Medicare Tables and Figures

Tables and Figures in CRS Reports

Following is a list of tables and figures related to Medicare that can be found in the CRS reports section of this Green Book chapter.

R40425, Medicare Primer

Figure 1. Projected Medicare Spending, by Category, FY2011

R41436, Medicare Financing

Figure 1. Sources of Medicare Revenue: 2010

Figure 2. Medicare Expenditures

Figure 3. Short-Term HI Expenditures and Income

Figure 4. HI Trust Fund Assets at Beginning of Year as a Percentage of Annual


Figure 5. Long-Range HI Income and Cost as a Percentage of Taxable Payroll

Figure 6. Medicare Cost and Non-interest Income by Source as a Percentage of GDP

Table 1. Medicare Data for Calendar Year 2010

Table 2. Unfunded HI Obligations

Table 3. Unfunded Part B and Part D Obligations

Table 4. SMI General Revenues as a Percentage of Personal and Corporate Federal

Income Tax

Table A-1. Medicare Enrollment, 1970 - 2085

Table B-1. Medicare Income and Expenditures, Calendar Years 1970-2020

Table C-1. Average Medicare Benefit Costs Per Beneficiary, Calendar Years 1970-2020

Table D-1. Operation of the Hospital Insurance Trust Fund, Calendar Years 1970-2020

Table E-1. Operation of the Part B Account of the SMI Trust Fund, Calendar Years 1970-2020

Table F-1. Operation of the Part D Account in the SMI Trust Fund, Calendar Years 2004-2020

Table G-1. Projected HI and SMI Expenditures as a Percentage of GDP

RS20946, Medicare: History of Insolvency Projections

Figure 1. Projected Number of Years Until HI Insolvency

Table 1. Year of Projected Insolvency of the Hospital Insurance Trust Fund in Past

Trustees Reports

Table A-1. Operation of the Hospital Insurance Trust Fund, Calendar Years 1970-2020

Table B-1. Tax Rates and Maximum Tax Bases

RL30526, Medicare Payment Policies

Table 1. Inpatient Prospective Payment System (IPPS) for Short-term, General Hospitals

Table 2. Hospitals Receiving Special Consideration Under Medicare’s IPPS

Table 3. IPPS-Exempt Hospitals and Distinct Part Units

Table 4. Skilled Nursing Facility (SNF) Care

Table 5. Hospice Care

Table 6. Physicians

Table 7. Nonphysician Practitioners

Table 8. Clinical Diagnostic Laboratory Services

Table 9. Preventive Services

Table 10. Telehealth

Table 11. Durable Medical Equipment (DME)

Table 12. Prosthetics and Orthotics

Table 13. Surgical Dressings

Table 14. Parenteral and Enteral Nutrition (PEN)

Table 15. Miscellaneous Items and Services

Table 16. Ambulatory Surgical Centers (ASCs)

Table 17. Hospital Outpatient Services

Table 18. Rural Health Clinics and Federally Qualified Health Center (FQHCs) Services

Table 19. Comprehensive Outpatient Rehabilitation Facility (CORF)

Table 20. Part B Drugs and Biologicals Covered Incident to a Physician’s Visit

Table 21. Blood

Table 22. Partial Hospitalization Services Connected to Treatment of Mental Illness

Table 23. Ambulance Services

Table 24. Home Health

Table 25. End-Stage Renal Disease Dialysis Services

Table 26. Managed Care Organizations

Table 27. Outpatient Prescription Drug Coverage

R40907, Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Figure 1. Difference Between Cumulative Allowed and Actual Expenditures for

Physician Services Under the SGR System

Figure 2. Relative Increase in Part B Expenditures vs. per Capita GDP

Figure 3. Formula Updates, Actual Updates, and the Medicare Economic Index

Table 1. Summary of Updates and Legislative Activity

RL34217, Medicare Program Integrity: Activities to Protect Medicare from Payment Errors, Fraud, and Abuse

Figure 1. HCFAC Recoveries and Transfers to the Medicare HI Trust Fund, and HCFAC

Expenditures FY1998-FY2010

Table 1. A/B MAC Consolidation and Expected Effective Dates

Table 2. HCFAC and MIP Mandatory Appropriations Selected Years, FY1999-FY2012

Table 3. HCFAC and MIP Discretionary Appropriations, FY2009-FY2012

Table 4. National Medicare FFS Error Rates and Total Improper Payments for Selected Fiscal Years, 1996–2010

Table 5. Medicare Part D Payment Error Rate Measures

Table 6. Summary of Health Care Fraud and Abuse Actions, FY1999-FY2010

Table 7. Selected Recent Congressional Hearings

Table 8. Additional HCFAC Mandatory Appropriations Authorized by PPACA, FY2011-FY2020

Table 9. Maximum HCFAC Program Integrity Discretionary Appropriations Authorized by the Budget Control Act of 2011 (BCA, P.L. 112-25)

R41196, Medicare Provisions in the Patient Protection and Affordable Care Act (PPACA): Summary and Timeline

Figure 1. Estimates of Medicare Spending FY2010-FY2019

Table B-1. Timeline for Update Reductions Including Productivity Adjustments, by Provider

Table C-1. Start Date, Effective Date, or Deadline—Prior to 2010

Table C-2. Start Date, Effective Date, or Deadline—CY2010

Table C-3. Start Date, Effective Date, or Deadline—CY2011

Table C-4. Start Date, Effective Date, or Deadline—CY2012

Table C-5. Start Date, Effective Date, or Deadline—CY2013

Table C-6. Start Date, Effective Date, or Deadline—CY2014

Table C-7. Start Date, Effective Date, or Deadline—CY2015

Table C-8. Start Date, Effective Date, or Deadline—CY2016

Table C-9. Start Date, Effective Date, or Deadline—CY2017

Table C-10. Start Date, Effective Date, or Deadline—CY2018

Table C-11. Start Date, Effective Date, or Deadline—CY2019

Table C-12. Start Date, Effective Date, or Deadline—CY2020

Table C-13. Unspecified Start Date, Effective Date, or Deadline

97-802, Medicare Provisions in the Balanced Budget Act of 1997 (BBA 97, P.L. 105-33)

Figure 1. Estimate of Medicare Savings in Conference Agreement on BBA 1997

Table 1. Medicare Outlays

Table 2. Estimated Medicare Outlays Under Current Law (Prior to Enactment of BBA), FY1997-FY2007

Table 3. Estimated Medicare Part B Monthly Premium

Table 4. Transition to Annual Coordinated Election of Medicare+Choice Plans

Table 5. Beneficiary Cost-Sharing and Provider Reimbursement Under Medicare+Choice Plans for Basic Benefit Package

Table 6. Major Factors for Determining Medicare Payments to Medicare+Choice Plans

Table 7. CBO Estimate of Medicare Savings in the Balanced Budget Act of 1997, FY1998-FY2002

Table 8. Impact of BBA 97 on Medicare, FY1997-FY2002