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Prescription Drug Procurement and the Federal Budget

This brief commissioned by the Foundation considers areas where Medicare faces limited opportunity for market-based competition and price negotiation to drive down drug spending. These areas include drug purchasing for low-income people enrolled in Part D plans who face minimal cost-sharing requirements, and purchasing certain unique drugs, such as biologicals,…

Implications Of A Federal Block Grant Program For Medicaid

This issue brief examines the broad implications of converting Medicaid to block grant financing, one of several ideas that have been put forth to help reduce the federal deficit. The paper, which does not analyze any specific proposal, notes that switching to block grant financing would fundamentally alter the Medicaid…

Enhanced Medicaid Match Rates Expire in June 2011

This fact sheet discusses the role played by the enhanced federal Medicaid matching funds available to states through the American Recovery and Reinvestment Act of 2009 (ARRA), and the implications for state Medicaid programs as that extra assistance expires June 30, 2011. States used the ARRA enhanced Medicaid funding to…

The Budget Control Act of 2011: Implications for Medicare

Beginning January 2013, Medicare spending will be subject to automatic, across-the-board reductions, known as “sequestration,” which is slated to reduce Medicare payments to plans and providers by up to 2 percent. This sequestration results from provisions in the Budget Control Act of 2011, which raised the debt ceiling and will…

Designing a Marketplace that Works: Steps to Affordable Coverage

The Affordable Care Act enacted in March 2010 calls for the establishment of state health insurance exchanges — marketplaces through which individuals and small businesses can purchase affordable insurance. These exchanges must begin operation by January 1, 2014. This October 22 briefing, cosponsored by the Alliance for Health Reform and…

Repealing the Affordable Care Act: Implications for Medicare Spending and Beneficiaries

A number of Republican proposals to repeal the 2010 health reform law, the Patient Protection and Affordable Care Act (ACA), include the elimination of the law’s Medicare provisions. This Data Note reviews the impact of repealing those provisions for Medicare beneficiaries and program spending. If the ACA were repealed, Medicare…

U.S. Government Funding for HIV/AIDS in Resource Poor Settings

This fact sheet examines federal funding for the global HIV/AIDS epidemic, with a primary emphasis on funding activities that benefit resource poor countries. United States funding for international HIV/AIDS activities in resource poor countries began in the mid-1980s; and in FY 2003, the U.S. Congress appropriated close to $1.5 billion…

The Independent Payment Advisory Board: A New Approach to Controlling Medicare Spending

In 2010, the Patient Protection and Affordable Care Act authorized the creation of the Independent Payment Advisory Board (IPAB) to help control the growth in Medicare costs. Beginning in 2014, IPAB will issue recommendations to lower Medicare costs in the event that spending exceeds targets established in the health care…

Medicaid and the Budget Control Act: What Options Will Be Considered?

On August 2, 2011, President Obama signed the Budget Control Act of 2011 into law. The Act was designed to reduce federal spending and raise the debt ceiling. It established the Joint Select Committee, also known as the “Super Committee,” tasked with decreasing projected deficits by $1.5 trillion between FY2012…