrition, sanitation, an… more
Date: July 1, 1996
Creator: McHugh, Lois
Partner: UNT Libraries Government Documents Department
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AIDS: International Problems and Issues

Description: This issue brief discusses the AIDS (Acquired Immune Deficiency Syndrome) virus and its effects on the world, especially with regard to the welfare of developing nations and various facets of general international relations. Also discussed are the related issues for Congress and U.S. contributions to international AIDS relief efforts led by the World Health Organization (WHO).
Date: January 6, 1988
Creator: McHugh, Lois B.
Partner: UNT Libraries Government Documents Department
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Military Medical Care: Frequently Asked Questions

Description: This report answers selected frequently-asked questions about military health care, including: 1) How is the Military Health System structured?, 2) What is TRICARE?, 3) What are the different TRICARE plans and who is eligible?, 4) What are the costs of military health care to beneficiaries?, 5) What is the relationship of TRICARE to Medicare?, 6) How does the Affordable Care Act affect TRICARE?, 7) When can beneficiaries change their TRICARE plan?, and 8) What is the Medicare Eligible Retiree H… more
Date: November 8, 2018
Creator: Mendez, Bryce H. P.
Partner: UNT Libraries Government Documents Department
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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

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.
Date: February 2, 2000
Creator: Merck, Carolyn L.
Partner: UNT Libraries Government Documents Department
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Medicaid Reimbursement Policy

Description: This report begins with a summary of basic federal requirements applicable to payments for all services and an overview of major developments in federal Medicaid reimbursement policy over the last 20 years. This overview provides a historical context for current policies and highlights some issues that have been perennial concerns for federal and state policymakers. The next four sections of the report provide a detailed discussion of Medicaid reimbursement for four basic categories of services… more
Date: November 2, 2004
Creator: Merlis, Mark
Partner: UNT Libraries Government Documents Department
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The ACA Medicaid Expansion

Description: 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 ce… more
Date: December 30, 2014
Creator: Mitchell, Alison
Partner: UNT Libraries Government Documents Department
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Medicaid Financing and Expenditures

Description: This report provides an overview of Medicaid’s financing structure, including both federal and state financing issues. The Medicaid expenditures section of the report discusses economic factors affecting Medicaid, state variability in spending, and projected program spending. Other issues that are examined include congressional proposals to turn Medicaid into a block grant program, federal deficit reduction proposals affecting Medicaid, and state fiscal conditions affecting Medicaid financing a… more
Date: July 30, 2012
Creator: Mitchell, Alison
Partner: UNT Libraries Government Documents Department
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Bipartisan Budget Act of 2018 (P.L. 115-123): CHIP, Public Health, Home Visiting, and Medicaid Provisions in Division E

Description: This report provides information about the provisions from Division E of the Bipartisan Budget Act of 2018 (BBA 2018) related to CHIP, certain public health programs, the MIECHV program, and the Medicaid program.
Date: March 20, 2018
Creator: Mitchell, Alison & Heisler, Elayne J.
Partner: UNT Libraries Government Documents Department
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Centers for Medicare & Medicaid Services: President’s FY2013 Budget

Description: This report summarizes the President's budget estimates for each section of the CMS budget. Then, for each legislative proposal included in the President's budget, this report provides a description of current law and the President's proposal. The explanations of the President's legislative proposals are grouped by the following program areas: Medicare, Medicaid, program integrity, and health insurance programs.
Date: April 9, 2012
Creator: Mitchell, Alison & Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Bipartisan Budget Act of 2018 (P.L. 115-23): Brief Summary of Division E-The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act

Description: This report provides a brief summary of each of the provisions included in Division E (the ACCESS Act) of the Bipartisan Budget Act of 2018, along with the contact information for the CRS expert who can answer questions about each provision. Division E consists of 12 titles. Each title is addressed in a separate table, and the provisions are discussed in the order they appear in the law. Topics discussed in this report include Medicare, Medicaid, the State Children's Health Insurance Program (C… more
Date: March 9, 2018
Creator: Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Health Care Spending: Past Trends and Projections

Description: This report focuses on trends in personal health care spending, which includes spending on health care goods and services provided to individuals and excludes expenditures for administrative costs, research, and public health activities. Personal health care expenditures have grown considerably over the past 40 years. It is estimated that personal health spending will exceed $2.9 trillion in 2013.
Date: April 8, 2004
Creator: Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Health Insurance: Uninsured by State, 2000

Description: An estimated 14% of the U.S. populations lacked health insurance coverage in 2000, down from 14.3% in 1999. When examined by state, estimates of the percent uninsured ranged from a low of 5.9% in Rhode Island to a high of 23.8% in New Mexico. Generally, states in the Midwest and New England have lower rates of uninsured, while states in the Southwestern portion of the nation have higher shares of their populations without coverage.
Date: January 11, 2002
Creator: Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Health Insurance: Uninsured by State, 2001

Description: An estimated 14.6% of the U.S. populations lacked health insurance coverage in 2001, up from 14% in 2000. When examined by state, estimates of the percent uninsured ranged from a low of 7.5% in Iowa to a high of 23.5% in Texas. Generally, states in the Midwest and New England have lower rates of uninsured, while states in the Southwestern and Southern portion of the nation have higher shares of their populations without coverage.
Date: November 19, 2002
Creator: Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Medicare Advantage

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.
Date: March 3, 2009
Creator: Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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