Health care cost control (121 - 130 of 648 items)
DOD and VA Health Care: Jointly Buying and Mailing Out Pharmaceuticals Could Save Millions of Dollars
T-HEHS-00-121: Published: May 25, 2000. Publicly Released: May 25, 2000.
Pursuant to a congressional request, GAO discussed what the Department of Veterans Affairs (VA) and Department of Defense (DOD) have done and what more they could do to reduce drug prices and dispensing costs, focusing on the: (1) extent of joint DOD and VA drug contracting thus far and the prospects for further contracting; (2) prospects of DOD using VA's consolidated mail outpatient pharmacy (CM...
Medicare Home Health Care: Prospective Payment System Will Need Refinement as Data Become Available
HEHS-00-9: Published: Apr 7, 2000. Publicly Released: Apr 7, 2000.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) research on a home health prospective payment system (PPS), focusing on: (1) the objectives, findings, and costs of the research and demonstration projects HCFA has funded that were related to the design of the PPS; and (2) how these projects contributed to the proposed PPS design and which design...
Federal Prisons: Containing Health Care Costs for an Increasing Inmate Population
T-GGD-00-112: Published: Apr 6, 2000. Publicly Released: Apr 6, 2000.
Pursuant to a congressional request, GAO discussed health care costs at the federal Bureau of Prisons (BOP), focusing on: (1) trends in BOP health care costs from fiscal year (FY) 1990 through FY 1999; (2) BOP initiatives to contain rising medical costs; and (3) legislative and administrative options for helping to contain health care costs.GAO noted that: (1) in conjunction with a rising federal...
Medicaid Managed Care: Challenges in Implementing Safeguards for Children With Special Needs
HEHS-00-37: Published: Mar 3, 2000. Publicly Released: Apr 3, 2000.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) and the states' efforts to implement safeguards to protect children with disabilities who are enrolled in Medicaid managed care programs, focusing on the: (1) implications of the Balanced Budget Act of 1997 (BBA) provisions defining this population; (2) number of states enrolling children with speci...
Defense Health Care: Observations on Proposed Benefit Expansion and Overcoming TRICARE Obstacles
T-HEHS/NSIAD-00-129: Published: Mar 15, 2000. Publicly Released: Mar 15, 2000.
Pursuant to a congressional request, GAO discussed proposed changes and improvements to the military health system (MHS), focusing on: (1) the various proposals to expand the military health care benefit, especially those for older retirees, including describing the nature of the enhancement, the present or potential challenges in implementing these proposals, and overall cost implications; (2) th...
Skilled Nursing Facilities: Medicare Payment Changes Require Provider Adjustments But Maintain Access
HEHS-00-23: Published: Dec 14, 1999. Publicly Released: Dec 14, 1999.
Pursuant to a congressional request, GAO provided information on skilled nursing facilities, focusing on: (1) the initial effect of the skilled nursing facility (SNF) prospective payment system (PPS) on Medicare beneficiaries' access to care; (2) the initial effect of the SNF PPS on providers; and (3) the role the SNF PPS has played in the poor financial performance of large nursing home chains.GA...
VA Health Care: VA's Management of Drugs on Its National Formulary
HEHS-00-34: Published: Dec 14, 1999. Publicly Released: Dec 14, 1999.
Pursuant to a congressional request, GAO reviewed how the Department of Veterans' Affairs' (VA) manages its national formulary and how drugs other than those on the formulary are made available to veterans.GAO noted that: (1) VA's national formulary is administered by the Pharmacy Benefits Management Strategic Healthcare Group (PBM), a strategy modeled after one commonly used in private health car...
Medicare: Reporting on the Health Care Fraud and Abuse Control Program for Fiscal Years 1998 and 1999
AIMD-00-51R: Published: Dec 13, 1999. Publicly Released: Dec 13, 1999.
Pursuant to a legislative requirement, GAO reviewed the Health Care Fraud and Abuse Control (HCFAC) program, focusing on : (1) the amounts deposited to the Federal Hospital Insurance Trust Fund pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the sources of such amounts; (2) the amounts appropriated from the trust fund for HCFAC program and the justification...
Medicare Home Health: Effect on Spending of Limiting Payment for Non-Patient-Care Costs
HEHS-00-19R: Published: Oct 19, 1999. Publicly Released: Oct 19, 1999.
Pursuant to a congressional request, GAO modelled the impact of constraining, through various limits, home health agency (HHA) costs that are not directly related to patient care, focusing on the: (1) variation in total and non-patient-care costs across agencies; and (2) effect on Medicare payments if constraints were imposed on payments for non-patient-care costs.GAO noted that: (1) per-visit cos...
Medicaid Managed Care: Four States' Experiences With Mental Health Carveout Programs
HEHS-99-118: Published: Sep 17, 1999. Publicly Released: Sep 17, 1999.
Pursuant to a congressional request, GAO provided information on how states design and monitor Medicaid mental health programs, and how, at the federal level, the Health Care Financing Administration (HCFA) exercises its oversight of the Medicaid program, focusing on: (1) the extent of beneficiary choice in capitated mental health carveouts, the range of covered mental health services, and access...