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

Table B-1. Part A (Hospitalization Insurance)

Table B-2. Part B (Supplementary Medical Insurance)

Table B-3. Part C (Medicare Advantage)

Figure 1. Projected Medicare Benefit Spending, by Category, FY2014

Figure 2. 2014 Standard Medicare Prescription Drug Benefit

Figure 3. Sources of Medicare Revenue: 2013

R43122: Medicare Financial Status: In Brief

Table 1. Medicare Expenditures and Enrollment: CY2013

Table 2. Current Value of Estimated Medicare Unfunded Obligations and General Revenue Spending

Figure 1. Sources of Medicare Revenues: 2013

Figure 2. Projected Number of Years Until HI Insolvency

Figure 3. Historical and Projected Medicare Expenditures

Figure 4. Medicare Cost and Non-interest Income, by Source as a Percentage of GDP

R41436: Medicare Financing

Table 1. Medicare Data for Calendar Year 2013

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 1970-2023

Table C-1. Average Medicare Benefit Costs per Beneficiary, Calendar Years 1970-2023

Table D-1. Operation of the Hospital Insurance Trust Fund, Calendar Years 1970-2023

Table E-1. Operation of the Part B Account of the SMI Trust Fund, Calendar Years 1970-2023

Table F-1. Operation of the Part D Account in the SMI Trust Fund, Calendar Years 2004-2023

Table G-1. Projected Hospital Insurance Expenditures as a Percentage of GDP

Table G-2. Projected Supplementary Medical Insurance – Part B as a Percentage of GDP

Table G-3. Projected Supplementary Medical Insurance – Part D as a Percentage of GDP

Table G-4. Projected Total Medicare Expenditures as a Percentage of GDP

Figure 1. Sources of Medicare Revenue: 2013

Figure 2. Total 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

RS20946: Medicare: History of Insolvency Projections

Table 1. Year of Projected Insolvency of the Hospital Insurance Trust Fund in Past and Current Trustees Reports

Table A-1. Operation of the Hospital Insurance Trust Fund, Calendar Years 1970-2023

Table B-1. Tax Rates and Maximum Tax Bases

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

R40082: Medicare: Part B Premiums

Table 1. Initial Enrollment Period

Table 2. Monthly Medicare Part B Premiums for 2014

Table 3. Part B Premium Adjustment for Married Beneficiaries Filing Separately for 2014

Table 4. 2014 Medicare Savings Program Eligibility Standards

Table A-1. Monthly Part B Premiums, 1966-2014

Table B-1. Income Levels for Determining Medicare Part B Premium Adjustment and Per Person Premium Amounts

Table B-2. Income Levels for Determining Part B Premium Adjustment for Married Beneficiaries Filing Separately and Associated Premiums

Table C-1. Projected Part B Premiums

Figure 1. Monthly Medicare Part B Premiums

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

Table 1. Aggregate Freestanding SNF Medicare Margins

Figure 1. Medicare-Covered SNF Days per 1,000 Part A Beneficiaries in 2012, by County

Figure 2. SNF Prospective Payment System Formula

Figure 3. FY2015 SNF Prospective Payment System, Urban Example

Figure 4. FY2015 SNF Prospective Payment System, Rural Example

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

R42998: Medicare Home Health Benefit Primer: Benefit Basics and Issues

Table 1. Average Medicare Payment and Visits for the Most Common Principal Diagnoses in 2011

Table 2. Aggregate Freestanding Home Health Agency Medicare Margins, 2003-2011

Figure 1. Home Health Utilization

Figure 2. Home Health Prospective Payment System Formula for Episodes with Five or Greater Visits

Figure 3. CY2014 Home Health Prospective Payment System, Urban Example

Figure 4. CY2014 Home Health Prospective Payment System, Rural Example

Figure 5. Home Health Expenditures by Part A and B, 2001-2011

Figure 6. Standardized Part A Home Health Payments per User in 2011

Figure 7. Standardized Part B Home Health Payments per User in 2011

R40611: Medicare Part D Prescription Drug Benefit

Table 1. Total Medicare Beneficiaries with Prescription Drug Coverage, 2012

Table 2. Medicare Part D Low-Income Subsidy Enrollment

Table 3. Overview of How Medicare Beneficiaries Qualify for LIS

Table 4. Non-Renewing MA-PD and PDP Plans

Table 5. 2014 Monthly Medicare Part D Surcharge

Table 6. Closing the Doughnut Hole

Table 7. Sliding-Scale Premium for Subsidy-Eligible Individuals

Table 8. Part D Standard Benefits, 2014

Table 9. Plan Liability under Risk Corridor Provisions

Table 10. Medicare Part D Risk Corridor Payment Increases and Decreases

Table 11. Statement of Operations of Part D Account, CY2013

Table 12. Comparison of Projected and Actual Part D Enrollment and Spending

Table 13. Comparison of Original CBO Estimates and Actual Part D Costs, FY2004-FY2013

Table A-1. Operation of the Part D Account in the SMI Trust Fund, Calendar Years 2004-2023

Figure 1. Average Annual Part D Basic Monthly Premium

Figure 2. 2014 Standard Medicare Prescription Drug Benefit

Figure 3. Closing the Doughnut Hole

Figure 4. Utilization Controls in Part D PDP Plans

Figure 5. Medicare Part D Plans, by Year

R42745: Medigap: A Primer

Table 1. Select Original Medicare Cost-Sharing Levels, 2013

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

Figure 1. Sources of Supplemental Coverage Among Medicare Beneficiaries, 2009

Figure 2. Distribution of Current Medigap Plans, All Medigap Beneficiaries, 2012

Figure 3. Medigap Enrollment, by State, 2012

Figure 4. Percent of Medicare Enrollees with Medigap Coverage, by State, 2012

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

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

Figure 1. Estimates of Medicare Spending FY2010-FY2019

L97-802: Medicare Provisions in the Balanced Budget Act of 1997 (BBA 97, P.L. 105-33)

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

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

This page was prepared on October 23, 2014, for the 2014 version of the House Ways and Means Green Book.