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Military Medical Care: Questions and Answers

Description: This report answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE - the Medicare Eligible Retiree Health Care fund.
Date: January 7, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Partner: UNT Libraries Government Documents Department
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Long-Term Services and Supports: Overview and Financing

Description: This report provides an overview of Long-term services and supports (LTSS), including who needs LTSS, how need for LTSS is determined, and how much LTSS costs. The report also provides information on who the primary LTSS payers are, how much they spend, and what types of services are purchased.
Date: April 4, 2013
Creator: Colello, Kirsten J.; Mulvey, Janemarie & Talaga, Scott R.
Partner: UNT Libraries Government Documents Department
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Legal Issues Relating to State Health Care Regulation: ERISA Preemption and Fair Share Laws

Description: This report provides an overview of the Employee Retirement Income Security Act (ERISA) preemption, discusses legal challenges to fair share laws, and analyzes the fair share requirements included as part of the Massachusetts Health Care Reform Act.
Date: August 26, 2008
Creator: Shimabukuro, Jon O. & Staman, Jennifer
Partner: UNT Libraries Government Documents Department
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Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions

Description: The report provides basic consumer sources, including broad overviews of the Affordable Care Act (ACA) law, and resources related to specific provisions. It also has links to contacts for specific questions (including websites, hotlines, and online chat assistance).
Date: March 7, 2014
Creator: Napili, Angela
Partner: UNT Libraries Government Documents Department
open access

Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Description: This report summarizes all the mandatory appropriations and Medicare trust fund transfers in the Affordable Care Act (ACA) and provides details on the status of obligation of these funds. The information is presented in two tables. The report also includes a brief discussion of the impact that sequestration is having on ACA mandatory spending.
Date: August 1, 2014
Creator: Redhead, C. S.
Partner: UNT Libraries Government Documents Department
open access

Medicare: Part B Premiums

Description: This report examines the history of the Medicare Part B Premium. The report considers issues including the changing factors that go into determining the premium. The report also discusses the comparative cost adjustment program, the Part B deductible, and the Part A premium.
Date: December 29, 2008
Creator: Hahn, Jim
Partner: UNT Libraries Government Documents Department
open access

Does Price Transparency Improve Market Efficiency? Implications of Empirical Evidence in Other Markets for the Health Sector

Description: This report reviews the empirical studies of the effect of changes in price transparency on prices and quality of goods in a variety of industries; addresses the extent to which this evidence might be applicable to the health care market and certain special characteristics of the health care market which may reduce the importance of prices as signals; examines how prices are actually set by hospitals and the evidence that exists on price dispersion both across hospitals and across patient categ… more
Date: April 29, 2008
Creator: Austin, D. Andrew & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department
open access

Medicare: Insolvency Projections

Description: This report focuses on the two separate trust funds that fund Medicare, the Hospital Insurance (HI) trust fund and Supplementary Medical Insurance (SMI) trust fund. Almost from its inception, the HI trust fund has faced a projected shortfall and eventual insolvency. Because of the way it is financed, the SMI trust fund cannot become insolvent; however, the Medicare Trustees continue to express concerns about the rapid growth in SMI costs.
Date: September 19, 2014
Creator: Davis, Patricia A.
Partner: UNT Libraries Government Documents Department
open access

Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options

Description: This report discusses the Federal Employees Health Benefits Program (FEHBP), a program administered by the Office of Personnel Management (OPM), which is statutorily given the authority to contract with qualified carriers offering plans and to prescribe regulations necessary to carry out the statute, among other duties.
Date: February 13, 2013
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
open access

Enforcement of the HIPAA Privacy and Security Rules

Description: This report discusses enforcement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) administrative simplification provisions by the Department of Health and Human Services (HHS) and the Department of Justice (DOJ), and provides an overview of the HIPAA Administrative Simplification Enforcement Rule.
Date: August 11, 2008
Creator: Stevens, Gina Marie
Partner: UNT Libraries Government Documents Department
open access

Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act (ACA): Issues for Congress

Description: This report provides a detailed description of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148) requirements for Medical Loss Ratio (MLR) reporting and rebates as specified in regulations, including components of the MLR formula, state flexibility and waivers, and the nature of rebates to policyholders. The report also addresses issues that have been raised about the MLR provisions since the ACA was enacted, namely the treatment of insurance commissions paid to brokers and age… more
Date: August 26, 2014
Creator: Kirchhoff, Suzanne M.
Partner: UNT Libraries Government Documents Department
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H.R. 2: The Children's Health Insurance Program Reauthorization Act of 2009

Description: This report summarizes changes to current law across the major provisions of H.R. 2 that would occur if The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) were enacted.
Date: January 14, 2009
Creator: Baumrucker, Evelyne P.; Herz, Elicia J.; Peterson, Chris L.; Tilson, Sibyl & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department
open access

The Independent Payment Advisory Board

Description: This report, which provides an overview of the Payment Advisory Board, begins with a discussion of the rationale behind the creation of an independent Medicare board and briefly reviews prior proposals for similar boards and commissions. The report then describes the structure of the Board, the calculations and determinations required to be made by the Office of the Chief Actuary (the Chief Actuary) in the Centers for Medicare & Medicaid Services (CMS) that trigger a Board proposal, and the con… more
Date: April 17, 2013
Creator: Hahn, Jim & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department
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Health Care for Rural Veterans: The Example of Federally Qualified Health Centers

Description: This report discusses considerations that may arise during possible attempts to increase collaboration between the Department of Veterans Affairs (VA) and federally qualified health centers (FQHCs) and describes policy levers Congress might use to encourage VA-FQHC collaboration. These approaches might also be employed to encourage collaboration between the VA and other types of facilities that may serve rural veterans.
Date: January 13, 2014
Creator: Heisler, Elayne J.; Panangala, Sidath Viranga & Bagalman, Erin
Partner: UNT Libraries Government Documents Department
open access

Individual Mandate Under ACA

Description: Report describing the individual mandate requirements of the Afordable Care Act, as well as penalties for not meeting these requirements and exemptions granted for hardships.
Date: August 12, 2014
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
open access

Hospital-Based Emergency Departments: Background and Policy Considerations

Description: This report describes Emergency departments (EDs), the role they play in the health care delivery system, and current federal involvement in supporting EDs. It then discusses the causes and consequences of three commonly identified and interrelated challenges that EDs face: (1) crowding, (2) providing repeat care to a subset of patients who are frequent users, and (3) providing care to a large population who have behavioral health conditions when an ED lacks the appropriate resources to provide… more
Date: December 8, 2014
Creator: Heisler, Elayne J. & Tyler, Nancy Leigh
Partner: UNT Libraries Government Documents Department
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U.S. and International Health Responses to the Ebola Outbreak in West Africa

Description: In March 2014, an Ebola Virus Disease (EVD) outbreak was reported in Guinea, West Africa. The outbreak is the first in West Africa and has caused an unprecedented number of cases and deaths. The outbreak is continuing to spread in Guinea, Sierra Leone, and Liberia (the "affected countries"); it has been contained in Nigeria and Senegal, and has been detected in Mali. As of October 22, 2014, more than 10,000 people have contracted EVD, more than half of whom have died. This report focuses on the… more
Date: October 29, 2014
Creator: Salaam-Blyther, Tiaji
Partner: UNT Libraries Government Documents Department
open access

Comparison of the Current World Trade Center Medical Monitoring and Treatment Program and the World Trade Center Health Program Proposed by Title I of H.R. 847

Description: This report compares the current federally supported medical screening and treatment program offered to various persons affected by the terrorist attack on New York City on September 11, 2001, with the federal program proposed to be established by Title I of H.R. 847, the James Zadroga 9/11 Health and Compensation Act of 2010, as amended and passed by the House of Representatives.
Date: December 14, 2010
Creator: Szymendera, Scott & Lister, Sarah A.
Partner: UNT Libraries Government Documents Department
open access

Bisphenol A (BPA) in Plastics and Possible Human Health Effects

Description: This report discusses Bisphenol A (BPA). BPA is used to produce certain types of plastic that are used in thousands of formulations for myriad products. Containers made with these plastics may expose people to small amounts of BPA in food and water. Medical devices and other more ubiquitous products, such as thermal paper coatings, also may contribute significantly to human exposure. Some animal experiments have found that fetal and infant development may be harmed by small amounts of BPA, but … more
Date: August 13, 2010
Creator: Schierow, Linda-Jo & Lister, Sarah A.
Partner: UNT Libraries Government Documents Department
open access

Treating Ebola Patients in the United States: Health Care Delivery Implications

Description: This report discusses the recent response to Ebola patients in the United States. While the U.S. health care system has the resources to effectively identify and treat Ebola cases, a situation that is novel, emergent, and resource-intensive may test the system's ability to effectively mobilize those resources.
Date: November 4, 2014
Creator: Sarata, Amanda K.
Partner: UNT Libraries Government Documents Department
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