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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
Item Type: Report
Partner: UNT Libraries Government Documents Department

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
Item Type: Report
Partner: UNT Libraries Government Documents Department

Pharmacy Benefit Managers

Description: No Description Available.
Date: November 29, 2000
Creator: Sroka, Christopher J
Item Type: Report
Partner: UNT Libraries Government Documents Department

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.
Item Type: Report
Partner: UNT Libraries Government Documents Department

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

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.
Date: January 16, 2001
Creator: Library of Congress. Congressional Research Service. Resources, Science, and Industry Division.
Item Type: Report
Partner: UNT Libraries Government Documents Department