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Fact Sheet for CBO's March 2007 Baseline: Medicare 1 (March 2007)

handle is hein.congrec/cbo9299 and id is 1 raw text is: Fact Sheet for CBO's March 2007 Baseline: MEDICARE By fiscal year 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 MEDICARE TOTALS (in billions of dollars): Mandatory Outlays /1 $377.0 $427.6 $451.3 $482.4 $512.8 $564.1 $566.5 $626.4 $670.1 $719.0 $804.6 $845.4 Discretionary Outlays $5.0 $4.9 $5.0 $5.2 $5.4 $5.6 $5.9 $6.2 $6.5 $6.9 $7.2 $7.6 Total Outlays $381.9 $432.4 $456.3 $487.5 $518.2 $569.8 $572.4 $632.6 $6766 $7259 $811.8 $8530 Total Offsetting Receipts /2 -$52.1 -$62.2 -$66.7 -$71.2 -$75.7 -$80.7 -$86.0 -$91.9 -$98.2 -$105.1 -$113.8 -$123.9 Net Outlays (Total Outlays - Receipts) $329.9 $370.2 $389.7 $416.4 $442.6 $489.1 $486.4 $540.7 $578.4 $620.8 $698.0 $729.2 Net Mandatory Outlays (Mandatory Outlays - Receipts) /3 $324.9 $365.3 $384.7 $411.2 $437.2 $483.5 $480.5 $534.5 $571.9 $613.9 $690.8 $721.5 COMPONENTS OF MANDATORY OUTLAYS (in billions of dollars): Benefits Part A $183.6 $200.3 $211.1 $225.8 $240.0 $260.7 $265.6 $289.5 $308.0 $328.6 $359.8 $377.2 Part B $159.4 $177.4 $185.6 $194.6 $204.8 $222.7 $224.9 $245.2 $259.7 $276.2 $306.0 $324.4 Part D /4 $31.9 $47.0 $52.2 $59.5 $65.5 $78.1 $73.4 $89.0 $99.5 $111.4 $135.9 $140.8 Total $374.9 $424.7 $448.8 $479.9 $510.3 $561.5 $563.9 $623.7 $667.3 $716.2 $801.7 $842.4 Administration /5 $2.1 $2.9 $2.5 $2.5 $2.6 $2.6 $2.7 $2.7 $2.8 $2.8 $2.9 $3.0 Total Mandatory Outlays $377.0 $427.6 $451.3 $482.4 $512.8 $564.1 $566.5 $626.4 $670.1 $719.0 $804.6 $845.4 Annual Growth Rates: Mandatory Outlays 12.2% 13.4% 5.6% 6.9% 6.3% 10.0% 0.4% 10.6% 7.0% 7.3% 11.9% 5.1% Discretionary Outlays 32.7% -1.9% 3.4% 2.6% 4.3% 4.5% 4.9% 5.3% 5.2% 5.2% 5.3% 5.2% Total Outlays 12.4% 13.2% 5.5% 6.8% 6.3% 9.9% 0.5% 10.5% 7.0% 7.3% 11.8% 5.1% Total Premium Receipts 27.8% 19.5% 7.1% 6.8% 6.3% 6.6% 6.6% 6.8% 6.8% 7.1% 8.3% 8.8% Net Outlays (Total Outlays - Receipts) 10.5% 12.2% 5.3% 6.8% 6.3% 10.5% -0.5% 11.2% 7.0% 7.3% 12.4% 4.5% Net Mandatory Outlays (Mandatory Outlays - Receipts) 10.2% 12.4% 5.3% 6.9% 6.3% 10.6% -0.6% 11.2% 7.0% 7.3% 12.5% 4.5% Memorandum: Number of Capitation Payments /6 11 12 12 12 12 13 11 12 12 12 13 12 Mandatory Outlays, adjusted for timing shifts (in billions of dollars) /7 $385.8 $422.9 $451.0 $482.4 $512.8 $546.1 $584.5 $626.4 $670.1 $719.0 $777.0 $842.8 Annual growth rate: 16.3% 9.6% 6.7% 6.9% 6.3% 6.5% 7.0% 7.2% 7.0% 7.3% 8.1% 8.5% Notes: 1/ Average annual rate of growth of mandatory outlays from fiscal year 2007 through 2017 is 7.1 percent. (It also is 7.1 percent after adjusting for timing shifts; see note 7.) 2/ Offsetting receipts include premiums, recoveries of overpayments to providers, clawback payments from the states, and receipts of amounts transferred from the General Fund for administrative spending for Part D (see page 4 for more detail). 3/ Average annual rate of growth of net mandatory outlays from fiscal year 2007 through 2017 is 7.0 percent. (It is 7.1 percent after adjusting for timing shifts; see note 7.) 4/ The figure for 2006 includes $0.2 billion in spending for transitional assistance. 5/ Mandatory outlays for administration in all years support quality improvement organizations and certain activities against fraud and abuse. Those outlays include payment of Part B premiums for qualified individuals in 2006 and 2007, and spending in 2007 through 2009 for implementation of provisions of the Tax Relief and Health Care Act of 2006 (P.L. 109-432). The amounts shown also include funds transferred from the General Fund to pay for Part D administration (the receipt by Part D of the transferred funds is classified as an offsetting receipt--see page 4). 6/ In general, capitation payments to group health plans and prescription drug plans for the month of October are accelerated into the preceding fiscal year when October 1st falls on a weekend. However, the Balanced Budget Act of 1997 required that the October payment in 2006 be made on October 2 instead of September 29. 7/ The adjustment removes the effect of the payment holiday enacted in the Deficit Reduction Act of 2005 (claims payable during September 22-30, 2006, were paid in October 2006) and includes 12 capitation payments a year. Page 1 of 6 3/7/2007

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