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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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Medicaid Financial Eligibility for Long-Term Services and Supports

Description: This report provides an overview of the financial requirements used for determining eligibility for Medicaid long-term services and supports (LTSS). It first provides background information on the Medicaid program, including general eligibility requirements. Then it describes federal statutes as well as selected regulations and guidance regarding these financial eligibility requirements, including rules related to spousal impoverishment, asset transfers, treatment of certain assets, post-eligib… more
Date: March 7, 2017
Creator: Colello, Kirsten J.
Partner: UNT Libraries Government Documents Department
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Extensively Drug-Resistant Tuberculosis (XDR-TB): Emerging Public Health Threats and Quarantine and Isolation

Description: This report the international saga of Andrew Speaker, a traveler thought to have XDR-TB, a drug-resistant form of tuberculosis, placed a spotlight on existing mechanisms to contain contagious disease threats and raised numerous legal and public health issues. It also discusses the application of various public health measures available to contain an emerging public health threat posed by an individual who ignores medical advice and attempts to board an airplane or take other forms of public tra… more
Date: November 26, 2010
Creator: Swendiman, Kathleen S. & Jones, Nancy Lee
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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Health Insurance: Federal Data Sources for Analyses of the Uninsured

Description: Given the various reasons individuals lack health insurance coverage, analysis of the effectiveness of a proposal to reduce the number of uninsured (such as those discussed above) requires examining characteristics of individuals with and without health insurance coverage. Numerous sources of data have emerged over time that support estimates of the uninsured. However, each data source differs in how it collects information from individuals, as well as the amount of information it collects rela… more
Date: February 7, 2002
Creator: Peterson, Chris L. & Devere, Christine
Partner: UNT Libraries Government Documents Department
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The Affordable Care Act and Small Business: Economic Issues

Description: This report explains how employer-sponsored insurance can be used to address concerns about health insurance coverage and cost. Then, it summarizes the three ACA provisions most relevant to small businesses. Also, it analyzes these provisions for their potential effects on small businesses. Last, this report presents several approaches that could address some concerns associated with these provisions (particularly the employer penalty).
Date: February 25, 2014
Creator: Lowry, Sean & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department
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The Affordable Care Act and Small Business: Economic Issues

Description: This report explains how employer-sponsored insurance can be used to address concerns about health insurance coverage and cost. Then, it summarizes the three ACA provisions most relevant to small businesses. Also, it analyzes these provisions for their potential effects on small businesses. Last, this report presents several approaches that could address some concerns associated with these provisions (particularly the employer penalty).
Date: August 15, 2013
Creator: Lowry, Sean & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department
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Health Savings Accounts (HSAs)

Description: This report summarizes the principal rules governing health savings accounts (HSAs), covering such matters as eligibility, qualifying health insurance, contributions, withdrawals, and tax advantages. It concludes with a discussion of HSA data limitations and recent research findings on high-deductible health plan (HDHP) enrollment and HSA utilization trends.
Date: July 31, 2018
Creator: Rosso, Ryan J.
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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Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report first analyzes the authority of Congress to enact the minimum essential coverage requirement contained in Patient Protection and Affordable Care Act (PPACA), as well as how a court might analyze this provision if challenged based on various provisions of the Fifth and Tenth Amendments. This report discusses whether there must be exceptions to a requirement to purchase health insurance based on First Amendment freedom of religion, and finally, discusses some of the legal challenges t… more
Date: February 1, 2011
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department
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Public Health, Workforce, Quality, and Related Provisions in H.R. 3590, as Passed by the Senate

Description: This report summarizes the workforce, prevention, quality, and related provisions in H.R. 3590, as passed by the Senate. It begins with some background on health care delivery reform, followed by an overview of the report’s content and organization
Date: March 1, 2010
Creator: Redhead, C. Stephen & Williams, Erin D.
Partner: UNT Libraries Government Documents Department
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Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report discusses the Patient Protection and Affordable Care Act (ACA), P.L. 111-148, as amended, Congress enacted a “minimum coverage provision,” which compels certain individuals to have a minimum level of health insurance. This report provides an analysis of the constitutionality of this provision requiring individuals to obtain health insurance.
Date: April 6, 2012
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department
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Health Insurance Coverage for Retirees

Description: With the retirement of the baby boom generation looming ahead, employers offering coverage to their retired workers will face a huge future financial commitment. Some employers have already reduced or eliminated their commitment to insure their retirees. Recent trends indicate that retiree health benefits are increasingly subject to higher beneficiary cost-sharing. Further, among employers who provide health insurance for current retirees, their current workers are less likely to be guaranteed … more
Date: March 28, 2006
Creator: Chaikind, Hinda
Partner: UNT Libraries Government Documents Department
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Medicaid and SCHIP: The President’s FY2006 Budget Proposals

Description: This report describes the proposal and provides an estimate of the cost or savings based on publicly available information. The report provides a brief background for the proposal and provides a listing of current Congressional Research Service (CRS) reports related to the proposal.
Date: February 15, 2005
Creator: Grady, April; Hearne, Jean P.; Herz, Elicia J.; Scott, Christine; Stone-Axelrad, Julie & Tritz, Karen
Partner: UNT Libraries Government Documents Department
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Medicare Home Health Benefit Primer: Benefit Basics and Issues

Description: This report describes home health eligibility criteria, home health services, characteristics of Medicare beneficiaries who use home health services, and home health providers. Further, this report describes in detail the Medicare home health prospective payment system (HH PPS), provides an overview of Medicare home health payments, and discusses issues for Congress related to the Medicare home health benefit.
Date: February 6, 2014
Creator: Talaga, Scott R.
Partner: UNT Libraries Government Documents Department
open access

Medicaid and Graduate Medical Education

Description: This report discusses Medicaid coverage of graduate medical education (GME) costs. GME costs are difficult to determine because teaching occurs in the context of patient care and research. There are direct GME (DGME) costs, which include residents' stipends, payments to supervising physicians, and direct program administration costs.
Date: May 28, 2008
Creator: Herz, Elicia J. & Tilson, Sibyl
Partner: UNT Libraries Government Documents Department
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