LA MILLORA EN LA COMUNICACIÓ AMB ELS USUARIS Els webs de Biblioteques de Barcelona

aging health care providers to deliver better care and better outcomes for

their patients, and improving access to care for beneficiaries. This includes

investments to reform Medicare physician payments and accelerate physi-

cian participation in high-quality and efficient healthcare delivery systems.

The Budget also makes structural changes that will reduce Federal subsidies

to high income beneficiaries and create incentives for beneficiaries to seek

high value services.The status of the trust fund is as follows.

Status of Funds

(in millions of dollars)

2016 est. 2015 est. 2014 actual Identification code 075–8004–0–7–571

Unexpended balance, start of year:

66,743 71,328 69,818 Balance, start of year ... 0100

66,743 71,328 69,818 Total balance, start of year ... 0199

Cash income during the year: Current law:

Receipts:

3,000 2,940 3,209 Fee on Branded Prescription Pharmaceutical Manufacturers

and Importers, SMI ... 1200

Offsetting receipts (proprietary):

3 3 5 Other Proprietary Interest from the Public, FSMI Fund ... 1220

5,000 4,064 3,564 Premiums Collected for Medicare Prescription Drug Account,

FSMI ... 1220

9,546 8,851 8,727 Payments from States, Medicare Prescription Drug Account,

FSMI ... 1220

355 327 301 Basic Premium, Medicare Advantage, FSMI Trust Fund ... 1220

4,500 4,400 5,030 Medicare Refunds, SMI ... 1220

1 1 1 Affordable Care Act Medicare Shared Savings Models,

SMI ... 1220

2,095 ...

... Premiums Collected for the Aged, FSMI Fund ... 1220

59,263 57,042 54,415 Premiums Collected for the Aged, FSMI Fund ... 1220

364 ...

... Premiums Collected for the Disabled, FSMI Fund ... 1220

10,386 10,298 10,458 Premiums Collected for the Disabled, FSMI Fund ... 1220

Offsetting receipts (intragovernmental):

7,970 –11 ...

Federal Contributions, FSMI Fund ... 1240

198,530 194,775 191,431 Federal Contributions, FSMI Fund ... 1240

–352 –142 ...

Interest Received by Trust Fund, FSMI Fund ... 1240

2,813 2,654 2,450 Interest Received by Trust Fund, FSMI Fund ... 1240

5 ...

... Federal Contribution, State Low-income Determinations,

Prescription Drug Account, FSMI ... 1240

12 10 10 Interest, Medicare Prescription Drug Account, FSMI ... 1240

691 418 400 Federal Contribution for Admin. Contribution for Admin.

Costs, Prescription Drug Account, FSMI ... 1240

82,453 62,061 52,520 Federal Contributions for Benefits, Prescription Drug

Account, SMI ... 1240

THE BUDGET FOR FISCAL YEAR 2016

480

Centers for Medicare and Medicaid Services—Continued Trust Funds—Continued

1 1 1 Miscellaneous Federal Payments, Federal Supplementary

Medical Insurance Trust Fund ... 1240

Offsetting collections:

... ... 18 Federal Supplementary Medical Insurance Trust Fund ... 1280

386,636 347,692 332,540 Income under present law ... 1299

Proposed legislation:

Offsetting receipts (proprietary receipts):

–40 ...

... Premiums Collected for Medicare Prescription Drug Account,

FSMI ... 2220

–80 ...

... Payments from States, Medicare Prescription Drug Account,

FSMI ... 2220

–10 ...

... Premiums Collected for the Aged, FSMI Fund ... 2220

29 ...

... Premiums Collected for the Aged, FSMI Fund ... 2220

–3 ...

... Premiums Collected for the Disabled, FSMI Fund ... 2220

Offsetting receipts (intragovernmental):

1,264 370 ...

Federal Contributions, FSMI Fund ... 2240

–560 ...

... Federal Contributions for Benefits, Prescription Drug

Account, SMI ... 2240 Offsetting collections: 4 ... ... Federal Supplementary Medical Insurance Trust Fund ... 2280

604 370 ...

Income under proposed legislation ... 2299

387,240 348,062 332,540 Total cash income ... 3299

Cash outgo during year: Current law:

–287,308 –270,829 –265,932 Federal Supplementary Medical Insurance Trust Fund ... 4500

–11,245 –5,337 ...

Federal Supplementary Medical Insurance Trust Fund ... 4500

–98,337 –75,851 –65,098 Medicare Prescription Drug Account, Federal Supplementary

Insurance Trust Fund ... 4500

–396,890 –352,017 –331,030 Outgo under current law (-) ... 4599

Proposed legislation:

–745 –370 ...

Federal Supplementary Medical Insurance Trust Fund ... 5500

–529 –260 ...

Federal Supplementary Medical Insurance Trust Fund ... 5500

680 ...

... Medicare Prescription Drug Account, Federal Supplementary

Insurance Trust Fund ... 5500

–594 –630 ...

Outgo under proposed legislation (-) ... 5599

–397,484 –352,647 –331,030 Total cash outgo (-) ... 6599

Unexpended balance, end of year:

9,270 7,510 2,937 Uninvested balance (net), end of year ... 8700

–6,657 –5,489 ...

Federal Supplementary Medical Insurance Trust Fund ... 8701

53,886 64,722 68,391 Federal Supplementary Medical Insurance Trust Fund ... 8701

56,499 66,743 71,328 Total balance, end of year ... 8799

Object Classification

(in millions of dollars)

2016 est. 2015 est. 2014 actual Identification code 075–8004–0–7–571 Direct obligations: 112 154 282 Payment for Quality Improvement Organization (QIO) activity .... 41.0

284,175 267,774 261,042 Insurance claims and indemnities ... 42.0 3,115 2,967 2,525 Financial transfers ... 94.0 287,402 270,895 263,849 Direct obligations ... 99.0 ... ... 18 Allocation Account - reimbursable: Insurance claims and

indemnities ... 42.0

287,402 270,895 263,867 Total new obligations ... 99.9

F

EDERAL

S

UPPLEMENTARY

M

EDICAL

I

NSURANCE

T

RUST

F

UND

(Amounts included in the adjusted baseline)

Program and Financing

(in millions of dollars)

2016 est. 2015 est. 2014 actual Identification code 075–8004–7–7–571

Obligations by program activity:

11,245 5,337 ... Benefits ... 0001 11,245 5,337 ...

Total new obligations (object class 42.0) ... 0900 Budgetary resources: Budget authority: Appropriations, mandatory: 10,077 –153 ...

Appropriation (special or trust fund) ... 1201

1,168 5,490 ...

Appropriations precluded from obligation ... 1234

11,245 5,337 ...

Appropriations, mandatory (total) ... 1260

11,245 5,337 ...

Budget authority (total) ... 1900

11,245 5,337 ...

Total budgetary resources available ... 1930

Change in obligated balance: Unpaid obligations:

11,245 5,337 ...

Obligations incurred, unexpired accounts ... 3010 –11,245 –5,337 ... Outlays (gross) ... 3020

Budget authority and outlays, net: Mandatory:

11,245 5,337 ...

Budget authority, gross ... 4090

Outlays, gross:

11,245 5,337 ...

Outlays from new mandatory authority ... 4100

11,245 5,337 ...

Budget authority, net (total) ... 4180

11,245 5,337 ...

Outlays, net (total) ... 4190

Memorandum (non-add) entries:

–5,489 ...

... Total investments, SOY: Federal securities: Par value ... 5000

–6,657 –5,489 ...

Total investments, EOY: Federal securities: Par value ... 5001

F

EDERAL

S

UPPLEMENTARY

M

EDICAL

I

NSURANCE

T

RUST

F

UND

(Legislative proposal, not subject to PAYGO)

Program and Financing

(in millions of dollars)

2016 est. 2015 est. 2014 actual Identification code 075–8004–2–7–571

Obligations by program activity:

–30 ...

... Benefit payments, SMI ... 0001

775 370 ...

Transfer to Medicaid for payment of SMI premiums ... 0002

745 370 ...

Total new obligations (object class 42.0) ... 0900 Budgetary resources: Budget authority: Appropriations, mandatory: 694 370 ...

Appropriation (special or trust fund) ... 1201

51 ...

... Appropriation (previously unavailable) ... 1203

745 370 ...

Appropriations, mandatory (total) ... 1260

745 370 ...

Budget authority (total) ... 1900

745 370 ...

Total budgetary resources available ... 1930

Change in obligated balance: Unpaid obligations:

745 370 ...

Obligations incurred, unexpired accounts ... 3010 –745 –370 ... Outlays (gross) ... 3020

Budget authority and outlays, net: Mandatory:

745 370 ...

Budget authority, gross ... 4090

Outlays, gross:

745 370 ...

Outlays from new mandatory authority ... 4100

745 370 ...

Budget authority, net (total) ... 4180

745 370 ...

Outlays, net (total) ... 4190

F

EDERAL

S

UPPLEMENTARY

M

EDICAL

I

NSURANCE

T

RUST

F

UND

(Legislative proposal, subject to PAYGO)

Program and Financing

(in millions of dollars)

2016 est. 2015 est. 2014 actual Identification code 075–8004–4–7–571

Obligations by program activity:

–300 260 ...

Benefit payments, SMI ... 0001 821 ... ... Administration, SMI ... 0004 521 260 ...

Total direct obligations ... 0799

4 ...

... Federal Supplementary Medical Insurance Trust Fund

(Reimbursable) ... 0801

525 260 ...

Total new obligations ... 0900 Budgetary resources: Budget authority: Appropriations, mandatory: 576 ... ... Appropriation (special or trust fund) ... 1201

... 260 ...

Appropriation (previously unavailable) ... 1203

–51 ...

... Appropriations precluded from obligation ... 1234

525 260 ...

Appropriations, mandatory (total) ... 1260

Spending authority from offsetting collections, mandatory:

4 ... ... Collected ... 1800 4 ... ... Spending auth from offsetting collections, mand (total) ... 1850

529 260 ...

Budget authority (total) ... 1900

529 260 ...

Total budgetary resources available ... 1930

481

F

EDERAL

S

UPPLEMENTARY

M

EDICAL

I

NSURANCE

T

RUST

F

UND

—Continued

Program and Financing—Continued

2016 est. 2015 est. 2014 actual Identification code 075–8004–4–7–571

Memorandum (non-add) entries:

4 ...

... Unexpired unobligated balance, end of year ... 1941

Change in obligated balance: Unpaid obligations:

525 260 ...

Obligations incurred, unexpired accounts ... 3010 –529 –260 ... Outlays (gross) ... 3020 –4 ... ... Unpaid obligations, end of year ... 3050

Memorandum (non-add) entries:

–4 ...

... Obligated balance, end of year ... 3200

Budget authority and outlays, net: Mandatory:

529 260 ...

Budget authority, gross ... 4090

Outlays, gross:

529 260 ...

Outlays from new mandatory authority ... 4100

Offsets against gross budget authority and outlays: Offsetting collections (collected) from:

–4 ... ... Non-Federal sources ... 4123 525 260 ...

Budget authority, net (total) ... 4180

525 260 ...

Outlays, net (total) ... 4190

Object Classification

(in millions of dollars)

2016 est. 2015 est. 2014 actual Identification code 075–8004–4–7–571 Direct obligations: –300 260 ...

Insurance claims and indemnities ... 42.0 821 ... ... Financial transfers ... 94.0 521 260 ... Direct obligations ... 99.0 4 ... ... Allocation Account - reimbursable: Insurance claims and

indemnities ... 42.0

525 260 ...

Total new obligations ... 99.9

✦

M

EDICARE

P

RESCRIPTION

D

RUG

A

CCOUNT

, F

EDERAL

S

UPPLEMENTARY

I

NSURANCE

T

RUST

F

UND

Program and Financing

(in millions of dollars)

2016 est. 2015 est. 2014 actual Identification code 075–8308–0–7–571

Obligations by program activity:

97,764 75,321 71,153 Prescription Drug Benefits ... 0001 581 560 373 Administrative Costs ... 0002 98,345 75,881 71,526 Total new obligations ... 0900 Budgetary resources: Unobligated balance: ... ... 906 Recoveries of prior year unpaid obligations ... 1021

... ... 906 Unobligated balance (total) ... 1050 Budget authority: Appropriations, discretionary: 573 548 370 Appropriation (special or trust fund) ... 1101

573 548 370 Appropriation, discretionary (total) ... 1160

Appropriations, mandatory:

97,773 75,333 70,674 Appropriation (special or trust fund) ... 1201

... ... –424 Appropriations and/or unobligated balance of

appropriations temporarily reduced ... 1232

97,773 75,333 70,250 Appropriations, mandatory (total) ... 1260

98,346 75,881 70,620 Budget authority (total) ... 1900

98,346 75,881 71,526 Total budgetary resources available ... 1930

Memorandum (non-add) entries:

1 ...

... Unexpired unobligated balance, end of year ... 1941

Special and non-revolving trust funds:

664 179 440 Expired unobligated balance, start of year ... 1952

664 664 179 Expired unobligated balance, end of year ... 1953

Change in obligated balance: Unpaid obligations:

12,996 12,966 7,397 Unpaid obligations, brought forward, Oct 1 ... 3000

98,345 75,881 71,526 Obligations incurred, unexpired accounts ... 3010

... ... 53 Obligations incurred, expired accounts ... 3011 –98,337 –75,851 –65,098 Outlays (gross) ... 3020 ... ... –906 Recoveries of prior year unpaid obligations, unexpired ... 3040

... ... –6 Recoveries of prior year unpaid obligations, expired ... 3041

13,004 12,996 12,966 Unpaid obligations, end of year ... 3050

Memorandum (non-add) entries:

12,996 12,966 7,397 Obligated balance, start of year ... 3100

13,004 12,996 12,966 Obligated balance, end of year ... 3200

Budget authority and outlays, net: Discretionary:

573 548 370 Budget authority, gross ... 4000

Outlays, gross:

396 376 228 Outlays from new discretionary authority ... 4010

154 154 170 Outlays from discretionary balances ... 4011

550 530 398 Outlays, gross (total) ... 4020

Mandatory:

97,773 75,333 70,250 Budget authority, gross ... 4090

Outlays, gross:

90,273 63,231 57,371 Outlays from new mandatory authority ... 4100

7,514 12,090 7,329 Outlays from mandatory balances ... 4101

97,787 75,321 64,700 Outlays, gross (total) ... 4110

98,346 75,881 70,620 Budget authority, net (total) ... 4180

98,337 75,851 65,098 Outlays, net (total) ... 4190

Since January 2006, Medicare beneficiaries have had the opportunity to

In document Memòria 2016 (página 99-102)