Congressional Research Service Reports - 30 Matching Results

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Centers for Medicare & Medicaid Services (CMS) Proposed Rule on Medicaid Managed Care: Frequently Asked Questions

Description: This report responds to a series of frequently asked questions (FAQs) identified to address some of the major updates included in the proposed rule. The FAQs summarize provisions such as the introduction of a minimum medical loss ratio (MLR), guidance on enrolling the long-term services and supports (LTSS) population in managed care, and network adequacy.
Date: July 15, 2015
Creator: Blom, Kirstin B.
Partner: UNT Libraries Government Documents Department

Social Security Administration: Administrative Budget Issues

Description: The Social Security Administration (SSA) administers the Social Security program (Old-Age, Survivors and Disability Insurance, or OASDI) and the Supplemental Security Income (SSI) program, and provides administrative support to Medicare and several other federal programs. Total SSA spending in FY2006 was about $597 billion, 98% of which was mandatory spending on benefit payments. This report focuses on SSA’s spending for administrative expenses, which is discretionary and amounts to 2% of SSA’s total spending. This funding is provided in the Labor, Health and Human Services, Education, and Related Agencies appropriations bill.
Date: July 17, 2007
Creator: Romig, Kathleen
Partner: UNT Libraries Government Documents Department

Medicare: Payments to Physicians

Description: This report discusses payment to physicians through Medicare, which is a nationwide program that offers health insurance protection for 43 million aged and disabled persons.
Date: July 1, 2008
Creator: O'Sullivan, Jennifer
Partner: UNT Libraries Government Documents Department

Laws Affecting the Federal Employees Health Benefits (FEHB) Program

Description: This report tracks legislative changes to the Federal Employees Health Benefits (FEHB) Program. It includes brief discussions of how Congress has changed FEHB through legislative action, including restrictions on the use of federal funds; changing the formula for determining the government's share of FEHB premiums; expanding eligibility for the program; and implementing policies that affect the relationship between Medicare and FEHB.
Date: July 22, 2015
Creator: Blom, Kirstin B. & Cornell, Ada S.
Partner: UNT Libraries Government Documents Department

Health Care Reform: An Introduction

Description: This report provides an introduction to health care reform. It focuses on the three predominant concerns just mentioned--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: July 29, 2009
Creator: Bob Lyke
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: July 24, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Partner: UNT Libraries Government Documents Department

Highlights of Three FY2013 Budget Proposals for the Human Resources “Superfunction”: Education, Training, Social Services, Health, Income Security, and Veterans

Description: This report highlights spending trends and key policy initiatives in the President's February budget and April Framework, and in the House-passed budget resolution, for the six functional categories of the federal budget that comprise the human resources "superfunction": education, training, employment, and social services, health, Medicare, income security, social security, veterans benefits and services.
Date: July 13, 2012
Creator: Spar, Karen & Falk, Gene
Partner: UNT Libraries Government Documents Department

Health Care: Constitutional Rights and Legislative Powers

Description: This report analyzes constitutional and legal issues pertaining to a right to health care, as well as the power of Congress to enact and fund health care programs. The report also discusses legal issues that have been raised regarding the power of Congress to mandate that individuals purchase health insurance, and the ability of states to "nullify" or "opt out" of such a requirement, following the passage of the Patient Protection and Affordable Care Act (P.L. 111-148).
Date: July 9, 2012
Creator: Swendiman, Kathleen S.
Partner: UNT Libraries Government Documents Department

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: July 25, 2008
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department