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 Collection: Congressional Research Service Reports
Long-Term Services and Supports: Overview and Financing

Long-Term Services and Supports: Overview and Financing

Date: April 4, 2013
Creator: Colello, Kirsten J.; Mulvey, Janemarie & Talaga, Scott R.
Description: This report provides an overview of Long-term services and supports (LTSS), including who needs LTSS, how need for LTSS is determined, and how much LTSS costs. The report also provides information on who the primary LTSS payers are, how much they spend, and what types of services are purchased.
Contributing Partner: UNT Libraries Government Documents Department
Does Price Transparency Improve Market Efficiency? Implications of Empirical Evidence in Other Markets for the Health Sector

Does Price Transparency Improve Market Efficiency? Implications of Empirical Evidence in Other Markets for the Health Sector

Date: April 29, 2008
Creator: Austin, D. Andrew & Gravelle, Jane G.
Description: This report reviews the empirical studies of the effect of changes in price transparency on prices and quality of goods in a variety of industries; addresses the extent to which this evidence might be applicable to the health care market and certain special characteristics of the health care market which may reduce the importance of prices as signals; examines how prices are actually set by hospitals and the evidence that exists on price dispersion both across hospitals and across patient categories; discusses some initiatives undertaken by governments, insurers, and interest groups to improve information about prices and to regulate price discrimination; and finally, suggests that while it is difficult to determine the consequences of greater consumer price transparency, it is reasonable to believe that greater transparency would improve outcomes.
Contributing Partner: UNT Libraries Government Documents Department
Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

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

Date: March 13, 2014
Creator: Mach, Annie L. & Fernandez, Bernadette
Description: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform.
Contributing Partner: UNT Libraries Government Documents Department
Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions

Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions

Date: March 7, 2014
Creator: Napili, Angela
Description: The report provides basic consumer sources, including broad overviews of the Affordable Care Act (ACA) law, and resources related to specific provisions. It also has links to contacts for specific questions (including websites, hotlines, and online chat assistance).
Contributing Partner: UNT Libraries Government Documents Department
Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act (ACA): Issues for Congress

Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act (ACA): Issues for Congress

Date: August 26, 2014
Creator: Kirchhoff, Suzanne M.
Description: This report provides a detailed description of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148) requirements for Medical Loss Ratio (MLR) reporting and rebates as specified in regulations, including components of the MLR formula, state flexibility and waivers, and the nature of rebates to policyholders. The report also addresses issues that have been raised about the MLR provisions since the ACA was enacted, namely the treatment of insurance commissions paid to brokers and agents.
Contributing Partner: UNT Libraries Government Documents Department
Summary Cost Data for Federally-Facilitated Exchanges, 2014

Summary Cost Data for Federally-Facilitated Exchanges, 2014

Date: August 8, 2014
Creator: Fernandez, Bernadette & Mach, Annie L.
Description: This report provides fact sheets for Federally-Facilitated exchanges offering individual plans.
Contributing Partner: UNT Libraries Government Documents Department
TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)

TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)

Date: February 11, 2014
Creator: Panangala, Sidath Viranga & Jansen, Don J.
Description: This report addresses key questions concerning how the Patient Protection and Affordable Care Act (ACA) affects TRICARE and VA health care.
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Medicare: Insolvency Projections

Medicare: Insolvency Projections

Date: September 19, 2014
Creator: Davis, Patricia A.
Description: This report focuses on the two separate trust funds that fund Medicare, the Hospital Insurance (HI) trust fund and Supplementary Medical Insurance (SMI) trust fund. Almost from its inception, the HI trust fund has faced a projected shortfall and eventual insolvency. Because of the way it is financed, the SMI trust fund cannot become insolvent; however, the Medicare Trustees continue to express concerns about the rapid growth in SMI costs.
Contributing Partner: UNT Libraries Government Documents Department
Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

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

Date: July 24, 2014
Creator: Mach, Annie L. & Fernandez, Bernadette
Description: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform.
Contributing Partner: UNT Libraries Government Documents Department
Legal Issues Relating to State Health Care Regulation: ERISA Preemption and Fair Share Laws

Legal Issues Relating to State Health Care Regulation: ERISA Preemption and Fair Share Laws

Date: August 26, 2008
Creator: Shimabukuro, Jon O. & Staman, Jennifer
Description: This report provides an overview of the Employee Retirement Income Security Act (ERISA) preemption, discusses legal challenges to fair share laws, and analyzes the fair share requirements included as part of the Massachusetts Health Care Reform Act.
Contributing Partner: UNT Libraries Government Documents Department