Health care costs (51 - 60 of 126 items)
VA Health Care: Contract Labor Cost Analysis in RAND Study
GAO-03-579R: Published: Jun 30, 2003. Publicly Released: Jun 30, 2003.
The Department of Veterans Affairs (VA) spent about $23 billion to provide health care to over 4 million veterans in fiscal year 2002. To provide this care, VA relied primarily on its own employees, totaling about 190,000. VA also used contract employees, sometimes referred to as contract labor, to provide these services. In response to the requirements of the Federal Activities Inventory Reform A...
Retiree Health Benefits at Selected Government Contractors
GAO-03-412R: Published: Feb 27, 2003. Publicly Released: Feb 27, 2003.
Since World War II, some employers have voluntarily sponsored postretirement health plans as a benefit to their employees. According to government sources, these health plans constitute the primary source of health coverage for retirees aged 55 to 64 and supplemental coverage for nearly one third of retirees aged 65 or older with Medicare coverage. However, with costs already amounting to hundreds...
Medicare Hospital Payments: Refinements Needed to Better Account for Geographic Differences in Wages
GAO-02-963: Published: Sep 30, 2002. Publicly Released: Sep 30, 2002.
The Medicare program's prospective payment system (PPS) for inpatient hospital services provides incentives for hospitals to operate efficiently by paying them a predetermined, fixed amount for each inpatient hospital stay regardless of the actual costs incurred in providing the care. Although the fixed amount is based on national average costs, actual per stay payments vary widely across hospital...
VA and DOD Health Care: Factors Contributing to Reduced Pharmacy Costs and Continuing Challenges
GAO-02-969T: Published: Jul 22, 2002. Publicly Released: Jul 22, 2002.
The Department of Veterans Affairs (VA) and the Department of Defense (DOD) pharmacy expenditures have risen significantly, reflecting national trends. The increase in pharmacy costs would have been even greater if not for the efforts taken by VA and DOD. GAO identified four important factors that have contributed to reduced pharmacy spending by VA and DOD. First, the two departments have used for...
Retired Coal Miners' Health Benefit Funds: Financial Challenges Continue
GAO-02-243: Published: Apr 18, 2002. Publicly Released: May 20, 2002.
More than 100,000 retired coal miners and their spouses and dependents in 1992 faced a potential decrease in their employment-related health insurance coverage or loss of such coverage altogether. Some former employers had stopped mining coal or gone out of business and were no longer contributing to the United Mine Workers of America (UMWA) retiree benefit funds. To ensure that these individuals...
VA Health Care: Allocation Changes Would Better Align Resources with Workload
GAO-02-338: Published: Feb 28, 2002. Publicly Released: Feb 28, 2002.
The Department of Veterans Affairs (VA) spent $21 billion in fiscal year 2001 to treat 3.8 million veterans--most of whom had service-connected disabilities or low incomes. Since 1997, VA has used the Veterans Equitable Resource Allocation (VERA) system to allocate most of its medical care appropriation. GAO found that VERA has had a substantial impact on network resource allocations and workloads...
Federal Prisons: Responses to Questions Related to Containing Health Care Costs for an Increasing Inmate Population
GGD-00-160R: Published: Jun 14, 2000. Publicly Released: Jul 14, 2000.
Pursuant to a congressional request, GAO responded to congressional questions on its April 6, 2000, testimony on the Bureau of Prisons (BOP) efforts to contain the costs of providing health care to inmates, focusing on whether: (1) requiring a copayment would reduce the number of prisoners seeking medical care in order to get out of work or other duties; (2) recent BOP initiatives have helped redu...
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...
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...
VA Health Care: Closing a Chicago Hospital Would Save Millions and Enhance Access to Services
HEHS-98-64: Published: Apr 16, 1998. Publicly Released: Apr 16, 1998.
Pursuant to a congressional request, GAO reviewed whether the Veterans Health Administration (VHA) could serve veterans in Chicago, Illinois, with three hospitals, focusing on: (1) the extent of the resources that could be redirected to improve patient care; and (2) the potential impact of one hospital closure on VHA's other missions.GAO noted that: (1) VHA can meet the health care needs of Chicag...