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Health Care

Growth in spending on health care programs is one of the central fiscal challenges facing the federal government. Health care spending per person has grown faster than the nation's economic output per person by about 1 1/2 percentage points per year, on average, for the past few decades. This rapid growth poses a challenge for federal health care programs like Medicare and Medicaid, and also for state and local governments and for the private sector. CBO devotes a large share of its resources to studying proposals that would make narrow or broad changes in the nation's systems for delivering and financing health care.

Sub-Topics:

  • Medicare
  • Medicaid and CHIP
  • Affordable Care Act
  • Private Health Insurance
  • Public Health and Preparedness
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Additional Information About CBO's Baseline Projections of Federal Subsidies for Health Insurance Provided Through Exchanges

report

May 12, 2011

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Highlights

This document responds to questions that the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) have received about how federal subsidies for health insurance will increase over time in the insurance exchanges established under the Patient Protection and Affordable Care Act (or PPACA, Public Law 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). In particular, CBO and JCT have been asked how the growth of federal subsidies for premiums will compare with the increase in the consumer price index (CPI) in the latter portion of the 2012 to 2021 period. The document describes how CBO approached its baseline projections of federal subsidies and reflects CBO and JCT's interpretation of the relevant statutes; ultimately, the Administration will be responsible for interpreting and implementing the legislation.

This discussion addresses subsidies for insurance premiums only and does not cover subsidies for cost sharing. Under current law, certain individuals with lower income will also be entitled to subsidies to reduce the amount they will be required to pay for cost sharing for medical services. Those subsidies for cost sharing will increase over time roughly in line with the growth of costs for medical care and the growth in the number of people receiving those subsidies. This document does not address that provision because it is not directly related to how federal subsidies for premiums will grow over time.



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Proposal to Place Certain Limitations on Enrollment in the Uniformed Services Family Health Plan

report

April 29, 2011

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Long-Term Analysis of a Budget Proposal by Chairman Ryan

blog post

April 5, 2011


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Long-Term Analysis of a Budget Proposal by Chairman Ryan

report

April 5, 2011

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monthly archive

  • May 2013 (2)
  • April 2013 (14)
  • March 2013 (22)
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Testimony on Last Year's Major Health Care Legislation

blog post

March 30, 2011


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CBO's Analysis of the Major Health Care Legislation Enacted in March 2010

report

March 30, 2011

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Medicare - March 2011 Baseline

data or technical information

March 18, 2011

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Children's Health Insurance Program - March 2011 Baseline

data or technical information

March 18, 2011

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CBO Estimate of Medicare and Medicaid Proposals in the President's FY 2012 Budget

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March 18, 2011

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Medicaid - March 2011 Baseline

data or technical information

March 18, 2011

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