You limited your search to:

 Collection: Congressional Research Service Reports
The Cost of Prescription Drugs for the Uninsured Elderly and Legislative Approaches

The Cost of Prescription Drugs for the Uninsured Elderly and Legislative Approaches

Date: January 16, 2001
Creator: Transportation and Industry Analysis Section
Description: 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.
Contributing Partner: UNT Libraries Government Documents Department
Coverage of the TANF Population Under Medicaid and SCHIP

Coverage of the TANF Population Under Medicaid and SCHIP

Date: March 8, 2006
Creator: Herz, Elicia J
Description: Health insurance is an important support for individuals receiving, leaving or diverted from the Temporary Assistance for Needy Families (TANF) welfare or cash assistance program for low-income families. Medicaid and SCHIP (State Children’s Health Insurance Program) are key vehicles for providing such coverage. While there is no formal link between TANF and either Medicaid or SCHIP, some TANF-eligibles, especially children, are likely to qualify for one of these programs. But state eligibility rules can be complex and often differ for parents versus children, leaving some parents, in particular, without coverage.
Contributing Partner: UNT Libraries Government Documents Department
Coverage of the TANF Population Under Medicaid and SCHIP

Coverage of the TANF Population Under Medicaid and SCHIP

Date: January 27, 2005
Creator: Herz, Elicia J
Description: Health insurance is an important support for individuals receiving, leaving or diverted from the Temporary Assistance for Needy Families (TANF) welfare or cash assistance program for low-income families. Medicaid and SCHIP (State Children’s Health Insurance Program) are key vehicles for providing such coverage. While there is no formal link between TANF and either Medicaid or SCHIP, some TANF-eligibles, especially children, are likely to qualify for one of these programs. But state eligibility rules can be complex and often differ for parents versus children, leaving some parents, in particular, without coverage.
Contributing Partner: UNT Libraries Government Documents Department
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.
Contributing Partner: UNT Libraries Government Documents Department
Data on Enrollment, Premiums, and Cost-Sharing in HAS-Qualified Health Plans

Data on Enrollment, Premiums, and Cost-Sharing in HAS-Qualified Health Plans

Date: May 13, 2006
Creator: Peterson, Chris L
Description: Health Savings Accounts (HSAs), which have been available since 2004, are the newest addition to the array of tax-advantaged accounts people can use to pay for unreimbursed medical expenses. To set up an HSA, one must enroll in a qualifying high-deductible health plan (HDHP). This report analyzes findings about enrollment in HSA-qualified HDHPs.
Contributing Partner: UNT Libraries Government Documents Department
Discretionary Spending Under the Affordable Care Act (ACA)

Discretionary Spending Under the Affordable Care Act (ACA)

Date: October 28, 2014
Creator: Redhead, C. Stephen; Colello, Kirsten J.; Heisler, Elayne J.; Lister, Sarah A. & Sarata, Amanda K.
Description: The Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) reauthorized funding for numerous existing discretionary grant programs administered by the Department of Health and Human Services (HHS). The ACA also created many new discretionary grant programs and provided for each an authorization of appropriations. Generally, the law authorized (or reauthorized) appropriations through FY2014 or FY2015. This report summarizes all the discretionary spending provisions in the ACA.
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
Employment-Based Health Coverage and Health Reform: Selected Legal Considerations

Employment-Based Health Coverage and Health Reform: Selected Legal Considerations

Date: June 12, 2009
Creator: Staman, Jennifer & Liu, Edward C.
Description: It is estimated that nearly 170 million individuals have employer-based health coverage. As part of a comprehensive health care reform effort, there has been support (including from the Obama Administration) in enacting comprehensive health insurance reform that retains the employer-based system. This report presents selected legal considerations inherent in amending two of the primary federal laws governing employer-sponsored health care: the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code (IRC).
Contributing Partner: UNT Libraries Government Documents Department
Enforcement of the HIPAA Privacy and Security Rules

Enforcement of the HIPAA Privacy and Security Rules

Date: August 11, 2008
Creator: Stevens, Gina Marie
Description: This report discusses enforcement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) administrative simplification provisions by the Department of Health and Human Services (HHS) and the Department of Justice (DOJ), and provides an overview of the HIPAA Administrative Simplification Enforcement Rule.
Contributing Partner: UNT Libraries Government Documents Department
ERISA Regulation of Health Plans: Fact Sheet

ERISA Regulation of Health Plans: Fact Sheet

Date: March 6, 2003
Creator: Chaikind, Hinda Ripps
Description: The Employee Retirement Income Security Act of 1974 (ERISA, P.L. 93-406) places the regulation of employee benefit plans (including health plans) primarily under federal jurisdiction for about 124 million people. ERISA’s treatment of health plans is both complicated and confusing. ERISA has been interpreted as dividing health plans into two groups regulated differently under the law: about 54 million people are covered by self-insured plans for which the employer, rather than an insurer, assumes the risk for paying for covered services and about 70 million people are covered by purchased insurance (according to 2000 information from the Census Bureau and the Department of Labor).
Contributing Partner: UNT Libraries Government Documents Department