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Does the Congressional Budget Office Underestimate Savings from Reform? A Review of the Historical Record
The Commonwealth Fund 
Jan. 21, 2010
Excerpt: This study examines CBO scoring of major reform legislation enacted during each of the past three decades, including the prospective payment system for hospitals in the 1980s, the Balanced Budget Act of the 1990s, and the Medicare Modernization Act of 2003. In contrasting actual spending with predicted spending, CBO, in all three cases, substantially underestimated savings from these reform measures.
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