Growth in spending on federal health care programs is one of the central fiscal challenges facing the federal government. That growth is driven by rising enrollment in public programs deriving from the aging of the population coupled with expansions in insurance coverage and by rising health care spending per person (which has slowed recently but, during the past few decades, has significantly outpaced increases in economic output per person). Moreover, rapid growth in spending on health care is a key challenge not only for Medicare, Medicaid, and other federal programs, but 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.
Nov 2013 - CBO periodically issues a compendium of options—this installment presents more than 100—to inform lawmakers about the budgetary effects of ways to reduce the deficit.
Sep 2013 - CBO analyzes the ways two illustrative options for a premium support system for Medicare would affect federal spending and beneficiaries’ choices and payments.
Sep 2013 - Federal debt would grow to 100 percent of GDP by 2038 under current law, CBO projects, and would be on an upward path relative to the size of the economy—a trend that could not be sustained indefinitely.
Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Health Care Spending, and Evolving Policies
Jun 2013 - People eligible for both Medicare and Medicaid benefits—known as “dual-eligible beneficiaries”—are a varied group, but many have extensive health care needs and account for a disproportionate share of spending on Medicare and Medicaid.
May 2013 - A robust increase in revenues projected over the next few years will help shrink deficits through 2015. But deficits are projected to rise later in the decade, partly because of pressures of an aging population and rising health care costs.
Cost Estimate for H.R. 45, a bill to repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010
May 2013 - Due to time constraints, CBO will not be able to provide a cost estimate for H.R. 45, a bill that would repeal the Affordable Care Act.
CBO’s Estimate of the Net Budgetary Impact of the Affordable Care Act’s Health Insurance Coverage Provisions Has Not Changed Much Over Time
May 2013 - This blog post describes in more detail CBO’s revised expectations about sources of people’s insurance coverage and the net budgetary impact of those revisions, as reflected in CBO’s May 2013 baseline projections.
Nov 2012 - CBO estimates that greater use of prescription drugs by Medicare beneficiaries reduces Medicare’s spending on medical services.
Jun 2012 - CBO's study demonstrates the complex links between policies that aim to improve health and effects on the federal budget.
- data or technical informationDecember 6, 2013
- blog postDecember 5, 2013
- reportDecember 5, 2013
- blog postDecember 5, 2013
- presentationDecember 3, 2013
- blog postDecember 3, 2013
- blog postNovember 13, 2013
- presentationNovember 13, 2013
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