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Offices, Department of Health and Human Services, Executive (121 - 130 of 199 items)
Emergency Care: EMTALA Implementation and Enforcement Issues
GAO-01-747: Published: Jun 22, 2001. Publicly Released: Jun 22, 2001.
In 1986, Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in response to reports that some emergency rooms across the country had refused to treat indigent and uninsured patients or had inappropriately transferred them to other hospitals, a practice known as "patient dumping." EMTALA requires hospitals that participate in Medicare to provide a medical screening examina...
Program Evaluation: Studies Helped Agencies Measure or Explain Program Performance
GGD-00-204: Published: Sep 29, 2000. Publicly Released: Sep 29, 2000.
Pursuant to a congressional request, GAO reviewed how federal agencies used evaluation studies to report on their achievements, focusing on: (1) how program evaluation studies or methods served in performance reporting; and (2) circumstances that led agencies to conduct evaluations.GAO noted that: (1) evaluations helped the agencies improve their measurement of program performance or understanding...
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: More Beneficiaries Use Hospice but for Fewer Days of Care
HEHS-00-182: Published: Sep 18, 2000. Publicly Released: Sep 18, 2000.
Pursuant to a congressional request, GAO provided information on the Medicare hospice benefit, focusing on: (1) the patterns and trends in hospice use by Medicare beneficiaries; (2) factors that affect the use of the hospice benefit; and (3) the availability of hospice providers to serve the needs of Medicare beneficiaries.GAO noted that: (1) the number of Medicare beneficiaries choosing hospice s...
Medicare+Choice: Plan Withdrawals Indicate Difficulty of Providing Choice While Achieving Savings
HEHS-00-183: Published: Sep 7, 2000. Publicly Released: Sep 7, 2000.
Pursuant to a congressional request, GAO reviewed health care plans' withdrawal from the Medicare Choice program, focusing on the: (1) geographic distribution and the distribution among plans of enrollees affected by the recent plan withdrawals; (2) factors associated with plans that terminated or reduced their participation in the program; and (3) likely role of payment rates in affecting plans'...
Department of Health and Human Services, Office of the Secretary: Health Insurance Reform: Standards for Electronic Transactions
OGC-00-59: Published: Aug 29, 2000. Publicly Released: Aug 29, 2000.
Pursuant to a legislative requirement, GAO reviewed the Department of Health and Human Services' (HHS) new rule on, standards for electronic transactions. GAO noted that: (1) the new rule would adopt standards for eight electronic transactions and for codes sets used in those transactions and requires the use of these standards by health plans, health care clearinghouses, and certain health care p...
Medicare: Health Care Fraud and Abuse Control Program Financial Reports for Fiscal Years 1998 and 1999
AIMD-00-257R: Published: Jul 31, 2000. Publicly Released: Jul 31, 2000.
Pursuant to a legislative requirement, GAO reviewed the Health Care Fraud and Abuse Control (HCFAC) Program financial reports for fiscal years (FY) 1998 and 1999 as required by the the Health Insurance Portability and Accountability Act (HIPAA) of 1996.GAO noted that: (1) the Department of Health and Human Services (HHS) and the Department of Justice (DOJ) joint HCFAC reports for fiscal years 1998...
Medicare Improper Payments: Challenges for Measuring Potential Fraud and Abuse Remain Despite Planned Enhancements
T-AIMD/OSI-00-251: Published: Jul 12, 2000. Publicly Released: Jul 12, 2000.
Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) efforts to improve the measurement of improper payments in the Medicare fee-for-service program.GAO noted that: (1) because it was not intended to include procedures designed specifically to identify all types of potential fraudulent and abusive activity, the current methodology does not provide an...
Homelessness: Barriers to Using Mainstream Programs
RCED-00-184: Published: Jul 6, 2000. Publicly Released: Jul 6, 2000.
Pursuant to a congressional request, GAO provided information on the ability of homeless people to obtain assistance through mainstram federal programs, focusing on: (1) why homeless people cannot always access or effectively use federal mainstream programs; and (2) how the federal government can improve homeless people's access to, and use of, these programs.GAO noted that: (1) homeless people ar...
Information Security: Software Change Controls at the Department of Health and Human Services
AIMD-00-194R: Published: Jun 30, 2000. Publicly Released: Jun 30, 2000.
Pursuant to a congressional request, GAO reviewed software change controls at the Department of Health and Human Services (HHS), focusing on: (1) weaknesses regarding formal policies and procedures; (2) contract oversight; and (3) background screening of personnel.GAO noted that: (1) formally documented departmentwide change control policies and procedures did not exist at HHS; (2) formally docume...