Congressional Research Service Reports - 39 Matching Results

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Medicare Structural Reform: Background and Options

Description: THis report provides a brief overview of major issues underlying the debate about possible structural reforms or improvements to the current Medicare system. Medicare is a nationwide health insurance program for the aged and certain disabled persons.
Date: January 28, 2003
Creator: Chaikind, Hinda R.; O'Sullivan, Jennifer & Boulanger, Jennifer
Partner: UNT Libraries Government Documents Department
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Medicare+Choice Payments

Description: This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
Date: May 8, 2002
Creator: Chaikind, Hinda Ripps & Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Medicare+Choice Payments

Description: This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
Date: January 22, 2003
Creator: Chaikind, Hinda Ripps & Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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End-of-Life Care: Services, Costs, Ethics, and Quality of Care

Description: This report provides information on various aspects of end-of-life care: (1) demographic and historical changes affecting death and dying in the United States (2) the definitions of end-of-life, palliative, and hospice care (3) costs associated with end-of-life care (4) end-of-life care laws and ethics (5) quality of care at the end of life and (6) policy issues that would modify or expand the federal government's role in addressing end-of-life care.
Date: February 23, 2009
Creator: Colello, Kirsten J.; Mulvey, Janemarie; Sarata, Amanda K.; Williams, Erin D. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department
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Missing Adults: Background, Federal Programs, and Issues for Congress

Description: The first section of this report discusses demographics and record keeping of missing adults and unidentified remains, and some of the factors that may contribute to the disappearance of adults. This section also discusses federally funded databases that are used to track data on missing adults and unidentified individuals. The second section of the report describes the federal programs and initiatives to assist in locating missing adults, including funding data for FY2002 through FY2008, where… more
Date: October 15, 2008
Creator: Fernandes-Alcantara, Adrienne L.
Partner: UNT Libraries Government Documents Department
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Federal Spending for Older Americans

Description: This report discusses the share of the federal budget devoted to older Americans, which is growing. The federal government currently spends more than one-third of its budget on benefits and programs for older Americans. For people age 65 and over, estimated FY2007 spending for Social Security, Medicare, and Medicaid alone is $833 billion. Spending for retired federal employees and military personnel and for veterans is also significant, and smaller programs add to the total as well. Tax expendi… more
Date: January 25, 2007
Creator: Grady, April & Klunk, William J.
Partner: UNT Libraries Government Documents Department
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Prescription Drug Coverage Under Medicaid

Description: Medicaid is a joint federal-state entitlement program that pays for medical services on behalf of certain groups of low-income persons. It is the third largest social program in the federal budget, exceeded only by Social Security and Medicare and is typically the second largest spending item for states. This report discusses prescription drug policies under the program.
Date: March 12, 2004
Creator: Hearne, Jean & Grady, April
Partner: UNT Libraries Government Documents Department
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Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

Description: This report discusses Medicaid and the State Children’s Health Insurance Program (SCHIP). The report also discusses other major health provisions provisions of H.R. 5661 are incorporated, by reference into H.R. 4577, the Consolidated Appropriations Act 2001.
Date: January 4, 2001
Creator: Hearne, Jean P.; Herz, Elicia J. & Baumrucker, Evelyne P.
Partner: UNT Libraries Government Documents Department
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Increases in Tricare Costs: Background and Options for Congress

Description: This report discusses budgetary matters for the U.S. Department of Defense (DOD), specifically regarding past instances of debate regarding the Tricare system. The dollar amounts allocated to health care in the budget of the DOD have more than doubled since FY2001, growing from about $17 billion to over $44.8 billion in FY2009.
Date: May 14, 2009
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department
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Military Technicians: The Issue of Mandatory Retirement for Non-Dual-Status Technicians

Description: This report describes the mandatory retirement provisions for certain “non-dual-status” military technicians contained in the National Defense Authorization Act for Fiscal Year 2000 (P.L. 106-65), discusses the stated rationale behind the policy, and quantifies the impact it will likely have on individual technicians.
Date: March 28, 2000
Creator: Kapp, Lawrence
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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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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Factors Affecting the Demand for Long-Term Care Insurance: Issues for Congress

Description: This report will discuss the role of long-term care insurance (LTCI) in financing long term care (LTC) costs and current trends in the LTCI industry; factors affecting the demand for LTCI, including cost and complexity of the product and adequacy of consumer protections; and key features of legislative proposals in the 111th Congress to address these issues.
Date: May 27, 2009
Creator: Mulvey, Janemarie
Partner: UNT Libraries Government Documents Department
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Converting Retirement Savings into Income: Annuities and Periodic Withdrawals

Description: To a worker contemplating retirement, there is perhaps no more important question than "How long will my money last?" Congress has a strong interest in the income security of older Americans because much of their income is either provided directly from public programs like Social Security, or in the case of pensions and retirement accounts, is subsidized through tax deductions and deferrals. This report discusses risks involved with retirement fund disbursement and strategies for dealing with s… more
Date: December 1, 2008
Creator: Mulvey, Janemarie & Purcell, Patrick
Partner: UNT Libraries Government Documents Department
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Converting Retirement Savings into Income: Annuities and Periodic Withdrawals

Description: To a worker contemplating retirement, there is perhaps no more important question than "How long will my money last?" Congress has a strong interest in the income security of older Americans because much of their income is either provided directly from public programs like Social Security, or in the case of pensions and retirement accounts, is subsidized through tax deductions and deferrals. This report looks at strategies to help deal with the following risks: longevity, investment, inflation,… more
Date: December 1, 2008
Creator: Mulvey, Janemarie & Purcell, Patrick
Partner: UNT Libraries Government Documents Department
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Medicare: Prescription Drug Proposals

Description: This report provides an overview of the President’s plan and the legislation introduced to date in the 106th Congress. It
Date: June 8, 2000
Creator: O'Sullivan, Jennifer
Partner: UNT Libraries Government Documents Department
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Medicare Prescription Drug Benefit: An Overview of Implementation for Dual Eligibles

Description: This report provides background information on the early stages of the implementation of the Medicare Part D outpatient prescription drug program. This report describes certain policies and implementation issues related to those who are not dually eligible.
Date: February 6, 2006
Creator: O'Sullivan, Jennifer & Tritz, Karen
Partner: UNT Libraries Government Documents Department
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Medicare Prescription Drug and Reform Legislation

Description: This report describes the major features of S. 1, as ordered reported, and the measure to be considered by the House Ways and Means Committee, H.R. 2473, as ordered reported.
Date: June 19, 2003
Creator: O'Sullivan, Jennifer; Chaikind, Hinda Ripps; Tilson, Sibyl L.; Boulanger, Jennifer & Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003

Description: This report examines the the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, which creates a prescription drug benefit for Medicare beneficiaries and establishes a new Medicare Advantage program to replace the current Medicare+Choice program.
Date: December 6, 2004
Creator: O'Sullivan, Jennifer; Chaikind, Hinda; Tilson, Sibyl; Boulanger, Jennifer & Morgan, Paulette
Partner: UNT Libraries Government Documents Department
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Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation

Description: This report provides an analysis of how the cost-sharing and premium provisions under the Prescription Drug and Medicare Improvement Act of 2003 (S. 1) and the Medicare Prescription Drug and Modernization Act of 2003 (H bill would affect the amount that a beneficiary would pay annually for prescription drugs.
Date: July 25, 2003
Creator: Peterson, Chris L.
Partner: UNT Libraries Government Documents Department
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Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Description: This report examines these proposals as well as the “Medicare Rx Drug Benefit and Discount Act of 2003,” which was introduced by Representative Charles Rangel, the ranking member of the House Ways and Means Committee. Specifically, this report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs.
Date: June 17, 2003
Creator: Peterson, Chris L.
Partner: UNT Libraries Government Documents Department
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Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Description: This report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs. In addition, this report gives examples of how annual cost-sharing would differ for beneficiaries with various levels of total prescription drug spending in 2006 under the plans.
Date: June 26, 2003
Creator: Peterson, Chris L.
Partner: UNT Libraries Government Documents Department
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