Growth in spending on federal health care programs is one of the central fiscal challenges facing the federal government. That growth is driven by rising enrollment in public programs deriving from the aging of the population coupled with expansions in insurance coverage and by rising health care spending per person (which has slowed recently but, during the past few decades, has significantly outpaced increases in economic output per person). Moreover, rapid growth in spending on health care is a key challenge not only for Medicare, Medicaid, and other federal programs, but also for state and local governments and for the private sector. CBO devotes a large share of its resources to studying proposals that would make narrow or broad changes in the nation’s systems for delivering and financing health care.
Updated Estimates of the Effects of the Insurance Coverage Provisions of the Affordable Care Act, April 2014
Apr 2014 - CBO and JCT have lowered their estimates of the net federal cost of the ACA’s insurance coverage provisions—to $1.4 trillion over the next decade, about $100 billion less than estimated in February.
Apr 2014 - The deficit will decrease to $492 billion in 2014, CBO projects. But under current law, deficits will begin rising again in 2016—and by 2024, debt will reach 78 percent of GDP, twice the average of the past 40 years.
Feb 2014 - Under current law, deficits will drop through 2015 but rise thereafter, boosting the already high federal debt, CBO projects. Economic growth will be solid in the near term, but unemployment will not drop below 6.0 percent until 2017.
Nov 2013 - CBO periodically issues a compendium of options—this installment presents more than 100—to inform lawmakers about the budgetary effects of ways to reduce the deficit.
Sep 2013 - CBO analyzes the ways two illustrative options for a premium support system for Medicare would affect federal spending and beneficiaries’ choices and payments.
Sep 2013 - Federal debt would grow to 100 percent of GDP by 2038 under current law, CBO projects, and would be on an upward path relative to the size of the economy—a trend that could not be sustained indefinitely.
Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Health Care Spending, and Evolving Policies
Jun 2013 - People eligible for both Medicare and Medicaid benefits—known as “dual-eligible beneficiaries”—are a varied group, but many have extensive health care needs and account for a disproportionate share of spending on Medicare and Medicaid.
Cost Estimate for H.R. 45, a bill to repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010
May 2013 - Due to time constraints, CBO will not be able to provide a cost estimate for H.R. 45, a bill that would repeal the Affordable Care Act.
Nov 2012 - CBO estimates that greater use of prescription drugs by Medicare beneficiaries reduces Medicare’s spending on medical services.
Jun 2012 - CBO's study demonstrates the complex links between policies that aim to improve health and effects on the federal budget.
- cost estimateApril 16, 2014
- cost estimateApril 15, 2014
Updated Estimates of the Effects of the Insurance Coverage Provisions of the Affordable Care Act, April 2014reportApril 14, 2014
- presentationApril 4, 2014
- cost estimateMarch 31, 2014
- cost estimateMarch 26, 2014
- cost estimateMarch 24, 2014
- cost estimateMarch 21, 2014
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