Congressional Research Service Reports - 541 Matching Results

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Overview of Health Care Changes in the FY2015 House Budget

Description: This report summarizes the proposed changes to Medicare, Medicaid, and private health insurance as described in H.Con.Res. 96 and accompanying documents, including the committee report and Chairman Ryan's Path to Prosperity report.
Date: April 16, 2014
Creator: Davis, Patricia A.; Mitchell, Alison & Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department

Individual Mandate Under ACA

Description: This report describes the individual mandate as established under the Affordable Care Act (ACA, P.L. 111-148, as amended). The report also discusses the ACA reporting requirements designed, in part, to assist individuals in providing evidence of having met the mandate.
Date: May 5, 2014
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department

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

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.
Date: January 22, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Partner: UNT Libraries Government Documents Department

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

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

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

Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA)

Description: This report describes the eligibility criteria applicable to the premium tax credits and cost-sharing subsidies, and the calculation method for the credit and subsidy amounts. It also highlights selected issues addressed in the final regulation on premium credits.
Date: March 12, 2014
Creator: Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department

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

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

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

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 content of and constraints on Board proposals--including the Medicare productivity exemptions under Section 3401 of the The Patient Protection and Affordable Care Act (PPACA).
Date: April 17, 2013
Creator: Hahn, Jim & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department

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 categories; discusses some initiatives undertaken by governments, insurers, and interest groups to improve information about prices and to regulate price discrimination; and finally, suggests that while it is difficult to determine the consequences of greater consumer price transparency, it is reasonable to believe that greater transparency would improve outcomes.
Date: April 29, 2008
Creator: Austin, D. Andrew & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department

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

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

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 agents.
Date: August 26, 2014
Creator: Kirchhoff, Suzanne M.
Partner: UNT Libraries Government Documents Department