Health care services (71 - 80 of 194 items)
Defense Health Care: Medicare Costs and Other Issues May Affect Uniformed Services Treatment Facilities' Future
HEHS-96-124: Published: May 17, 1996. Publicly Released: May 17, 1996.
Pursuant to a congressional request, GAO reviewed the integration of uniformed services treatment facilities (USTF) into the Department of Defense's (DOD) TRICARE Program, focusing on: (1) whether USTF members' use of Medicare and the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) results in unnecessary costs; and (2) other issues that need to be considered during USTF pro...
VA Health Care: Efforts to Improve Veterans' Access to Primary Care Services
T-HEHS-96-134: Published: Apr 24, 1996. Publicly Released: Apr 24, 1996.
GAO discussed the Department of Veterans Affairs' (VA) plan to improve veterans' access to primary health care. GAO noted that: (1) by creating new access points, VA may be able to cost-effectively improve users' access to health care and reduce the inequities in veterans' access caused by geographic inaccessibility; (2) creating new access points may increase costs dramatically, since VA failure...
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...
Medicare and Medicaid Issue Area: Active Assignments
AA-95-15(4): Published: Oct 1, 1995. Publicly Released: Oct 1, 1995.
GAO provided information on its active assignments in the Medicare and Medicaid issue area as of October 2, 1995...
Health Care Delivery and Quality Issue Area Plan--Fiscal Years 1996-98
IAP-95-35: Published: Sep 1, 1995. Publicly Released: Sep 1, 1995.
GAO presented its Health Care Delivery and Quality issue area plan for fiscal years 1996 through 1998.GAO plans to assess: (1) ways to improve the quality of and access to health care financed by federal agencies; (2) how the Departments of Veterans Affairs' (VA) and Defense's (DOD) programs and systems could operate more efficiently and effectively and whether they should be restructured in the f...
Medicare Competitive Bidding
HEHS-95-238R: Published: Aug 11, 1995. Publicly Released: Aug 11, 1995.
Pursuant to a congressional request, GAO examined how Medicare could effectively use competitive bidding to set medical services and supply prices and achieve savings. GAO noted that: (1) competitive bidding has been effective in controlling the costs of the Department of Veterans Affairs' oxygen supplies, Arizona Medicaid capitation rates, and state supplemental food programs; (2) although no com...
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...
Medicaid: Matching Formula's Performance and Potential Modifications
T-HEHS-95-226: Published: Jul 27, 1995. Publicly Released: Jul 27, 1995.
Pursuant to a congressional request, GAO discussed the formula used to share the cost of the Medicaid program between the federal and state governments. GAO noted that: (1) the Medicaid matching formula, which relies on per capita income as a measure of state wealth, has not significantly reduced wide differences in states' Medicaid programs; (2) large disparities persist in states' Medicaid cover...
Practice Guidelines: Overview of Agency for Health Care Policy and Research Efforts
T-HEHS-95-221: Published: Jul 25, 1995. Publicly Released: Jul 25, 1995.
GAO discussed the effectiveness of the Agency for Health Care Policy and Research's (AHCPR) clinical practice guideline efforts. GAO noted that: (1) during its first 5 years, AHCPR performance has received mixed reviews from potential users of clinical practice guidelines; (2) while AHCPR has demonstrated strengths in the difficult process of guideline development and has received praise for its m...
Medicare: Adapting Private Sector Techniques Could Curb Losses to Fraud and Abuse
T-HEHS-95-211: Published: Jul 19, 1995. Publicly Released: Jul 19, 1995.
GAO discussed Medicare's continuing vulnerability to questionable, abusive, and exploitative provider billing. GAO noted that: (1) Medicare is vulnerable to abusive billing because it has higher-than-market rates for certain supplies and services, inadequate fraud and abuse detection procedures, inadequate criteria for confirming the authenticity of providers billing the program, and lengthy delay...