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

The Independent Payment Advisory Board

Description: In response, in part, to overall growth in Medicare program expenditures and growth in expenditures per Medicare beneficiary, the Patient Protection and Affordable Care Act created the Independent Payment Advisory Board (IPAB, or the Board) and charged the Board with developing proposals to "reduce the per capita rate of growth in Medicare spending." This report discusses the responsibilities and duties.
Date: March 12, 2012
Creator: Hahn, Jim & Davis, Christopher M.
Item Type: Report
Partner: UNT Libraries Government Documents Department

NFIB v. Sebelius: Constitutionality of the Individual Mandate

Description: Report that provides an overview of the Court's holding with respect to the individual mandate of the Patient Protection and Affordable Care Act (ACA) under the Commerce Clause and the Taxing Power. It also addresses possible implications of the decision on existing federal law and future legislation.
Date: September 3, 2012
Creator: Lunder, Erika K. & Staman, Jennifer
Item Type: Report
Partner: UNT Libraries Government Documents Department

Health Insurance: Small is the New Large

Description: This report discusses aspects of the Patient Protection and Affordable Care Act that expand the definition of small employer to include employers with 100 or fewer employees. States must implement the expanded definition for plan years beginning in 2016, but have the option of implementing the expanded definition prior to the deadline.
Date: August 26, 2015
Creator: Mach, Annie L.
Item Type: Report
Partner: UNT Libraries Government Documents Department

The Independent Payment Advisory Board (IPAB): Frequently Asked Questions

Description: This report responds to frequently asked questions about the Independent Payment Advisory Board (IPAB), including the board's background, current status, controversial issues including legal challenges, and recent legislative efforts to repeal the IPAB.
Date: October 30, 2015
Creator: Hahn, Jim; Davis, Christopher M. & Liu, Edward C.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicare Advantage

Description: 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.
Date: March 3, 2009
Creator: Morgan, Paulette C.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicare: Private Contracts

Description: This report discusses private contracting for medicare,which is the term used to describe situations where a physician and a patient agree not to submit a claim for a service which would otherwise be covered and paid for by Medicare.
Date: October 21, 1997
Creator: O'Sullivan, Jennifer & Echeverria, Cecilia O
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicaid: A Primer

Description: This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits.
Date: December 19, 2005
Creator: Herz, Elicia J
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicare Structural Reform: Background and Options

Description: 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.
Date: January 28, 2003
Creator: Chaikind, Hinda R.; O'Sullivan, Jennifer & Boulanger, Jennifer
Item Type: Report
Partner: UNT Libraries Government Documents Department

The ACA Medicaid Expansion

Description: This report provides an overview of the ACA Medicaid expansion, and the impact of the Supreme Court decision on the ACA Medicaid expansion. Then, the report describes who is covered under the expansion, the expansion rules, and how the expansion is financed. In addition, enrollment and expenditure estimates for the ACA Medicaid expansion are provided. Finally, the report reviews state decisions whether or not to implement the ACA Medicaid expansion, and the implications of those decisions on certain individuals, employers, and hospitals.
Date: December 30, 2014
Creator: Mitchell, Alison
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicare Primer

Description: 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.
Date: March 31, 2016
Creator: Davis, Patricia A.; Talaga, Scott R.; Binder, Cliff; Hahn, Jim; Kirchhoff, Suzanne M. & Morgan, Paulette C.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicare: Enrollment in Medicare Drug Plans

Description: This report discusses the enrollment process for private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. At a minimum, these plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. Beneficiaries are required to enroll in one of these private plans in order to obtain coverage.
Date: October 20, 2006
Creator: O'Sullivan, Jennifer
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicare: FY2008 Budget Issues

Description: This report discusses President's budget request to Congress for Medicare, for the following federal fiscal year, along with projections for the five-year budget window. The President’s 2008 budget includes Medicare legislative proposals with estimated savings of $4.3 billion in 2008 and $65.6 billion over the five-year budget window.
Date: February 6, 2007
Creator: Chaikind, Hinda; Jacobson, Gretchen A.; Hahn, Jim; Morgan, Paulette C.; O’Sullivan, Jennifer & Stockdale, Holly Sue
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicare: Enrollment in Medicare Drug Plans

Description: This report discusses the enrollment process for private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. At a minimum, these plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. Beneficiaries are required to enroll in one of these private plans in order to obtain coverage.
Date: January 3, 2006
Creator: O'Sullivan, Jennifer
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicaid Issues for the 109th Congress

Description: This report provides background information for medicaid reforms and discuses proposals for reform.
Date: October 20, 2005
Creator: Hearne, Jean P.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicaid: A Primer

Description: This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits. The recently passed Deficit Reduction Act of 2005 or DRA, as amended by the Tax Relief and Health Care Act of 2006, included many provisions affecting Medicaid. DRA provides states with opportunities to make fundamental changes in Medicaid program design, including covered benefits and beneficiary cost-sharing. These and other major DRA changes are summarized here. Lastly, basic program statistics and citations to in-depth CRS reports on specific topics are provided.
Date: January 24, 2007
Creator: Herz, Elicia J.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicaid Citizenship Documentation

Description: Due to recent changes in federal law, individuals who declare that they are citizens for Medicaid eligibility purposes must present documentation that proves citizenship and documents personal identity. This report discusses issues related to Medicaid citizenship documentation that have received considerable media and interest group attention, as well as proposed legislation that would affect the requirement.
Date: April 15, 2008
Creator: Grady, April
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicaid Issues for the 109th Congress

Description: Medicaid is jointly financed by the federal and state governments, but each state designs and administers its own state program under broad federal guidelines. Accordingly, state variation in eligibility, covered services, and the delivery of, and reimbursement for, services is the rule rather than the exception. How is Congress to respond to the numerous proposals to move Medicaid forward into the near and long term? This report lays out some of these issues, explains the factors underlying them, and provides links to CRS products that can help Members of Congress and their staff prepare to discuss Medicaid’s role today and into the future.
Date: April 10, 2006
Creator: Hearne, Jean
Item Type: Report
Partner: UNT Libraries Government Documents Department

Health Insurance: A Primer

Description: No Description Available.
Date: February 3, 2005
Creator: Fernandez, Bernadette
Item Type: Report
Partner: UNT Libraries Government Documents Department