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- Working Paper
This paper examines the effects of physician payment reductions on the use of physicians' services by dual-eligible beneficiaries—people enrolled in both Medicare and Medicaid—over the 1999–2012 period.
- Working Paper
CBO uses a model to estimate the federal budgetary effects of proposed changes to the cost-sharing structure of the Medicare fee-for-service program. This paper describes that model, the analyses it can support, and an illustrative option for changing Medicare’s cost-sharing structure.
- Working Paper
Updating its approach to estimating the effects of changes to medical malpractice liability laws on federal spending, CBO explains how and why the modeling is changing and offers a preliminary estimate of the budgetary effects.
- Working Paper
In 2015, brand-name specialty drugs accounted for about 30 percent of net spending on prescription drugs under Medicare Part D and Medicaid, but they accounted for only about 1 percent of all prescriptions dispensed in each program.
- Working Paper
This paper analyzes private insurers’ prices for physicians’ services. Commercial prices for those services are higher than Medicare fee-for-service prices; Medicare Advantage prices are very similar to Medicare fee-for-service prices.
- Working Paper
This paper provides an overview of the current state of measuring health care quality, and it uses the Medicare program to illustrate the key issues and challenges that arise in doing so.
- Working Paper
Does Medicare Advantage (MA) increase the risk scores used to adjust payments to MA plans? This paper explores the mechanisms contributing to the differences in risk scores between MA enrollees and fee-for-service beneficiaries.
- Working Paper
This working paper projects the distribution of Medicare taxes and spending on the basis of administrative earnings data as well as demographic and economic projections from CBO’s long-term microsimulation model.
- Working Paper
This paper compares the hospital payment rates of three larger insurers’ commercial plans and Medicare Advantage plans with Medicare’s fee-for-service rates. It also examines the variation of those rates across and within markets.
- Working Paper
This paper provides estimates of how Medicare spending per beneficiary for people of different ages and for different types of services has changed in recent years.