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    CBO Detail On SenateHR8-TitleVI

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    Congressional budget office estimates budgetary effects of H.R. 8, the American Taxpayer Relief Act of 2012, as passed by the Senate on January 1, 2013. A) Medicare physician payment update b) advances of clinical data registries to improve the quality of health care Work geographic adjustment. C) Revisions to the Medicare ESRD bundled payment system to reflect findings in the GAO report Treatment of esrd.

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    CBO Detail On SenateHR8-TitleVI

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    DrinkerBiddle
    4K views2 pages
    Congressional budget office estimates budgetary effects of H.R. 8, the American Taxpayer Relief Act of 2012, as passed by the Senate on January 1, 2013. A) Medicare physician payment update b) advances of clinical data registries to improve the quality of health care Work geographic adjustment. C) Revisions to the Medicare ESRD bundled payment system to reflect findings in the GAO report Treatment of esrd.

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    CBO Detail on SenateHR8-TitleVI

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    Congressional budget office estimates budgetary effects of H.R. 8, the American Taxpayer Relief Act of 2012, as passed by the Senate on January 1, 2013. A) Medicare physician payment update b) advances of clinical data registries to improve the quality of health care Work geographic adjustment. C) Revisions to the Medicare ESRD bundled payment system to reflect findings in the GAO report Treatment of esrd.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    4K views2 pages

    CBO Detail On SenateHR8-TitleVI

    Uploaded by

    DrinkerBiddle
    Congressional budget office estimates budgetary effects of H.R. 8, the American Taxpayer Relief Act of 2012, as passed by the Senate on January 1, 2013. A) Medicare physician payment update b) advances of clinical data registries to improve the quality of health care Work geographic adjustment. C) Revisions to the Medicare ESRD bundled payment system to reflect findings in the GAO report Treatment of esrd.

    Copyright:

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    of 2

    CongressionalBudgetOffice

    DetailonEstimatedBudgetaryEffectsofTitleVI(MedicareandOtherHealthExtensions)of
    H.R.8,theAmericanTaxpayerReliefActof2012,aspassedbytheSenateonJanuary1,2013
    (Billionsofdollars,byfiscalyear)

    2013

    2014

    2015

    2016

    2017

    January1,2013

    2018

    2019

    2020

    2021

    2022

    20132017

    20132022

    CHANGESINDIRECTSPENDING
    SubtitleAMedicareExtensions
    601.

    602.
    603.
    604.
    605.
    606.
    607.
    608.
    609.
    610.

    (a)Medicarephysicianpaymentupdate
    (b)Advancementofclinicaldataregistriestoimprovethe
    qualityofhealthcare
    Workgeographicadjustment
    Paymentforoutpatienttherapyservices
    Ambulanceaddonpayments
    ExtensionofMedicareinpatienthospitalpayment
    adjustmentforlowvolumehospitals
    ExtensionoftheMedicaredependenthospitalprogram
    ExtensionforspecializedMedicareAdvantageplansfor
    specialneedsindividuals
    ExtensionofMedicarereasonablecostcontracts
    Performanceimprovement
    Extensionoffundingoutreachandassistanceforlow
    incomeprograms

    10.6

    6.7

    1.3

    1.3

    1.2

    1.0

    0.8

    0.7

    0.7

    0.8

    21.1

    25.2

    0
    0.3
    0.7
    0.1

    *
    0.2
    0.2
    *

    *
    0
    0
    0

    *
    0
    0
    0

    *
    0
    0
    0

    *
    0
    0
    0

    *
    0
    0
    0

    *
    0
    0
    0

    *
    0
    0
    0

    *
    0
    0
    0

    0.1
    0.5
    1.0
    0.1

    0.1
    0.5
    1.0
    0.1

    0.3
    0.1

    *
    *

    0
    0

    0
    0

    0
    0

    0
    0

    0
    0

    0
    0

    0
    0

    0
    0

    0.3
    0.1

    0.3
    0.1

    0
    0
    *

    0.2
    *
    0

    0.1
    *
    0

    0
    0
    0

    0
    0
    0

    0
    0
    0

    0
    0
    0

    0
    0
    0

    0
    0
    0

    0
    0
    0

    0.3
    *
    *

    0.3
    *
    *

    0.6
    0.4
    0
    *

    0.2
    0.5
    *
    *

    0
    0.3
    0
    0

    0
    *
    0
    0

    0
    0
    0
    0

    0
    0
    0
    0

    0
    0
    0
    0

    0
    0
    0
    0

    0
    0
    0
    0

    0
    0
    0
    0

    0.8
    0.6
    *
    *

    0.8
    0.6
    *
    *

    0.3

    0.3

    0.3

    2.0

    2.4

    2.8

    3.0

    0.3

    10.2

    10.5

    0.2

    0.2

    0.5

    0.6

    0.6

    0.6

    0.7

    0.7

    0.7

    1.5

    4.9

    0.1

    0.1

    0.2

    0.2

    0.2

    0.2

    0.2

    0.2

    0.2

    0.7

    1.8

    0.1

    0.1

    0.1

    0.1

    0.1

    0.4

    0.1

    0.1

    0.1

    0.1

    0.1

    0.1

    0.1

    0.1

    0.1

    0.3

    0.8

    SubtitleBOtherHealthExtensions
    621.
    622.
    623.
    624.
    625.

    Extensionofthequalifyingindividualprogram
    ExtensionofTransitionalMedicalAssistance
    ExtensionofMedicaidandCHIPExpressLaneoption
    Extensionoffamilytofamilyinformationcenters
    ExtensionofSpecialDiabetesProgramforTypeIdiabetes
    andforIndians

    SubtitleCOtherHealthProvisions
    631.
    632.
    633.
    634.

    635.

    IPPSdocumentationandcodingadjustmentfor
    implementationofMSDRGs
    RevisionstotheMedicareESRDbundledpaymentsystem
    toreflectfindingsintheGAOreport
    Treatmentofmultipleservicepaymentpoliciesfortherapy
    services
    Paymentforcertainradiologyservicesfurnishedunderthe
    Medicarehospitaloutpatientdepartmentprospective
    paymentsystem
    Adjustmentofequipmentutilizationrateforadvanced
    imagingservices

    Continued

    Page1of2

    DetailonEstimatedBudgetaryEffectsofTitleVI(MedicareandOtherHealthExtensions)of
    H.R.8,theAmericanTaxpayerReliefActof2012,aspassedbytheSenateonJanuary1,2013,continued
    2013

    2014

    2015

    2016

    2017

    2018

    2019

    2020

    2021

    2022

    20132017

    20132022

    0.2

    0.2

    0.2

    0.6

    0.6

    0
    0.1
    0

    *
    *
    0.2

    *
    *
    0.3

    *
    *
    0.3

    *
    *
    0.3

    *
    *
    0.3

    0.1
    *
    0.3

    0.1
    *
    0.3

    0.1
    0.1
    0.3

    0.1
    0.1
    0.3

    0.2
    0.2
    1.1

    0.4
    0.5
    2.5

    0
    0
    *
    0

    0
    0
    *
    0

    0.2
    0
    *
    0

    0.1
    0
    0
    0

    0
    0
    0
    0

    0
    0
    0
    0

    0
    0
    0
    0

    0.5
    0
    0
    0

    0.5
    0
    0
    0

    0.5
    4.2
    0
    0

    0.3
    0
    *
    0

    1.7
    4.2
    *
    0

    0.1

    0.2

    0.2

    0
    0
    *
    0

    0.4
    0.2
    *
    0

    0.6
    0.1
    *
    0

    0.6
    0.1
    *
    0

    0.5
    0.3
    *
    0

    0.1
    0.3
    *
    0.4

    *
    0.3
    *
    *

    *
    0.3
    *
    0.1

    0.1
    0.3
    *
    0.1

    0.1
    0.3
    *
    *

    2.2
    0.3
    0.1
    0

    2.5
    1.7
    0.1
    0.6

    Total,ChangesinDirectSpendingOutlays

    13.0

    5.0

    3.1

    3.2

    3.3

    0.1

    0.2

    0.7

    0.8

    5.2

    8.4

    1.7

    Memorandum:
    BudgetAuthoritya
    Outlays

    10.8
    13.0

    4.9
    5.0

    3.1
    3.1

    3.1
    3.2

    3.3
    3.3

    0.1
    0.1

    0.2
    0.2

    0.8
    0.7

    0.7
    0.8

    5.2
    5.2

    6.3
    8.4

    0.5
    1.7

    (Billionsofdollars,byfiscalyear)
    636.

    641.
    642.
    643.

    Medicarepaymentofcompetitivepricesfordiabetic
    suppliesandeliminationofoverpaymentfordiabetic
    supplies
    Medicarepaymentadjustmentfornonemergency
    ambulancetransportsforESRDbeneficiaries
    Removingobstaclestocollectionofoverpayments
    MedicareAdvantagecodingintensityadjustment
    EliminationofallfundingfortheMedicareImprovement
    Fund
    RebasingofStateDSHallotments
    RepealofCLASSProgram
    CommissiononLongTermCare

    644.

    ConsumerOperatedandOrientedPlanPrograma

    637.
    638.
    639.
    640.

    INTERACTIONS
    MedicareAdvantageInteraction
    PremiumInteractions
    TRICAREInteraction
    IPABInteraction

    Source:CongressionalBudgetOffice.
    Notes:

    Componentsmaynotsumtototalsbecauseofrounding.
    *=changesindirectspendingthatarebetween$50millionand$50million.
    a. FormostprovisionsintitleVI,changesinbudgetauthorityandoutlaysareequal.Theprovisionwiththelargestdifferencebetweenbudgetauthorityandoutlaysissection644,whichwould
    rescindabout$2.3billionofbudgetauthorityfortheConsumerOperatedandOrientedPlanprogram.CBOestimatesthatprovisionwouldreduceoutlaysby$0.2billion,becauseCBO
    expectsthatmostofthatbudgetauthoritywilllapseundercurrentlaw.
    CHIP=Children'sHealthInsuranceProgram;CLASS=CommunityLivingAssistanceServicesandSupports;DSH=DisproportionateShareHospital;ESRD=EndStageRenalDisease;GAO=
    GovernmentAccountabilityOffice;IPAB=IndependentPaymentAdvisoryBoard;IPPS=InpatientProspectivePaymentSystem;MSDRG=MedicareSeverityDiagnosticRelatedGroup;
    TRICARE=thehealthplanoperatedbytheDepartmentofDefense.

    Page2of2

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