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- Working Paper
On a present-value basis, CBO estimates that long-term fiscal effects of Medicaid spending on children could offset half or more of the program’s initial outlays, depending on sets of reasonable parameter values.
- 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 used a general-equilibrium, overlapping-generations model to analyze the economic and distributional implications of five illustrative single-payer health care systems. The working paper builds on previous CBO studies about single-payer health care systems.
- Working Paper
This paper discusses how CBO constructs “synthetic firms”—businesses composed of artificial groups of workers—used in the agency’s health insurance simulation model, or HISIM2, which underlies projections of insurance coverage.
- Working Paper
This paper examines how the federal budget deficit would have differed in 2018 under four scenarios that vary the distribution of labor earnings while leaving aggregate earnings unchanged.
- Working Paper
This paper presents CBO's simulation model for analyzing legislative proposals that may substantially affect new drug development.
- Working Paper
This working paper describes CBO's simulation model of drug price negotiations under the Elijah E. Cummings Lower Drug Costs Now Act in detail, including its data sources and parameter values, and the sensitivity of the results.
- Working Paper
CBO describes the methods it has developed to analyze the federal budgetary costs of proposals for single-payer health care systems that are based on the Medicare fee-for-service program.
- Working Paper
CBO uses the budgetary feedback model (BFM) to estimate how changes in the macroeconomy might affect the federal budget. This paper describes how the BFM is constructed, how it is used in CBO's dynamic analyses, and the model's limitations.
- Working Paper
The costs of federal activities are recorded in the budget mostly on a cash basis. Using accrual accounting for retirement and insurance programs would accelerate the recognition of long-term costs and display the expected costs of new commitments when they were incurred.