Health care programs (71 - 80 of 199 items)
Defense Health Care: Pharmacy Copayments
HEHS-99-134R: Published: Jun 8, 1999. Publicly Released: Jun 8, 1999.
Pursuant to a congressional request, GAO responded to concerns regarding its previous recommendations proposing that Department of Defense (DOD) pharmacy programs charge copayments for prescription drugs.GAO noted that: (1) the recommendations in GAO's report were designed to correct serious problems in DOD's pharmacy benefit programs and at the same time enable a more flexible and richer benefit...
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...
Medicare: Access to Home Oxygen Largely Unchanged; Closer HCFA Monitoring Needed
HEHS-99-56: Published: Apr 5, 1999. Publicly Released: Apr 5, 1999.
Pursuant to a legislative requirement, GAO provided information on Medicare beneficiaries' access to home oxygen equipment, focusing on: (1) changes in access to home oxygen for Medicare patients since the payment reduction mandated by the Balanced Budget Act (BBA) of 1997 took effect; and (2) actions taken by the Health Care Financing Administration (HCFA) to fulfill the BBA requirements and resp...
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...
Medicare HMO Institutional Payments: Improved HCFA Oversight, More Recent Cost Data Could Reduce Overpayments
HEHS-98-153: Published: Sep 9, 1998. Publicly Released: Oct 13, 1998.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) oversight of Medicare payments to health maintenance organizations (HMO) for institutionalized beneficiaries, focusing on: (1) the criteria HCFA uses to determine a beneficiary's institutional status; (2) the methods HCFA employs to ensure that HMOs properly classify beneficiaries as institutionaliz...
VA Health Care: More Veterans Are Being Served, but Better Oversight Is Needed
HEHS-98-226: Published: Aug 28, 1998. Publicly Released: Aug 28, 1998.
Pursuant to a legislative requirement, GAO reviewed the: (1) changes in overall access to care, changes in access to certain specialized services, and a comparison of changes in Veterans Integrated Service Network (VISN) 3 (Bronx) and VISN 4 (Pittsburgh) with Department of Veterans Affairs (VA) national data from fiscal years (FY) 1995 to 1997; (2) extent to which VA headquarters and VISNs are wor...
Federal Health Programs: Comparison of Medicare, the Federal Employees Health Benefits Program, Medicaid, Veterans' Health Services, Department of Defense Health Services, and Indian Health Services
HEHS-98-231R: Published: Aug 7, 1998. Publicly Released: Aug 7, 1998.
GAO compared the Medicare program with five other federal health programs: the Federal Employees Health Benefits Program (FEHBP); the Medicaid and Department of Veterans' Affairs (VA) health programs; the Department of Defense's (DOD) TRICARE health program; and the Indian Health Service (IHS). GAO also compared key features of these programs, including: (1) administrative structures, including th...
Medicare: Interim Payment System for Home Health Agencies
T-HEHS-98-234: Published: Aug 6, 1998. Publicly Released: Aug 6, 1998.
GAO discussed: (1) the rise in Medicare spending for home health services and the reasons for this growth; (2) the objectives of the home health interim payment system enacted by the Balanced Budget Act of 1997; and (3) concerns about the level and distribution of home health payments.GAO noted that: (1) a well-designed prospective payment system will provide the Medicare program with the best mea...
Health Services Quality and Public Health Issue Area Plan: Fiscal Years 1999-2000
IAP-98-14: Published: Aug 1, 1998. Publicly Released: Aug 1, 1998.
GAO provided information on its Health Services Quality and Public Health issue area plan for fiscal years 1999 and 2000.GAO plans to: (1) determine whether the public health service agencies are ensuring the public's health and safety efficiently and effectively; (2) identify opportunities for improving the quality of health care under fee-for-service and managed care payment arrangements; (3) id...
VA Health Care: VA's Efforts to Maintain Services for Veterans With Special Disabilities
T-HEHS-98-220: Published: Jul 23, 1998. Publicly Released: Jul 23, 1998.
Pursuant to a congressional request, GAO discussed its ongoing work on the Department of Veterans Affairs' (VA) efforts to comply with section 104 of the Veterans Health Care Eligibility Reform Act of 1996, focusing on whether VA: (1) is maintaining capacity with reasonable access to specialized care; and (2) has data that are sufficiently reliable to monitor and report on compliance.GAO noted tha...