Medicare’s Sustainable Growth Rate (SGR) is a target rate of growth in spending for physicians’ services. Payments for physicians’ services are supposed to automatically adjust in response to actual spending falling either above or below the target.
Office of Health Policy (HP)
The Office of Health Policy (HP) provides a cross-cutting perspective that bridges Departmental programs, state, local, and private sector activities, and the research community, in order to develop, analyze, coordinate and inform leadership on health policy issues for the Secretary. HP carries out this mission by conducting policy and economic and budget analyses, assisting in the development and review of regulations, budgets, legislation, and survey design efforts, as well as conducting and coordinating research, evaluation, and information dissemination on issues relating to health policy.
HP is organized in four divisions that align with major Department programs:
Division of Health Care Financing Policy (HFP)
Division of Public Health Services (PHS)
Division of Health Care Quality and Outcomes (HQO)
Division of Health Care Access and Coverage (HAC)
Health Policy Research:
- Reports to Congress
- Research & Issue Briefs
- HP Authored or Sponsored Work Published in Journals
Other Helpful Information:
Topic Areas:
- Children's Health Insurance Program (CHIP)
- Data
- Evaluation
- Health & Health Care
- Health Indicators
- Health Care Coverage and Access
- Health Policy
- Healthcare Reform
- Healthcare Safety Net
- HIV & AIDS
- Medicaid
- Medicare
- Patient-Centered Outcomes Research Trust Fund (PCORTF)
- Prescription Drugs & Other Medical Products
- Public Health
- Uninsured & Underinsured
Contact Us: ASPEHealthPolicy@hhs.gov
Reports
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Advanced SearchRegulation of the Individual Health Insurance Market
Several proposals to increase health coverage for the currently uninsured rely on encouragements to utilize and potentially expand the individual insurance market. In broadening health insurance coverage, it is important to understand the regulatory environment under which these proposals would be implemented.
The Regulation of the Individual Health Insurance Market
IntroductionAlthough the majority of Americans with health insurance obtain their coverage through group health plans offered through their employers, many individuals obtain their coverage through the nongroup (or individual) insurance market.
Federal Medical Assistance Percentages (FMAP), Fiscal Year 2010
The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages are calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1 through September 30 of the indicated year.
Literature Review
Best Practices to Improve Take-up Rates in Health Insurance Programs
The study provides public programs, employers and private insurers with effective best practices used in Medicare, Medicaid, SCHIP, and the private insurance market to improve participation in health insurance coverage.
Expert Panel Meeting on Disease Management Outcomes Measurement
Summary of panel discussion concerning the challenges of measuring the impact of disease management programs, especially for individuals with multiple chronic conditions.
Current Issues and Options: Coverage and Reimbursement for Complex Molecular Diagnostics
In June 2008, HHS commissioned this white paper to overview the current status of payor systems for coverage and reimbursement of complex molecular
Consumer Response to a National Marketplace for Individual Insurance
The President has proposed, and at least one bill has been introduced in Congress, to change federal law that prevents health insurance from being offered nationally as opposed to in only state-specific markets.