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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. A list of commonly used acronyms, as well as information on beneficiary cost sharing, may be found in the appendixes.
Date: August 2, 2017
Creator: Davis, Patricia A.; Binder, Cliff; Hahn, Jim; Kirchhoff, Suzanne M.; Morgan, Paulette C. & Villagrana, Marco A.
Partner: UNT Libraries Government Documents Department
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How Medicare is Administered

Description: This report describes the two types of medicare; one is hospital insurance and the other is Supplementary Medical insurance. It gives a detailed overview of both types, what type of services comes under each and how it is administered.
Date: September 2, 1975
Creator: Hoyer, Robert
Partner: UNT Libraries Government Documents Department
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Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Description: This report discusses the Sustainable Growth Rate (SGR), which is the statutory method for determining the annual updates to the Medicare physician fee schedule. The SGR system was established because of the concern that the Medicare fee schedule itself would not adequately constrain overall increases in spending for physicians’ services.
Date: August 2, 2012
Creator: Hahn, Jim & Mulvey, Janemarie
Partner: UNT Libraries Government Documents Department
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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: August 2, 2017
Creator: Hahn, Jim; Davis, Christopher M. & Liu, Edward C.
Partner: UNT Libraries Government Documents Department
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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.
Partner: UNT Libraries Government Documents Department
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Budget Reconciliation FY2006: Medicaid, Medicare, and State Children's Health Insurance Program (SCHIP) Provisions

Description: This is one report in the series of reports that discus the Budget Reconciliation- Medicaid, Medicare, and SCHIP Provisions. These are some of the issues discussed in this report: Medicaid Outpatient Prescription Drugs, Long-Term Care under Medicaid, Fraud, Waste, and Abuse, State Financing and Medicaid, Improving the Medicaid and State Children’s Health Insurance Programs, Medicare Advantage, and other Medicare Provisions.
Date: November 2, 2005
Creator: Baumrucker, Evelyne P.; Chaikind, Hinda Ripps; Grady, April; Hahn, Jim; Hearne, Jean P.; Herz, Elicia J. et al.
Partner: UNT Libraries Government Documents Department
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Medicaid Reimbursement Policy

Description: This report begins with a summary of basic federal requirements applicable to payments for all services and an overview of major developments in federal Medicaid reimbursement policy over the last 20 years. This overview provides a historical context for current policies and highlights some issues that have been perennial concerns for federal and state policymakers. The next four sections of the report provide a detailed discussion of Medicaid reimbursement for four basic categories of services… more
Date: November 2, 2004
Creator: Merlis, Mark
Partner: UNT Libraries Government Documents Department
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Military Medical Care Services: Questions and Answers

Description: The primary mission of the Military Health Services System (MHSS), which encompasses the Defense Department’s hospitals, clinics, and medical personnel, is to maintain the health of military personnel so they can carry out their military missions, and to be prepared to deliver health care during wartime. The military medical system also provides, where space is available, health care services in the Department of Defense (DOD) medical facilities to dependents of active duty service members and … more
Date: May 2, 2006
Creator: Best, Richard A., Jr.
Partner: UNT Libraries Government Documents Department
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Health Care Spending: Context and Policy

Description: The United States spends a large and growing share of national income on health care. In 2007, health spending is expected to approach $2.3 trillion and account for more than 16% of gross domestic product. This report contains information on the background of the healthcare industry in the United States, key issues for Congress in this policy area, and three policy directions to consider: changing health care, changing federal programs, and changing tax policy.
Date: October 2, 2007
Creator: Jenson, Jennifer
Partner: UNT Libraries Government Documents Department
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Frequently Asked Questions About Prescription Drug Pricing and Policy

Description: This report will address frequently asked questions about government and private-sector policies that affect drug prices and availability. Among the prescription drug topics covered are federally funded research and development, regulation of direct-to-consumer advertising, legal restrictions on reimportation, and federal price negotiation. The report provides a broad overview of the issues as well as references to more in-depth CRS products. The appendixes provide references to relevant congre… more
Date: May 2, 2017
Creator: Kirchhoff, Suzanne M.; Johnson, Judith A. & Thaul, Susan
Partner: UNT Libraries Government Documents Department
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