Department of Health and Human Services, Executive (21 - 23 of 23 items)
Comments on HCFA Regional Office Report on New Jersey's Diagnostic Related Group Prospective Reimbursement Experiment
HRD-83-63: Published: Jun 15, 1983. Publicly Released: Jul 12, 1983.
GAO was asked to review a report by the Health Care Financing Administration's (HCFA) New York Regional Office on New Jersey's Diagnostic Related Group hospital prospective payment experiment and to assess the relevance of its findings and recommendations to the administration's proposed Medicare hospital prospective payment system.GAO found that the administration's proposed bill was very general...
Prospective Payment Systems for Nursing Home Care
120522: Feb 4, 1983
In 1982, Congress mandated that the Department of Health and Human Services develop legislative proposals to provide for reimbursing skilled nursing facilities prospectively under Medicare. GAO believes that the State Medicaid systems for prospective reimbursement should be examined when developing the Federal Medicare system. Under the prospective reimbursement system developed in Texas, the per...
Reasonable Charge Reductions Under Part B of Medicare
HRD-81-12: Published: Oct 22, 1980. Publicly Released: Oct 22, 1980.
GAO examined whether Medicare beneficiaries are being properly reimbursed for doctors' bills under the Medicare program. Part B of the Medicare Program, which primarily covers the cost of physician services, is paying an increasingly smaller portion of the elderly's total cost for physician services. On the average, the charges submitted by doctors are reduced by about 20 percent by the program, b...