Beneficiaries (51 - 60 of 107 items)
VA Health Care: Efforts to Increase Sharing With DOD and the Private Sector
T-HEHS-96-41: Published: Oct 18, 1995. Publicly Released: Oct 18, 1995.
GAO discussed the status and future direction of the Department of Veterans Affairs' (VA) health care resources sharing agreements with the Department of Defense (DOD) and the private sector. GAO noted that: (1) Congress has broadened the types of services, beneficiaries, and providers covered under VA sharing agreements, eased burdensome reimbursement provisions, and allowed providing facilities...
Arizona Medicaid: Competition Among Managed Care Plans Lowers Program Costs
HEHS-96-2: Published: Oct 4, 1995. Publicly Released: Oct 4, 1995.
Pursuant to a congressional request, GAO reviewed Arizona's Medicaid program, focusing on: (1) how the program contains costs; (2) how health plan competition contributes to its cost containment success; (3) the effect of cost containment on beneficiary access to care; and (4) lessons learned from Arizona's cost containment success that could apply to other states' Medicaid programs.GAO found that...
Defense Health Care: Despite TRICARE Procurement Improvements, Problems Remain
HEHS-95-142: Published: Aug 3, 1995. Publicly Released: Aug 10, 1995.
Pursuant to a congressional request, GAO reviewed defense health care, focusing on: (1) procurement process problems identified by the bid protest experiences; (2) the Department of Defense's (DOD) actions to improve and help ensure the fairness of the procurement process; and (3) what problems and concerns remain and whether further actions are needed.GAO found that: (1) DOD has changed its manag...
Medicare: Enhancing Health Care Quality Assurance
T-HEHS-95-224: Published: Jul 27, 1995. Publicly Released: Jul 27, 1995.
Pursuant to a congressional request, GAO discussed quality health care for Medicare beneficiaries, focusing on: (1) how the Health Care Financing Administration (HCFA) plans to ensure that Medicare providers furnish quality care in both fee-for-service and managed care delivery systems; and (2) experts' views on essential quality assurance components. GAO noted that: (1) HCFA has had problems impl...
Hospital-Based Home Health Agencies
HEHS-95-209R: Published: Jul 19, 1995. Publicly Released: Jul 19, 1995.
Pursuant to a congressional request, GAO reviewed whether increased hospital ownership of home health agencies (HHA) has contributed to the growth in Medicare home health costs. GAO noted that hospital-based HHA: (1) generally care for beneficiaries with less chronic conditions and provide fewer visits to patients than all other types of HHA, except those run by the government; and (2) it does not...
Medicaid: State Flexibility in Implementing Managed Care Programs Requires Appropriate Oversight
T-HEHS-95-206: Published: Jul 12, 1995. Publicly Released: Jul 12, 1995.
GAO discussed the flexibility that state's have in restructuring their Medicaid programs, focusing on the: (1) existing authority to waive Medicaid managed care restrictions; (2) purpose behind the restrictions and the need for oversight in their absence; and (3) impact of recently approved waivers on federal Medicaid expenditures. GAO found that: (1) over 33 million low-income individuals depend...
Medicare Managed Care: Enrollment Growth Underscores Need to Revamp HMO Payment Methods
T-HEHS-95-207: Published: Jul 12, 1995. Publicly Released: Jul 12, 1995.
Pursuant to a congressional request, GAO discussed the: (1) recent trends in Medicare beneficiary enrollment in health maintenance organizations (HMO); (2) obstacles that are preventing Medicare from realizing potential savings from HMO; (3) strategies that will enable Medicare to realize HMO savings; and (4) Health Care Financing Administration's (HCFA) efforts to test HMO payment reforms. GAO no...
Medicare and Medicaid Issue Area: Active Assignments
AA-95-15(3): Published: Jul 1, 1995. Publicly Released: Jul 1, 1995.
GAO provided information on its active assignments in the Medicare and Medicaid issue area as of July 6, 1995...
Medicaid: Statewide Section 1115 Demonstrations' Impact on Eligibility, Service Delivery, and Program Cost
T-HEHS-95-182: Published: Jun 21, 1995. Publicly Released: Jun 21, 1995.
GAO discussed the states' efforts to reinvent their Medicaid programs through section 1115 waivers, focusing on: (1) Medicaid spending trends; (2) states' efforts to contain Medicaid costs and expand coverage through section 1115 waivers; and (3) the waivers' potential impact on Medicaid spending. GAO noted that: (1) federal and state governments spent $104 billion more on Medicaid in 1994 than th...
Defense Health Care: DOD's Managed Care Program Continues to Face Challenges
T-HEHS-95-117: Published: Mar 28, 1995. Publicly Released: Mar 28, 1995.
GAO discussed the Department of Defense's (DOD) TRICARE managed health care program. GAO noted that: (1) regional program officials are concerned that the program's administrative structure does not provide sufficient authority and control over funds and personnel because these resources are controlled by the military services; (2) although DOD believes it has sufficiently promoted interservice co...