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	Sources ¹ Rustgi SD, Doty MM, Collins SR. Women at Risk: Why Many Women are Forgoing Needed Health Care. The Commonwealth Fund, 2009. ² Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ³ American’s Health Insurance Plans, Individual Health Insurance 2006-2007: A Comprehensive Survey of Premiums, Availability and Benefits, 2007. ⁴ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. Analysis provided by the Agency for Healthcare Research and Quality. ⁵ Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2008. ⁶ CMS 2005 Medicare Current Beneficiary Survey Cost and Use file ⁷ Analysis preformed by Centers for Medicare and Medicaid Services. ⁸ Office of the Actuary, Centers for Medicare and Medicaid Services. ⁹ Office of the Actuary, Centers for Medicare and Medicaid Services. ¹⁰ American Medical Association. Member Connect Survey: Physicians’ reactions to the Medicare physician payment cuts. http://www.ama-assn.org/ama1/pub/upload/mm/399/mc_survey.pdf ¹¹ Rural Health Research & Policy Analysis Center at the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill. ¹² Kemper P, Komisar H, Alecxih L. Long-term care over an uncertain future: What can current retirees expect? Inquiry 2005; 42(4): 335-350. ¹³ Kaiser Family Foundation. “Medicare’s Role for Women.” Kaiser Family Foundation. June, 2009. ¹⁴ Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. NEJM 2009;360:1418-28. ¹⁵ Holahan J. “Health Insurance Coverage of the Near Elderly.” Kaiser Family Foundation and Urban Institute. July 2004. ¹⁶ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ¹⁷ Rustgi SD, Doty MM, Collins SR. Women at Risk: Why Many Women are Forgoing Needed Health Care. The Commonwealth Fund, 2009. ¹⁸ U.S. Census Bureau, Current Population Survey. Annual Social and Economic Supplements, March 2007. ¹⁹ National Health Interview Survey, 2008. Analysis provided by the Centers for Disease Control and Prevention. ²⁰ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2006. Analysis prepared by Agency for Health Care Research and Quality. ²¹ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2006. Analysis prepared by Agency for Health Care Research and Quality. ²² High out-of-pocket costs are defined as costs that surpass the allowable upper limit in the current House bill, America’s Affordable Choices Act of 2009. ²³ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2006. ²⁴ U.S. Census Bureau, Current Population Survey. Annual Social and Economic Supplements, March 2007. ²⁵ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ²⁶ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ²⁷ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ²⁸ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. ²⁹ U.S. Census Bureau, Current Population Survey. Annual Social and Economic Supplements, March 2007. ³⁰ ERIU Research Highlight, Economic Research Initiative, available at http://www.umich.edu/~qu-fastfacts.html. ³¹ U.S. Census Bureau, Current Population Survey. Annual Social and Economic Supplements, March 2007. ³² U.S. Census Bureau, Current Population Survey. Annual Social and Economic Supplements, March 2007. ³³ Kaiser State Health Facts. http://www.statehealthfacts.org/comparetable.jsp?ind=353&cat=7. ³⁴ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. Analysis provided by the Agency for Healthcare Research and Quality. ³⁵ Centers for Disease Control and Prevention. National Health Interview Survey 2008. Analysis provided by Centers for Disease Control and Prevention. ³⁶ Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006. Analysis provided by the Agency for Healthcare Research and Quality. ³⁷ American’s Health Insurance Plans, Individual Health Insurance 2006-2007: A Comprehensive Survey of Premiums, Availability and Benefits, 2007. ³⁸ Waxman H and Barton J. Memorandum to Members and Staff of the Subcommittee on Oversight and Investigations: Supplemental Information Regarding the Individual Health Insurance Market. June 16, 2009. http://energycommerce.house.gov/Press_111/20090616/rescission_supplemental.pdf ³⁹ Anderson, Gerard, and Jane Horvath (2004). “The growing burden of chronic disease in America.” Public Health Reports 119(3): 263–70. ⁴⁰American Cancer Society. Cancer Facts & Figures 2009. Atlanta, GA. 2009. http://www.cancer.org/docroot/MIT/content/MIT_3_2X_Costs_of_Cancer.asp ⁴¹Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2008. ⁴² National Commission on Prevention Priorities. Preventive Care: A National Profile on Use, Disparities, and Health Benefits. Partnership for Prevention, August 2007. ⁴³ Kaiser Family Foundation. “Medicare’s Role for Women.” Kaiser Family Foundation. June, 2009. ⁴⁴ Kaiser Family Foundation. “Medicare’s Role for Women.” Kaiser Family Foundation. June, 2009. ⁴⁵ Kaiser Family Foundation. “Medicare’s Role for Women.” Kaiser Family Foundation. June, 2009. ⁴⁶ CMS 2005 Medicare Current Beneficiary Survey Cost and Use file ⁴⁷ Medicare Payment Advisory Commission. March 2009 Report to Congress, Chapter 1: Context for Medicare Payment Policy. http://www.medpac.gov/chapters/Mar09_Ch01.pdf ⁴⁸ Kaiser Family Foundation. “Medicare’s Role for Women.” Kaiser Family Foundation. June, 2009. ⁴⁹ Congressional Budget Office. http://www.cbo.gov/budget/factsheets/2009b/medicare.pdf ⁵⁰ Office of the Actuary. Centers for Medicare and Medicaid Services. ⁵¹ Analysis preformed by Centers for Medicare and Medicaid Services ⁵² Medicare Payment Advisory Commission. March 2009 Report to Congress, Chapter 3: The Medicare Advantage Program. http://www.medpac.gov/chapters/Mar09_Ch03.pdf ⁵³ Medicare Payment Advisory Commission. March 2009 Report to Congress, Chapter 3: The Medicare Advantage Program. http://www.medpac.gov/chapters/Mar09_Ch03.pdf ⁵⁴ Neuman P. Medicare Advantage: Key Issues and Implications for Beneficiaries. Testimony before the House Committee on the Budget, United States House of Representatives, June 28, 2007. http://budget.house.gov/hearings/2007/06.28neuman_testimony.pdf ⁵⁵ Rick Foster, Office of the Actuary, Centers for Medicare and Medicaid Services. Letter to Congressman Stark, June 25, 2009. ⁵⁶ Employee Benefit Research Institute, Savings Needed to Fund Health Insurance and Health Care Expenses in Retirement, (Washington, DC: EBRI Issue Brief #295, July 2006). ⁵⁷ CMS 2005 Medicare Current Beneficiary Survey Cost and Use file ⁵⁸ Office of the Actuary, Centers for Medicare and Medicaid Services. ⁵⁹ Office of the Actuary, Centers for Medicare and Medicaid Services. ⁶⁰ Zhang Y, Donohue JM, Newhouse JP et al. The Effects Of The Coverage Gap On Drug Spending: A Closer Look At Medicare Part D. Health Affairs 2009; 28(2): w317–w325. ⁶¹ American Medical Association. Member Connect Survey: Physicians’ reactions to the Medicare physician payment cuts. http://www.ama-assn.org/ama1/pub/upload/mm/399/mc_survey.pdf ⁶² Rural Health Research & Policy Analysis Center at the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill. ⁶³ The National Advisory Committee on Rural Health, Medicare Reform: A Rural Perspective, A Report to the Secretary of the U.S. Department of Health and Human Services, May 2001; Medicare Payment Advisory Commission, Report to Congress: Medicare in Rural America, June 2001; Government Accountability Office, Ambulance Providers: Costs and Expected Medicare Margins Vary Greatly, GAO-07-383, May 2007. ⁶⁴ RUPRI Center for Rural Health Policy Analysis. Rural Physicians’ Acceptance of New Medicare Patients. http://www.unmc.edu/ruprihealth/Pubs/PB2004-5.pdf ⁶⁵ Kemper P, Komisar H, Alecxih L. Long-term care over an uncertain future: What can current retirees expect? Inquiry 2005; 42(4): 335-350. ⁶⁶ http://www.longtermcare.gov/LTC/Main_Site/Understanding_Long_Term_Care/Costs_Paying/index.aspx ⁶⁷ http://www.longtermcare.gov/LTC/Main_Site/Understanding_Long_Term_Care/Costs_Paying/index.aspx ⁶⁸ Kaiser Family Foundation. “Medicare’s Role for Women.” Kaiser Family Foundation. June, 2009. ⁶⁹ Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System 2008. ⁷⁰ Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. NEJM 2009;360:1418-28. ⁷¹ Medicare Payment Advisory Commission. Payment Policy for Inpatient Readmissions. http://www.medpac.gov/chapters/Jun07_Ch05.pdf