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Book Understanding Estimates of the Impact of Health Reform on the Federal Budget

Download or read book Understanding Estimates of the Impact of Health Reform on the Federal Budget written by offic of techonology assessment and published by DIANE Publishing. This book was released on 1994 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Understanding Estimates of National Health Expenditures Under Health Reform

Download or read book Understanding Estimates of National Health Expenditures Under Health Reform written by United States. Congress. Office of Technology Assessment and published by . This book was released on 1994 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Understanding Estimates of National Health Expenditures Under Health Reform

Download or read book Understanding Estimates of National Health Expenditures Under Health Reform written by and published by U.S. Government Printing Office. This book was released on 1994 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: And policy implications -- Applying government cost controls -- Effects of managed competition and HMO enrollment -- Effects of providing insurance to uninsured people -- Effects of administrative changes under reform.

Book Understanding estimates of national health expenditures under health reform

Download or read book Understanding estimates of national health expenditures under health reform written by and published by DIANE Publishing. This book was released on with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Eigentlicher warhafftiger vnd gr  ndlicher Bericht  welcher gestalt ein Jubilierer Jacob Sp  rer von Antorff     zu Hall in Sachsen den 4  Junii zu Abents erbermlich  schendlich     von einem gewesenen H  llischen Saltz Junckern     ermordet     worden

Download or read book Eigentlicher warhafftiger vnd gr ndlicher Bericht welcher gestalt ein Jubilierer Jacob Sp rer von Antorff zu Hall in Sachsen den 4 Junii zu Abents erbermlich schendlich von einem gewesenen H llischen Saltz Junckern ermordet worden written by and published by . This book was released on 1605 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Economy  the Budget  and Health Care Reform

Download or read book The Economy the Budget and Health Care Reform written by Committee for a Responsible Federal Budget (U.S.) and published by . This book was released on 1994 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Understanding Estimates of National Health Expenditures Under Health Reform

Download or read book Understanding Estimates of National Health Expenditures Under Health Reform written by and published by . This book was released on 1994 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: And policy implications. Applying government cost controls. Effects of managed competition and HMO enrollment. Effects of providing insurance to uninsured people. Effects of administrative changes under reform

Book Budget Control Act  Potential Impact of Sequestration on Health Reform Spending

Download or read book Budget Control Act Potential Impact of Sequestration on Health Reform Spending written by C. Stephen Redhead and published by Createspace Independent Pub. This book was released on 2012-11-22 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Budget Control Act of 2011 (BCA; P.L. 112-25) established new budget enforcement mechanisms for reducing the federal deficit by at least $2.1 trillion over the 10-year period FY2012-FY2021. The BCA placed statutory limits, or caps, on discretionary spending for each of those 10 fiscal years, which will save an estimated $0.9 trillion during that period. In addition, it created a Joint Select Committee on Deficit Reduction (Joint Committee) with instructions to develop legislation to reduce the federal deficit by at least another $1.5 trillion through FY2021. On November 21, 2011, the Joint Committee announced that it was unable to agree on a legislative package of deficit cuts, which raises the likelihood of automatic annual spending reductions beginning in FY2013. Under the BCA, the reductions would be achieved by a combination of sequestration—an automatic across-the-board cancellation of budgetary resources (i.e., spending cuts) for nonexempt direct spending programs—and lowering the caps on discretionary spending. The potential impact of spending reductions triggered by the BCA on health reform spending under the Patient Protection and Affordable Care Act (ACA) would appear to be somewhat limited. ACA sought to increase access to affordable health insurance by expanding the Medicaid program and by restructuring the private health insurance market. It set minimum standards for private insurance coverage, created a mandate for most U.S. residents to obtain coverage, and provided for the establishment by 2014 of state-based insurance exchanges for the purchase of health insurance. Certain individuals and families will be able to receive federal subsidies to reduce the cost of purchasing coverage through the exchanges. The new law included direct spending to subsidize the purchase of health insurance coverage through the exchanges, as well as increased outlays for the Medicaid expansion. Under the rules governing sequestration, Medicaid spending would be exempt from any reduction, and cuts to Medicare would be capped at 2%. ACA also included numerous mandatory appropriations that provide billions of dollars to support temporary programs to increase coverage and funding for targeted groups, provide funds to states to plan and establish exchanges, and support many other research and demonstration programs and activities. These appropriations would, in general, be subject to direct spending reductions under a sequestration order. However, for any given fiscal year in which sequestration was ordered, only new budget authority for that year (including advance appropriations that first become available for obligation in that year) would be reduced. Unobligated balances carried over from previous fiscal years would be exempt from sequestration. ACA is likely to affect discretionary spending subject to the annual appropriations process. The law reauthorized appropriations for numerous existing discretionary grant programs and activities authorized under the Public Health Service Act, permanently reauthorized funding for the Indian Health Service (IHS), and created a number of new grant programs and provided for each an authorization of appropriations. In addition, the Congressional Budget Office projected that both the Department of Health and Human Services and the Internal Revenue Service will incur substantial administrative costs to implement the policies and programs established by ACA. Those costs will have to be funded largely through the annual appropriations process. ACA related discretionary spending would, in general, be subject to automatic spending reductions triggered by the BCA.

Book Care Without Coverage

    Book Details:
  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • Release : 2002-06-20
  • ISBN : 0309083435
  • Pages : 213 pages

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Book Explaining Divergent Levels of Longevity in High Income Countries

Download or read book Explaining Divergent Levels of Longevity in High Income Countries written by National Research Council and published by National Academies Press. This book was released on 2011-06-27 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.

Book   Indexing in the Affordable Care Act

Download or read book Indexing in the Affordable Care Act written by James Capretta and published by . This book was released on 2018 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: Proponents of the Affordable Care Act have pointed to the Congressional Budget Officeņs cost estimates to support their argument that the law will result in lower federal budget deficits in the future. Much less is said about the reasons for this forecast. This paper explains that the primary reason for the projected deficit reduction is the lawņs heavy reliance on indexing important provisions in order to restrain spending and increase revenue. The key provisions are a Ňproductivity adjustment factorň that results in across-the-board cuts to hospitals and other facilities in perpetuity; frozen income thresholds for new taxes that supposedly apply only to higher-income households; thresholds for a new �illacň tax on high-cost insurance that rise more slowly than healthcare costs; and indexing rules for premium credits that will cause lower-income households to pay ever higher percentages of their income in premiums. As more taxpayers and beneficiaries come to understand the full implications of these provisions, pressure will build to make significant adjustments to them. The result could be much higher spending and lower revenue than originally forecast by the Congressional Budget Office.

Book RAND COMPARE

    Book Details:
  • Author : Christine Eibner
  • Publisher :
  • Release : 2009
  • ISBN :
  • Pages : pages

Download or read book RAND COMPARE written by Christine Eibner and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: In January 2009, RAND launched the COMPARE website, a tool to help policymakers understand the possible effects of health care reform. The information on the COMPARE website synthesizes what is currently known about health care in the United States, provides information on health care policy proposals, and estimates the impact of commonly discussed policies. In this briefing the author presents an overview of COMPARE and shows the estimated effect of four policies: employer mandates, Medicaid and SCHIP expansions, individual mandates, and refundable tax credits. For each option, the impact on coverage varies substantially depending on how the policies are designed. Features such as eligibility rules for subsidies and penalties levied for noncompliance with mandates can have a large effect on the outcome of health care reform. None of the policy options considered would achieve universal coverage. However, an individual mandate with high subsidies and a high noncompliance penalty could reduce uninsurance by roughly 75 percent. Implementing such a mandate could result in approximately 96 percent of the U.S. population becoming insured. However, the effect of the individual mandate will depend both on the size of subsidies and the magnitude of the noncompliance penalty. From the government standpoint, tax credits and Medicaid expansions could lead to the largest increases in spending. State budgets could be affected by Medicaid and SCHIP expansions, if states are required to fund part of the new coverage. Costs associated with tax credits would likely be borne by the federal government.