Health insurance cost control (41 - 50 of 102 items)
Managed Health Care: Effect on Employers' Costs Difficult to Measure
HRD-94-3: Published: Oct 19, 1993. Publicly Released: Oct 19, 1993.
Pursuant to a congressional request, GAO reviewed employers' recent experiences with managed health care, focusing on cost control and enrollee perspectives.GAO found that: (1) the proportion of private-sector employees enrolled in managed care plans increased from 5 percent in 1980 to 55 percent in 1992; (2) managed care cost control efforts involve alternative financing methods and limitations o...
1993 German Health Reforms: Initiatives Tighten Cost Controls
T-HRD-94-2: Published: Oct 13, 1993. Publicly Released: Oct 13, 1993.
GAO discussed the German health care system, focusing on the approaches used to control health care costs. GAO noted that: (1) before 1993, Germany had budget caps on physician and hospital services that were negotiated by provider associations and sickness funds that provide health insurance to most Germans; (2) German health care reforms limit physician and hospital expenditures to increases in...
Psychiatric Fraud and Abuse: Increased Scrutiny of Hospital Stays Is Needed for Federal Health Programs
HRD-93-92: Published: Sep 17, 1993. Publicly Released: Sep 17, 1993.
Pursuant to a congressional request, GAO reviewed whether federal health programs have: (1) been subjected to inappropriate practices by psychiatric hospitals to an extent comparable with the private sector; and (2) controls to protect their beneficiaries from such abuses.GAO found that: (1) federal health programs have been subjected to fraudulent and abusive practices by psychiatric hospitals, b...
1993 German Health Reforms: New Cost Control Initiatives
HRD-93-103: Published: Jul 7, 1993. Publicly Released: Aug 10, 1993.
Pursuant to a congressional request, GAO examined recent German health care reforms, focusing on: (1) the reasons for the German reforms; (2) the nature of the reforms; (3) the initial reaction to and expected effects of the reforms; and (4) implications for U.S. health care reforms.GAO found that: (1) large increases in mandated health care premiums and variations in contribution rates between he...
Health Care: Rochester's Community Approach Yields Better Access, Lower Costs
HRD-93-44: Published: Jan 29, 1993. Publicly Released: Mar 5, 1993.
Pursuant to a congressional request, GAO reviewed the health care system in Rochester, New York, which has lower health care costs per capita and provides health insurance to a larger proportion of its residents than the nation as a whole.GAO found that: (1) in 1991, health insurance costs per employee in Rochester were 33 percent lower than national health care costs; (2) Rochester's hospital cos...
Employer-Based Health Insurance: High Costs, Wide Variation Threaten System
HRD-92-125: Published: Sep 22, 1992. Publicly Released: Oct 28, 1992.
Pursuant to a congressional request, GAO provided information on business health insurance cost burdens and employers that are particularly vulnerable to the escalation of health insurance costs, focusing on: (1) various employers' health benefits costs; and (2) factors contributing to the cost differences among employers.GAO found that: (1) from 1987 to 1990, business health spending has grown at...
Hospital Costs: Adoption of Technologies Drives Cost Growth
HRD-92-120: Published: Sep 9, 1992. Publicly Released: Oct 14, 1992.
Pursuant to a congressional request, GAO provided information on hospital costs and Medicare's ability to provide adequate payments under the prospective payment system (PPS), focusing on: (1) the impact of PPS on growth of hospital operating costs; and (2) factors which have caused persistent increases in hospital costs, including acquired immune deficiency syndrome (AIDS), malpractice insurance,...
Medicare: HCFA Monitoring of the Quality of Part B Claims Processing
T-PEMD-92-14: Published: Sep 23, 1992. Publicly Released: Sep 23, 1992.
GAO discussed the Health Care Financing Administration's (HCFA) review of Medicare carrier performance, focusing on its methodological quality. GAO noted that: (1) HCFA has two methods to evaluate carriers' contract performance; (2) the quality assurance program assesses the number of processing errors and payment/deductible errors, which quantify the corresponding dollar amount of processing erro...
State Health Care Reform: Federal Requirements Influence State Reforms
T-HRD-92-55: Published: Sep 9, 1992. Publicly Released: Sep 9, 1992.
GAO discussed its report on states' responses to the growing crisis in health care access, focusing on: (1) states' initiatives to expand accessibility and affordability of the health care system; and (2) needed changes in federal law to facilitate innovative health care reform. GAO noted that: (1) most states have focused on expanding access to health care services, such as mandating universal co...
Canadian Health Insurance: Estimating Costs and Savings for the United States
HRD-92-83: Published: Apr 28, 1992. Publicly Released: Aug 24, 1992.
Pursuant to a congressional request, GAO provided information on the methodology it used to derive estimates of the difference between the current level of U.S. health care expenditures and the cost of having a new program with key elements of a Canadian-style system.GAO noted that: (1) in Canada, each provincial plan provides for universal insurance coverage with no deductibles or copayments, con...