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Transforming Medicare into a Premium Support System: Implications for Beneficiary Premiums

This study illustrates why geography would matter for Medicare beneficiaries under a premium support system that relies on a competitive bidding process envisioned under several key Medicare reform proposals. It examines potential changes in the premiums paid by Medicare beneficiaries under a payment approach that caps federal contributions per beneficiary…

The U.S. Global Health Initiative: Overview & Budget Analysis

In April 2010, the Foundation issued a policy brief examining key issues affecting the U.S. Global Health Initiative (GHI). This policy brief and chartpack provide a detailed breakdown of the U.S. budget for the global health programs in President Obama’s GHI, announced in May 2009. In addition, the regularly updated Budget…

Mental Health Financing in the United States: A Primer

This primer provides an overview of behavioral health care, reviews the sources of financing for such care, assesses the interaction between different payers, and highlights recent policy debates in mental health. It also discusses the role of Medicaid, currently the largest source of financing for behavioral health services in the…

Inside Deficit Reduction: What It Means for Medicare

Proposals to generate Medicare savings abound, from the various commissions recommending change, members of Congress and others. Which proposals will, or should receive serious considerations by the Congressional super committee in its quest to find $1.2 trillion or more in savings by its November 23 deadline? What impact would these…

CBO’s Estimate of Repealing Exchange Grants: The Importance of Being Effective

The Congressional Budget Office (CBO) recently released an analysis of a bill that would repeal grants to states under the health reform law to help them establish health insurance purchasing exchanges. Not surprisingly, CBO finds that the bill would reduce federal spending due to the fact that expected grants won’t…

Medicare Spending Limits: Issues and Implications

Several major deficit-reduction plans include provisions that would impose an explicit limit on the growth in Medicare spending. In general, such limits would trigger cuts if Medicare spending grows more rapidly than a target, such as the growth in the economy. This brief prepared for the Kaiser Family Foundation describes…

A Look At CBO Projections For Medicaid and CHIP

This brief examines the latest Congressional Budget Office (CBO) projections for federal Medicaid and CHIP spending over the 2014-2024 period. CBO’s budget projections, also known as “baseline” projections, reflect CBO’s best judgment about how the economy and other factors will affect federal revenues and spending under existing laws. The brief also examines CBO estimates of the coverage effects of the Affordable Care Act (ACA) on Medicaid and CHIP enrollment and spending. Understanding the CBO baseline estimates is important because they are the basis to evaluate the federal cost and coverage implications of proposed federal policy changes.

Medicaid and Its Role in State/Federal Budgets & Health Reform

This chartpack from the Kaiser Commission on Medicaid and the Uninsured addresses five key questions about the Medicaid program. They include: What is Medicaid and what does it do? What does Medicaid cost and why? What is Medicaid’s role in state budgets? What is Medicaid’s role in the federal budget?…