Health services administration (51 - 60 of 102 items)
District of Columbia: Information on Health Care Costs
AIMD-96-42: Published: Apr 22, 1996. Publicly Released: Apr 22, 1996.
Pursuant to a congressional request, GAO reviewed the District of Columbia's various restructuring proposals for its health care system, focusing on the health care budget and the composition of its health care system.GAO found that: (1) the District's Department of Human Services includes the Commission on Public Health, Commission on Health Care Finance, the Commission on Mental Health Services,...
Veterans' Health Care: VA's Approaches to Meeting Veterans' Home Health Care Needs
HEHS-96-68: Published: Mar 15, 1996. Publicly Released: Mar 22, 1996.
Pursuant to a congressional request, GAO provided information on how the Department of Veterans Affairs (VA) meets veterans' home health care needs, focusing on: (1) the characteristics and services of the home health care programs VA uses; (2) the available data describing program costs; and (3) how VA ensures that veterans receive quality home care services.GAO found that: (1) most veterans rece...
VA Health Care: Opportunities to Increase Efficiency and Reduce Resource Needs
T-HEHS-96-99: Published: Mar 8, 1996. Publicly Released: Mar 8, 1996.
GAO discussed ways in which the Department of Veterans Affairs (VA) could operate more efficiently and reduce resources needed to meet its mandatory care obligations. GAO noted that: (1) VA has overstated its resource needs to meet its mandatory care obligations because its projections do not reflect the expected decline in the veteran population or the amount of discretionary care it provides, ov...
Defense Health Care: TRICARE Progressing, but Some Cost and Performance Issues Remain
T-HEHS-96-100: Published: Mar 7, 1996. Publicly Released: Mar 7, 1996.
GAO discussed the Department of Defense's (DOD) implementation of TRICARE, its nationwide managed health care program. GAO noted that: (1) although early TRICARE implementation is basically proceeding as planned, there was some initial beneficiary confusion due to a shortage of adequately trained staff and uncoordinated education and marketing efforts; (2) DOD needs to gather demographic and other...
Pharmacy Benefit Managers: Early Results on Ventures With Drug Manufacturers
T-HEHS-96-85: Published: Feb 7, 1996. Publicly Released: Feb 7, 1996.
GAO discussed the role of pharmacy benefit managers (PBM) in the health care market, focusing on the effects of mergers between pharmaceutical manufacturers and PBM. GAO found that: (1) PBM help health insurers control their drug costs by encouraging the use of formularies, creating pharmacy networks, negotiating rebates with drug manufacturers, substituting generic drugs, and conducting drug util...
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...
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...
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...
Medicare: Enhancing Health Care Quality Assurance
T-HEHS-95-224: Published: Jul 27, 1995. Publicly Released: Jul 27, 1995.
Pursuant to a congressional request, GAO discussed quality health care for Medicare beneficiaries, focusing on: (1) how the Health Care Financing Administration (HCFA) plans to ensure that Medicare providers furnish quality care in both fee-for-service and managed care delivery systems; and (2) experts' views on essential quality assurance components. GAO noted that: (1) HCFA has had problems impl...
Medicare Managed Care: Enrollment Growth Underscores Need to Revamp HMO Payment Methods
T-HEHS-95-207: Published: Jul 12, 1995. Publicly Released: Jul 12, 1995.
Pursuant to a congressional request, GAO discussed the: (1) recent trends in Medicare beneficiary enrollment in health maintenance organizations (HMO); (2) obstacles that are preventing Medicare from realizing potential savings from HMO; (3) strategies that will enable Medicare to realize HMO savings; and (4) Health Care Financing Administration's (HCFA) efforts to test HMO payment reforms. GAO no...