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 Collection: Congressional Research Service Reports
Medicare: Physician Payments
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Military Medical Care: Questions and Answers
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Military Medical Care Services: Questions and Answers
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Medicare/Medicaid Reimbursement: Selected References
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U.S. and International Responses to the Global Spread of Avian Flu: Issues for Congress
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Military Medical Care Services: Questions and Answers
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The False Claims Act, the Allison Engine Decision, and Possible Effects on Health Care Fraud Enforcement
The False Claims Act (FCA), an important tool for combating fraud against the U.S. government, generally provides that a person who knowingly submits, or causes to be submitted, a false or fraudulent claim for payment to the U.S. government may be subject to civil penalties and damages. This report provides an overview of the FCA and the Allison Engine decision, analyzes how this decision could affect certain FCA health care claims, and discusses the proposed False Claims Correction Acts (S. 2041 and H.R. 4854), which, if enacted, could limit the application of the Allison Engine decision. digital.library.unt.edu/ark:/67531/metacrs10818/
Increases in Tricare Costs: Background and Options for Congress
In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs. digital.library.unt.edu/ark:/67531/metacrs10667/
Increases in Tricare Costs: Background and Options for Congress
In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs. digital.library.unt.edu/ark:/67531/metacrs10665/
Increases in Tricare Costs: Background and Options for Congress
In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs. digital.library.unt.edu/ark:/67531/metacrs10664/
Pandemic Flu Liability Limitation Legislation
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Medicaid Eligibility for Adults and Children
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Prescription Drug Coverage Under Medicaid
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U.S. and International Responses to the Global Spread of Avian Flu: Issues for Congress
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Military Health Care: The Issue of "Promised" Benefits
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A Review of Medical Child Support: Background, Policy, and Issues
Improving the establishment and enforcement of medical child support has been hampered to some extent by factors such as high health care costs, a decline in employer-provided health insurance coverage, an increase in the share of health insurance costs borne by employees, and the large number of uninsured children. This report provides a legislative history of medical support provisions in Child Support Enforcement (CSE) programs, describes current policy with respect to medical child support, examines available data, and discusses some of the issues related to medical child support. This report will not be updated. digital.library.unt.edu/ark:/67531/metacrs8188/
Medicaid Upper Payment Limits and Intergovernmental Transfers: Current Issues and Recent Regulatory and Legistlative Action
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Hurricane Katrina: Medicaid Issues
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U.S. and International Responses to the Global Spread of Avian Flu: Issues for Congress
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Military Medical Care Services: Questions and Answers
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Medicare Endorsed Prescription Drug Discount Card Program
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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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The State Children's Health Insurance Program: Eligibility, Enrollment, and Program Funding
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Military Health Care: The Issue of "Promised" Benefits
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Military Health Care: The Issue of "Promised" Benefits
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Military Health Care: The Issue of "Promised" Benefits
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Social Security and Medicare Taxes and Premiums: Fact Sheet
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Social Security and Medicare Taxes and Premiums: Fact Sheet
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Social Security and Medicare "Lock Boxes"
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Social Security and Medicare "Lock Boxes"
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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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President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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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/
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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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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Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA)
This report outlines the required minimum functions of state health insurance exchanges and explains how exchanges are expected to be established and administered under the Patient Protection and Affordable Care Act (ACA). The coverage offered through exchanges is discussed, and the report concludes with a discussion of how exchanges will interact with selected other ACA provisions. digital.library.unt.edu/ark:/67531/metadc122235/
Public Health Service (PHS) Agencies: Overview and Funding, FY2010-FY2012
This report discusses the eleven agencies that consist of the Department of Health and Human Services (HHS), including their purposes and funding. digital.library.unt.edu/ark:/67531/metadc99043/
U.S. Response to the Global Threat of Tuberculosis: Basic Facts
This report outlines basic facts related to global tuberculosis (TB), including characteristics of the epidemic and U.S. legislation, programs, funding, and partnerships related to the global response to TB. digital.library.unt.edu/ark:/67531/metadc103129/
Private Health Plans Under the ACA: In Brief
This report provides short descriptions of health plans that may be offered inside and outside of exchanges, and includes information about interaction with other selected ACA provisions. The descriptions are displayed in a side-by-side format to facilitate comparison of exchange and nonexchange plans. digital.library.unt.edu/ark:/67531/metadc227936/