Beneficiaries (31 - 40 of 107 items)
Medicare: Financial Outlook Poses Challenges for Sustaining Program and Adding Drug Coverage
GAO-02-643T: Published: Apr 17, 2002. Publicly Released: Apr 17, 2002.
The lack of outpatient prescription drug coverage may leave Medicare's most vulnerable beneficiaries with high out-of-pocket costs. Recent estimates suggest that, at any given time, more than a third of Medicare beneficiaries lack prescription drug coverage. The rest have some coverage through various sources--most commonly employer-sponsored health plans. Recent evidence indicates that this cover...
Medigap: Current Polices Contain Coverage Gaps, Undermine Cost Control Incentives
GAO-02-533T: Published: Mar 14, 2002. Publicly Released: Mar 14, 2002.
Medicare provides valuable and extensive health care coverage for 40 million elderly and disabled beneficiaries. Nevertheless, significant gaps leave some beneficiaries vulnerable to sizeable out-of-pocket expenses. Medicare provides no limit on out-of-pocket spending and no coverage for most outpatient prescription drugs. Most beneficiaries have supplemental coverage that helps to fill Medicare c...
Medicare Physician Payments: Spending Targets Encourage Fiscal Discipline, Modifications Could Stabilize Fees
GAO-02-441T: Published: Feb 14, 2002. Publicly Released: Feb 14, 2002.
Congress implemented a physician fee schedule and a fee update formula to moderate spending growth relative to specified Medicare spending targets. These spending targets increase annually to reflect higher costs for physician services, the growth in the overall economy, and changes in the number of Medicare beneficiaries. Physician fees are adjusted for changes in the costs of providing services...
Medigap Insurance: Plans Are Widely Available but Have Limited Benefits and May Have High Costs
GAO-01-941: Published: Jul 31, 2001. Publicly Released: Jul 31, 2001.
To protect themselves against large out-of-pocket expenses and help fill gaps in Medicare coverage, most beneficiaries buy supplemental insurance, known as Medigap; contribute to employer-sponsored health benefits to supplement Medicare coverage; or enroll in private Medicare+Choice plans rather than traditional fee-for-service Medicare. Because Medicare+Choice plans are not available everywhere...
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...
Defense Health Care: Opportunities to Reduce TRICARE Claims Processing and Other Costs
T-HEHS-00-138: Published: Jun 22, 2000. Publicly Released: Jun 22, 2000.
Pursuant to a congressional request, GAO discussed opportunities to reduce claims processing and other costs of the Department of Defense's (DOD) managed health care program--TRICARE, focusing on: (1) the cost of processing TRICARE claims; (2) opportunities that potentially can reduce costs and improve service to beneficiaries, namely increased anti-fraud efforts and more joint procurement of phar...
Prescription Drug Benefits: Impact of Medicare HMOs' Use of Formularies on Beneficiaries
T-HEHS-99-171: Published: Jul 20, 1999. Publicly Released: Jul 20, 1999.
Pursuant to a congressional request, GAO discussed the prescription drug benefits provided by health maintenance organizations (HMO) that participate in the Medicare Choice program.GAO noted that: (1) evaluating the prescription drug benefits Medicare HMOs offer is an important but challenging undertaking for prospective enrollees; (2) to determine which plan best meets their needs, beneficiaries...
Prescription Drug Benefits: Implications for Beneficiaries of Medicare HMO Use of Formularies
HEHS-99-166: Published: Jul 20, 1999. Publicly Released: Jul 20, 1999.
Pursuant to a congressional request, GAO studied how Medicare health maintenance organizations (HMO) manage drug formularies to control drug expenditures and what the implications are for beneficiaries of these formulary management activities.GAO noted that: (1) evaluating the prescription drug benefits Medicare HMOs offer is an important but challenging undertaking for prospective enrollees; (2)...
Medicare Home Health Agencies: Closures Continue, With Little Evidence Beneficiary Access Is Impaired
HEHS-99-120: Published: May 26, 1999. Publicly Released: May 26, 1999.
Pursuant to a congressional request, GAO provided information on the: (1) distribution of Medicare home health agencies' (HHA) closures across urban and rural counties and the characteristics of closed agencies; and (2) effect of closures on beneficiary access to home health services.GAO noted that: (1) prior to the HHA closures that have attracted widespread attention, both the number of HHAs and...
Defense Health Care: Need for Top-to-Bottom Redesign of Pharmacy Programs
T-HEHS-99-75: Published: Mar 10, 1999. Publicly Released: Mar 10, 1999.
Pursuant to a congressional request, GAO discussed the Department of Defense's (DOD) $1.3 billion pharmacy programs and efforts under way to redesign DOD's pharmacy benefit.GAO noted that: (1) the significant problems DOD is experiencing delivering its pharmacy benefit result largely from the way DOD manages its three pharmacy programs; (2) rather than viewing the programs as integral parts of a s...