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Increases in Tricare Costs: Background and Options for Congress

Description: 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.
Date: August 15, 2008
Creator: Jansen, Don J. & Best, Richard
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.
Partner: UNT Libraries Government Documents Department

The False Claims Act, the Allison Engine Decision, and Possible Effects on Health Care Fraud Enforcement

Description: The False Claims Act (FCA), an important tool for combating fraud against the U.S. government, generally provides that a person who knowingly submits, or causes to be submitted, a false or fraudulent claim for payment to the U.S. government may be subject to civil penalties and damages. This report provides an overview of the FCA and the Allison Engine decision, analyzes how this decision could affect certain FCA health care claims, and discusses the proposed False Claims Correction Acts (S. 2041 and H.R. 4854), which, if enacted, could limit the application of the Allison Engine decision.
Date: November 6, 2008
Creator: Staman, Jennifer
Partner: UNT Libraries Government Documents Department

Medicare Program Changes in H.R. 3962, Affordable Health Care for America Act

Description: This report describes changes to the Medicare program made in H.R. 3962, the Affordable Health Care for America Act, as passed by the House on November 7, 2009. H.R. 3962 contains numerous provisions affecting Medicare payments, payment rules, and covered benefits, and treats the Medicare program as both a funding source for health reform and a tool to shape future changes in the way that health services are delivered.
Date: November 9, 2009
Creator: Davis, Patricia A.
Partner: UNT Libraries Government Documents Department

Health Care Reform: An Introduction

Description: This report provides an introduction to health care reform. It focuses on three predominant concerns--coverage, cost and spending, and quality--and some of the legislative issues within which they likely will be debated, including the scope of reform (particularly whether Medicare and Medicaid should be included); the choice between public and private coverage; whether employment-based insurance should be strengthened, weakened, or left alone; and what role states might play.
Date: August 31, 2009
Creator: Fernandez, Bernadette; Chaikind, Hinda; Peterson, Chris L. & Bob Lyke
Partner: UNT Libraries Government Documents Department

Private Health Insurance Provisions of H.R. 3200

Description: This report provides a short background describing key aspects of the private insurance market as it exists currently. This information is useful in setting the stage for understanding how and where H.R. 3200 would reform health insurance. Primarily, however, the report summarizes provisions affecting private health insurance in Division A (or Division 1) H.R. 3200, as ordered reported by the House Committees on Education and Labor and on Ways and Means.
Date: July 27, 2009
Creator: Chaikind, Hinda; Fernandez, Bernadette; Peterson, Chris L. & Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department

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

Selected Health Funding in the American Recovery and Reinvestment Act of 2009

Description: The American Recovery and Reinvestment Act (ARRA) of 2009, which the President signed into law on February 17, 2009, provided more than $17 billion in supplemental FY2009 discretionary appropriations for biomedical research, public health, and other health-related programs within the Department of Health and Human Services (HHS). This report discusses the health-related programs and activities funded by ARRA, including details of how the administering HHS agencies and offices plan to allocate, award, and spend the funds.
Date: April 13, 2009
Creator: Redhead, C. S.; Lister, Sarah A.; Reyes-Akinbileje, Bernice; Smith, Pamela W.; Sommers, Andrew R. & Walke, Roger
Partner: UNT Libraries Government Documents Department

Selected Health Funding in the American Recovery and Reinvestment Act of 2009

Description: This report compares funding provided for selected Health and Human Services (HHS) programs in the American Recovery and Reinvestment Act (ARRA) conference report (H.Rept. 111-16) with the recommendations in the House- and Senate-passed versions of H.R. 1. It also briefly discusses ARRA's provisions on HIT and comparative effectiveness research as they relate to the funding.
Date: February 20, 2009
Creator: Redhead, C. S.; Colello, Kirsten J.; Lister, Sarah A.; Reyes-Akinbileje, Bernice; Smith, Pamela W. & Sommers, Andrew R.
Partner: UNT Libraries Government Documents Department