Health resources utilization (51 - 60 of 100 items)
VA Health Care: Approaches for Developing Budget-Neutral Eligibility Reform
T-HEHS-96-107: Published: Mar 20, 1996. Publicly Released: Mar 20, 1996.
GAO discussed various proposals to reform eligibility for Department of Veterans Affairs (VA) health benefits. GAO noted that: (1) VA health care has evolved from a system primarily providing hospital care to veterans injured during wartime to a system focused on the treatment of low-income veterans with medical conditions unrelated to military service; (2) the eligibility provisions of the VA hea...
VA Health Care: Exploring Options to Improve Veterans' Access to VA Facilities
HEHS-96-52: Published: Feb 6, 1996. Publicly Released: Feb 6, 1996.
Pursuant to a congressional request, GAO provided information on veterans' use of Department of Veterans Affairs' (VA) medical facilities, focusing on: (1) users' characteristics; (2) the geographic accessibility of VA and private medical facilities that provide standard benefits; and (3) options to improve accessibility of VA health care.GAO found that: (1) in the early 1990s, over 80 percent of...
Medicaid Section 1115 Waivers: Flexible Approach to Approving Demonstrations Could Increase Federal Costs
HEHS-96-44: Published: Nov 8, 1995. Publicly Released: Dec 8, 1995.
Pursuant to a congressional request, GAO examined the financing arrangements for four approved section 1115 Medicaid demonstration waivers.GAO found that: (1) the approved spending limits for demonstration waivers in Oregon, Hawaii, and Florida are not budget neutral and could increase federal Medicaid expenditures; (2) Tennessee's 1115 waiver agreement should cost less than the continuation of it...
Medicare Managed Care Growth
HEHS-96-47R: Published: Oct 18, 1995. Publicly Released: Oct 18, 1995.
Pursuant to a congressional request, GAO reviewed the growth of Medicare beneficiaries in managed health care plans. GAO noted that: (1) although more than 50 percent of employees covered by employer-provided insurance are enrolled in managed health care plans, fewer Medicare beneficiaries are enrolled in such plans; (2) the only managed care option Medicare offers is health maintenance organizati...
Medicaid: Tennessee's Program Broadens Coverage but Faces Uncertain Future
HEHS-95-186: Published: Sep 1, 1995. Publicly Released: Sep 19, 1995.
Pursuant to a congressional request, GAO reviewed Tennessee's Medicaid capitated managed care program (TennCare), focusing on: (1) TennCare's basic design and objectives; (2) the degree to which the program is meeting these objectives; and (3) the experiences of TennCare insurers and medical providers and their implications for TennCare's future.GAO found that: (1) TennCare's objectives are to exp...
VA Health Care: Need for Brevard Hospital Not Justified
HEHS-95-192: Published: Aug 29, 1995. Publicly Released: Aug 29, 1995.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) plans to provide accessible medical and other services to veterans in East Central Florida, focusing on: (1) VA acquisition of the former Orlando Naval Hospital; (2) whether the conversion of the hospital to a nursing home is the most economical use of VA resources; and (3) whether more prudent and economica...
Defense Health Care: DOD's Managed Care Program Continues to Face Challenges
T-HEHS-95-117: Published: Mar 28, 1995. Publicly Released: Mar 28, 1995.
GAO discussed the Department of Defense's (DOD) TRICARE managed health care program. GAO noted that: (1) regional program officials are concerned that the program's administrative structure does not provide sufficient authority and control over funds and personnel because these resources are controlled by the military services; (2) although DOD believes it has sufficiently promoted interservice co...
Hospital Costs: Cost Control Efforts at 17 Texas Hospitals
AIMD-95-21: Published: Dec 9, 1994. Publicly Released: Jan 12, 1995.
Pursuant to a congressional request, GAO provided information on how managed care plans have influenced cost control efforts at 17 urban hospitals in Texas.GAO found that: (1) the increase in managed care health plans has shifted commercial reimbursements at the 17 Texas hospitals from fee-for-service payments to negotiated discounts and fixed payments; (2) these managed care reimbursement methods...
VA/DOD Health Care: More Guidance Needed to Implement CHAMPUS-Funded Sharing Agreements
HEHS-95-15: Published: Oct 28, 1994. Publicly Released: Nov 7, 1994.
Pursuant to a congressional request, GAO reviewed the extent to which Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) funds are being used for health care resource-sharing agreements between the Departments of Veterans Affairs (VA) and Defense (DOD).GAO found that: (1) in February 1994, after nearly 3 years of negotiation, VA and DOD agreed on a framework for VA to treat CH...
Health Care Reform: School-Based Health Centers Can Promote Access to Care
HEHS-94-166: Published: May 13, 1994. Publicly Released: May 13, 1994.
Pursuant to a congressional request, GAO provided information on school-based health centers (SBHC), focusing on: (1) whether SBHC increase children's access to health services; (2) financial and other problems SBHC face in delivering services; and (3) the potential impact of federal health care reform on SBHC activities.GAO found that: (1) SBHC can improve children's access to health care and hel...