Medicare 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 included in this Green Book chapter.

R40425, Medicare Primer

Figure 1. Projected Medicare Benefit Spending, by Category, FY2012

R41436, Medicare Financing

Figure 1. Sources of Medicare Revenue: 2011

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 Expenditures

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 2011

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 Taxes

Table A-1. Medicare Enrollment, 1970-2085

Table B-1. Medicare Income and Expenditures, Calendar Years 1970-2021

Table C-1. Average Medicare Benefit Costs Per Beneficiary, Calendar Years 1970-2021

Table D-1. Operation of the Hospital Insurance Trust Fund, Calendar Years 1970-2021

Table E-1. Operation of the Part B Account of the SMI Trust Fund, Calendar Years 1970-2021

Table F-1. Operation of the Part D Account in the SMI Trust Fund, Calendar Years 2004-2021

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

Figure 2. HI Trust Fund Assets at Beginning of Year as a Percentage of Annual Expenditures

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 1970-2021

Table B-1. Tax Rates and Maximum Tax Bases

RL30526, Medicare Payment Updates and Payment Rates

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. Ambulatory Surgical Centers (ASCs)

Table 16. Hospital Outpatient Services

Table 17. Rural Health Clinics and Federally Qualified Health Center (FQHCs) Services

Table 18. Comprehensive Outpatient Rehabilitation Facility (CORF)

Table 19. Part B Drugs and Biologicals Covered Incident to a Physician’s Visit

Table 20. Blood

Table 21. Partial Hospitalization Services Connected to Treatment of Mental Illness

Table 22. Ambulance Services

Table 23. Home Health

Table 24. End-Stage Renal Disease Dialysis Services

Table 25. Managed Care Organizations

Table 26. Outpatient Prescription Drug Coverage

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

Figure 1. Two Measures of the Difference Between Cumulative Allowed and Actual Expenditures for Physician Services Under the SGR System

Table 1. Summary of Updates and Legislative Activity

Table 2. Select Legislative Proposals to Modify the SGR Calculation

R42401, Medicare’s Skilled Nursing Facility Primer: Benefit Basics and Issues

Figure 1. SNF Utilization

Figure 2. SNF Prospective Payment System Formula

Figure 3. FY2013 SNF Prospective Payment System, Urban Example

Figure 4. FY2013 SNF Prospective Payment System, Rural Example

Figure 5. Distribution of Covered SNF Days, by Rehabilitation RUG

Table 1. Aggregate Freestanding SNF Medicare Margins

R42745, Medigap: A Primer

Figure 1. Sources of Supplemental Coverage Among Medicare Beneficiaries, 2008

Figure 2. Distribution of Medigap Plans, All Medigap Beneficiaries, 2010

Figure 3. Medigap Enrollment, by State, 2010

Figure 4. Percent of Medicare Enrollees with Medigap Coverage, by State, 2010

Table 1. Select Original Medicare Cost-Sharing Levels, 2012

Table 2. Standard Medigap Plans, Effective On or After June 1, 2010

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