Department of Health and Human Services, Executive (1 - 10 of 23 items) in Custom Date Range
Childhood Obesity: Factors Affecting Physical Activity
GAO-07-260R: Published: Dec 6, 2006. Publicly Released: Jan 5, 2007.
The latest data show continued increases in rates of childhood obesity. For example, obesity rates for children 6 to 11 years old are estimated to have increased from 15.1 to 18.8 percent between 1999 and 2004. The Department of Health and Human Services estimates that 20 percent of children and youth in the United States will be obese by 2010. There are numerous negative health outcomes and finan...
Guardianships: Little Progress in Ensuring Protection for Incapacitated Elderly People
GAO-06-1086T: Published: Sep 7, 2006. Publicly Released: Sep 7, 2006.
The Senate Special Committee on Aging asked GAO to follow up on its 2004 report, Guardianships: Collaboration Needed to Protect Incapacitated Elderly People, GAO-04-655. This report covered what state courts do to ensure that guardians fulfill their responsibilities, what exemplary guardianship programs look like, and how state courts and federal agencies work together to protect incapacitated eld...
Assisted Living: Examples of State Efforts to Improve Consumer Protections
GAO-04-684: Published: Apr 30, 2004. Publicly Released: May 27, 2004.
Assisted living facilities provide help with activities of daily living in a residential setting for individuals who cannot live independently but do not require 24-hour skilled nursing care. In 2002, over 36,000 assisted living facilities served approximately 900,000 residents. The states establish and enforce licensing standards for these institutions. Because states have taken widely differing...
Transportation-Disadvantaged Populations: Some Coordination Efforts Among Programs Providing Transportation Services, but Obstacles Persist
GAO-03-697: Published: Jun 30, 2003. Publicly Released: Jun 30, 2003.
Millions of Americans are unable to provide their own transportation--or even use public transportation--for Medicaid appointments, Head Start classes, job training, or other services. Such "transportation disadvantaged" persons are often disabled, elderly, or low income. Various federal programs are authorized to provide transportation services to them. GAO was asked to (1) identify the federal p...
Long-Term Care: Implications of Supreme Court's Olmstead Decision Are Still Unfolding
GAO-01-1167T: Published: Sep 24, 2001. Publicly Released: Sep 24, 2001.
In the Olmstead case, the Supreme Court decided that states were violating title II of the Americans with Disabilities Act of 1990 (ADA) if they provided care to disabled people in institutional settings when they could be a appropriately served in a home or community-based setting. Considerable attention has focused on the decision's implications for Medicaid, the dominant public program supporti...
Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives
HEHS-00-197: Published: Sep 28, 2000. Publicly Released: Sep 28, 2000.
Pursuant to a congressional request, GAO provided information on federal and state initiatives to improve the quality of nursing homes, focusing on: (1) progress in improving the detection of quality problems and changes in measured nursing home quality; (2) the status of efforts to strengthen states' complaint investigation processes and federal enforcement policies; and (3) additional steps take...
Medicare+Choice: Payments Exceed Cost of Fee-for-Service Benefits, Adding Billions to Spending
HEHS-00-161: Published: Aug 23, 2000. Publicly Released: Aug 23, 2000.
Pursuant to a congressional request, GAO reviewed Medicare Choice program payment issues, focusing on: (1) whether program spending for Medicare Choice plan enrollees has exceeded what Medicare-covered care for these beneficiaries would have cost in the fee-for-service (FFS) Medicare program; and (2) the extent to which payments to individual plans differ from expected FFS costs.GAO noted that: (1...
Medical Malpractice: Effects of Varying Laws in the District of Columbia, Maryland, and Virginia
HEHS-00-5: Published: Oct 15, 1999. Publicly Released: Nov 16, 1999.
Pursuant to a congressional request, GAO provided information on the effects of laws in Virginia, Maryland, and the District of Columbia, focusing on: (1) the rationale behind selected reforms states have made to their medical malpractice tort law; (2) whether selected tort reforms have reduced malpractice insurance costs and the costs associated with defensive medicine; (3) the extent to which th...
Nursing Homes: Proposal To Enhance Oversight of Poorly Performing Homes Has Merit
HEHS-99-157: Published: Jun 30, 1999. Publicly Released: Jun 30, 1999.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) proposal to expand the definition of "poor performing" nursing homes to include homes with repeated actual harm violations (G-level deficiencies).GAO noted that: (1) HCFA's proposed expansion of the poor-performer criteria to include homes with repeated isolated actual harm deficiencies would substa...
Medicare: Need to Overhaul Costly Payment System for Medical Equipment and Supplies
HEHS-98-102: Published: May 12, 1998. Publicly Released: May 15, 1998.
Pursuant to a congressional request, GAO reviewed Medicare's payments for commonly purchased, off-the-shelf durable medical equipment (DME), focusing on the need to: (1) better identify products billed to Medicare; and (2) bring Medicare fees more in line with current marketplace prices.GAO noted that: (1) there are two underlying problems with Medicare's DME payment system; (2) the Health Care Fi...