Health insurance cost control (51 - 60 of 102 items)
Access to Health Care: States Respond to Growing Crisis
HRD-92-70: Published: Jun 16, 1992. Publicly Released: Jul 13, 1992.
Pursuant to a congressional request, GAO provided information on state initiatives concerning health care access and affordability, and federal barriers which limit states' progress toward achieving universal health care.GAO found that: (1) states have moved decisively to devise plans to expand access to health insurance and control increases in health costs, but have been hindered by the restrict...
Medicare: Excessive Payments Support the Proliferation of Costly Technology
HRD-92-59: Published: May 27, 1992. Publicly Released: Jun 30, 1992.
Pursuant to a congressional request, GAO compared Medicare payment levels with providers' costs for such high-technology radiology services as magnetic resonance imaging (MRI) and Computed Tomography, to determine whether the Health Care Financing Administration (HCFA) has adjusted technical component payments to reflect cost decreases.GAO found that: (1) Medicare's technical component payments fo...
Medicaid: Factors to Consider in Managed Care Programs
T-HRD-92-43: Published: Jun 29, 1992. Publicly Released: Jun 29, 1992.
GAO discussed the role of managed care in state Medicaid programs. GAO noted that: (1) adequate safeguards and oversight are crucial to the success of managed care programs; (2) it has previously identified problems with access to care, quality of services, and oversight of providers' financial reporting and solvency; (3) the Oregon program does not place excessive financial risk on providers, sin...
Durable Medical Equipment: Specific HCFA Criteria and Standard Forms Could Reduce Medicare Payments
HRD-92-64: Published: Jun 12, 1992. Publicly Released: Jun 12, 1992.
Pursuant to a legislative requirement, GAO studied Medicare payments for durable medical equipment, focusing on the: (1) adequacy of the Health Care Financing Administration's (HCFA) criteria for determining medical necessity; and (2) potential of standardized certification forms for reducing unnecessary payments.GAO found that: (1) in 1990, Medicare paid about $1.7 billion for durable medical equ...
Health Care: Problems and Potential Lessons for Reform
T-HRD-92-23: Published: Mar 27, 1992. Publicly Released: Mar 27, 1992.
GAO discussed the U.S. health care system's problems and potential for reform. GAO noted that: (1) there is a growing consensus that the health care system needs change, particularly to address rapidly growing health care costs and access to care problems; (2) between 1980 and 1990, health care costs rose from 9.1 to 12.2 percent of the gross national product, and is projected to increase to over...
Small Group Market Reforms
HRD-92-27R: Published: Mar 12, 1992. Publicly Released: Mar 12, 1992.
Pursuant to a congressional request, GAO provided information on state-level small group health insurance market reforms. GAO found that: (1) states have legislated such regulatory reforms as limiting rating practices and restricting premium prices, mandating that insurance companies cover all persons in an insured group, requiring continuation of coverage for those already insured, and requiring...
Canadian Health Insurance
HRD-92-20R: Published: Feb 20, 1992. Publicly Released: Feb 20, 1992.
In response to a congressional request, GAO responded to a January 1992 briefing paper that criticized an earlier GAO report on Canadian health insurance claiming that GAO overstated administrative savings and understated the additional costs of adopting a Canadian-style health insurance system. GAO noted that: (1) estimates in its report and the briefing paper were not comparable because of the d...
Medicare: Third Status Report on Medicare Insured Group Demonstration Projects
HRD-92-53: Published: Jan 29, 1992. Publicly Released: Jan 29, 1992.
Pursuant to a legislative requirement, GAO reviewed the status of: (1) the Health Care Financing Administration's (HCFA) implementation of the Medicare Insured Groups (MIG) demonstration projects; and (2) any projects awarded.GAO found that: (1) two of the three MIG sponsors that completed feasibility analysis phases decided not to proceed to the development phase, while the third had submitted a...
Long-Term Care Insurance: Risks to Consumers Should Be Reduced
HRD-92-14: Published: Dec 26, 1991. Publicly Released: Dec 26, 1991.
Pursuant to a congressional request, GAO reviewed long-term care insurance policies, focusing on: (1) the extent to which state standards and long-term care insurance policies meet the National Association of Insurance Commissioners (NAIC) standards; (2) whether such standards and policies adequately address consumer protection issues; and (3) whether minimum federal standards are needed.GAO found...
Health Care Spending Control: The Experience of France, Germany, and Japan
T-HRD-92-12: Published: Nov 19, 1991. Publicly Released: Nov 19, 1991.
GAO discussed the health care systems in France, Germany, and Japan. GAO noted that: (1) France, Germany, and Japan provide universal access to health insurance while spending less on health care than the United States; (2) under the U.S. and the three countries' health care systems, multiple payers provide health insurance, people typically get health insurance for themselves and their dependents...