Congressional Research Service Reports - 113 Matching Results
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- Increases in Tricare Costs: Background and Options for Congress
- In its FY2007 budget submission, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. The raises were justified by DOD as necessary to constrain the growth of health care spending as a proportion of the overall defense budget in the next decade. Many beneficiaries argued that the proposed hikes were unfair and unnecessary. The FY2007 Defense Authorization Act prohibited increases in premiums, deductibles, and co-payments prior to September 30, 2007. The FY2008 National Defense Authoriztion Act extended the prohibition of increases in co-payments and enrollment fees until October 2008 and Congress may move to extend them further.
- Medicare Structural Reform: Background and Options
- 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.
- Trends in Medicare Spending: Fact Sheet
- No Description Available.
- Medicare+Choice Payments
- This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
- Medicare+Choice Payments
- This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
- Medicare Provisions in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA, P.L. 106-554)
- No Description Available.
- End-of-Life Care: Services, Costs, Ethics, and Quality of Care
- 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.
- Medicare Primer
- This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing.
- Missing Adults: Background, Federal Programs, and Issues for Congress
- The first section of this report discusses demographics and record keeping of missing adults and unidentified remains, as well as 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 where applicable. Finally, the third section discusses issues about the federal role in missing adult cases.
- Missing Adults: Background, Federal Programs, and Issues for Congress
- The first section of this report discusses demographics and record keeping of missing adults and unidentified remains, as well as 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 where applicable. Finally, the third section discusses issues about the federal role in missing adult cases.
- Missing Adults: Background, Federal Programs, and Issues for Congress
- 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 applicable.
- Federal Spending for Older Americans
- 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 expenditures might also be taken into account to obtain a more complete budget picture.
- Implications of the Medicare Prescription Drug Benefit for State Budgets
- No Description Available.
- The Pros and Cons of Allowing the Federal Government to Negotiate Prescription Drug Prices
- The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) expressly forbids the Secretary of Health and Human Services (HHS) from negotiating the price of prescription drugs on behalf of Medicare beneficiaries. This report outlines the arguments for and against allowing the federal government to negotiate prescription drug prices on behalf of Medicare beneficiaries. This report will be updated, as needed.
- Standardized Choices: Medigap Lessons for Medicare Part D
- No Description Available.
- Prescription Drug Coverage Under Medicaid
- 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.
- Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000
- 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.
- Concurrent Receipt: Background and Issues for Congress
- "Concurrent Receipt" refers to the simultaneous receipt of two types of monetary benefits: military retired pay and Department of Veterans Affairs (VA) disability compensation. This report addresses the two primary components of the concurrent receipt program: Combat-Related Special Compensation (CRSC) and Concurrent Retirement and Disability Payments (CRDP). It reviews the possible legislative expansion of the program to additional populations and provide several potential options for Congress to consider.
- Increases in Tricare Costs: Background and Options for Congress
- 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.
- 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.
- 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.
- 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.
- Beneficiary Information and Decision Supports for the Medicare-Endorsed Prescription Drug Discount Card
- On December 8, 2003 the President signed into law the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA, P.L. 108-173). This legislation establishes a Medicare prescription drug benefit, effective January 1, 2006. In the interim, the legislation requires the Department of Health and Human Services (HHS) to establish a temporary program of Medicare-endorsed prescription drug discount cards. This report discusses the objectives and benefits of this legislation.
- Military Technicians: The Issue of Mandatory Retirement for Non-Dual-Status Technicians
- 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.
- Social Security and Medicare "Lock Boxes"
- With the onset of burgeoning federal budget surpluses, Social Security and Medicare's treatment in the budget has become a major policy issue. Congressional views about what to do with the surpluses are diverse -- ranging from "buying down" the federal government's outstanding debt to cutting taxes to increasing spending.
- Social Security and Medicare "Lock Boxes"
- No Description Available.
- Social Security and Medicare Taxes and Premiums: Fact Sheet
- No Description Available.
- Social Security and Medicare Taxes and Premiums: Fact Sheet
- No Description Available.
- Social Security: Raising the Retirement Age Background and Issues
- The Social Security "full retirement age" will gradually rise from 65 to 67 beginning with people who attain age 62 in 2000 (i.e., those born in 1938). Early retirement benefits will still be available beginning at age 62, but at lower levels. To help solve Social Security's long-range financing problems, it has been proposed that these ages be raised further.
- Older Displaced Workers in the Context of an Aging and Slowly Growing Population
- This report analyzes the labor market experiences of those older workers who have involuntarily lost long-held jobs for reasons unrelated to their own performance (e.g., veteran factory workers at plants closed because of import competition, experienced information technology workers whose jobs have been outsourced to workers in other countries, and mid-level managers in positions eliminated through corporate restructuring). It examines current policies targeted at the reemployment of older displaced workers which, if successful, might lengthen their stay in the workforce.
- Nursing Homes and the Congress: A Brief History of Developments and Issues
- No Description Available.
- 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.
- Medicare Expansion: President Clinton's Proposals to Allow Coverage Before Age 65
- This report discusses medicare expansion; President Clinton's proposal to allow people ages 62 through 64 to buy into Medicare if they do not have access to employer-sponsored or federal health insurance.
- Medicare Beneficiary Access to Care: The Effects of New Prospective Payment Systems on Outpatient Hospital Care, Home Health Care, and Skilled Nursing Facility Care
- 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.
- Medicaid Reimbursement Policy
- 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 or providers.
- Medicare Advantage
- 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.
- Factors Affecting the Demand for Long-Term Care Insurance: Issues for Congress
- 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.
- Converting Retirement Savings into Income: Annuities and Periodic Withdrawals
- 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 such risks.
- Converting Retirement Savings into Income: Annuities and Periodic Withdrawals
- 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, and unexpected events.
- Older Americans Act: FY2015 Appropriations Overview
- This report discusses Older Americans Act (OAA) funding. It begins with an overview of OAA's FY2015 funding and provides a detailed breakdown of current-year funding for each of the act's programs and activities. The report then reviews OAA's funding history since FY2001. Next, it summarizes FY2015 legislative activity with respect to OAA appropriations. It concludes with a discussion of FY2015 funding decisions for selected OAA programs.
- Social Security and Medicare Taxes and Premiums: Fact Sheet
- Financing for social security -- Old Age, Survivors, and Disability Insurance -- and the Hospital Insurance part of Medicare is provided primarily by taxes levied on wages and net self-employment income. Financing for the Supplementary Medical Insurance portion of Medicare is provided by premiums from enrollees and payments from the government. This report describes these taxes and premiums.
- Older Americans Act: 105th Congress Issues
- No Description Available.
- Older Americans Act: Disaster Assistance for Older Persons After Hurricane Katrina
- The devastation caused by Hurricane Katrina is having significant negative effects on older persons with physical and mental disabilities. Persons who are socially isolated and dependent upon informal caregivers and social service programs to assist them live independently have immediate and long-term needs. The Administration on Aging (AoA) has allocated $750,000 in disaster relief funds available through the Older Americans Act to Alabama, Louisiana, and Mississippi (divided equally among the three states). Congress may consider whether additional actions are necessary to assist state and area agencies on aging in their efforts to assist the frail elderly in the wake of Hurricane Katrina.
- Older Americans Act: Programs and Funding
- Report on the programs and funding for social and nutrition services for older persons, including a list of the programs, grants, elder rights, and more.
- Medicare Endorsed Prescription Drug Discount Card Program
- No Description Available.
- Medicare: Financing the Part A Hospital Insurance Program
- This report discusses Medicare, which consists of two distinct parts — Part A (Hospital Insurance (HI)) and Part B (Supplementary Medical Insurance (SMI)). Part A is financed primarily through payroll taxes levied on current workers and their employers. Income from these taxes is credited to the HI trust fund. Part B is financed through a combination of monthly premiums paid by current enrollees and general revenues. Income from these sources is credited to the SMI trust fund.
- Medicare: Financing the Part A Hospital Insurance Program
- No Description Available.
- Medicare: Major Prescription Drug Provisions of Selected Bills
- No Description Available.
- Medicare: Major Prescription Drug Provisions of Selected Bills
- No Description Available.
- Medicare: Major Prescription Drug Provisions of Selected Bills
- No Description Available.