Health services administration (61 - 70 of 102 items)
Medicaid: Restructuring Approaches Leave Many Questions
HEHS-95-103: Published: Apr 4, 1995. Publicly Released: Apr 4, 1995.
Pursuant to a congressional request, GAO provided information on various proposals for restructuring the Medicaid Program, focusing on the: (1) different restructuring approaches and their implications for federal-state financing and program administration; and (2) need to establish a reserve fund to offset state tax losses and increased enrollments.GAO found that: (1) using block grants to fund s...
Medicaid: Spending Pressures Drive States Toward Program Reinvention
T-HEHS-95-129: Published: Apr 4, 1995. Publicly Released: Apr 4, 1995.
GAO discussed the status of the Medicaid Program, focusing on federal and state Medicaid spending trends and cost containment efforts. GAO noted that: (1) Medicaid Program spending totalled $131 billion in 1993 and is likely to double in the next 5 to 7 years; (2) to expand coverage and contain health care costs, states are seeking section 1115 waivers from Medicaid restrictions on the use of mana...
Defense Health Care: Issues and Challenges Confronting Military Medicine
HEHS-95-104: Published: Mar 22, 1995. Publicly Released: Mar 22, 1995.
Pursuant to a congressional request, GAO reviewed the Military Health Services System (MHSS), focusing on the Department of Defense's (DOD) problems in operating MHSS, and management challenges now facing DOD.GAO found that: (1) MHSS offers health care to about 8.3 million people at a cost of over $15 billion annually; (2) MHSS provides services through a system of medical centers, smaller hospita...
Medicare: Opportunities Are Available to Apply Managed Care Strategies
T-HEHS-95-81: Published: Feb 10, 1995. Publicly Released: Feb 10, 1995.
GAO discussed expanding managed care under the Medicare program, focusing on Medicare's health maintenance organization (HMO) payment policy, quality assurance standards, and dissemination of consumer information. GAO noted that: (1) Medicare is highly vulnerable to waste, fraud, abuse, and mismanagement; (2) the Health Care Financing Administration (HCFA) has made various regulatory and administr...
Family Planning Clinics: Strain of Norplant's High Up-Front Costs Has Subsided
HEHS-95-7: Published: Oct 7, 1994. Publicly Released: Nov 8, 1994.
GAO reviewed pricing issues concerning the Norplant contraceptive, focusing on determining how: (1) Norplant's U.S. price compares with its price in Canada and other countries; (2) the price of Norplant affects the budgets of family planning clinics; and (3) the U.S. price affects the demand for and acceptability of Norplant.GAO found that: (1) when Norplant was first introduced in the United Stat...
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: Considerations for Risk Adjustment Under Community Rating
HEHS-94-173: Published: Sep 22, 1994. Publicly Released: Oct 25, 1994.
Pursuant to a congressional request, GAO reviewed various issues regarding risk adjustment under health care reform, focusing on: (1) how the government's past experience with risk adjustment is relevant to recent health care reform initiatives; and (2) the features of health care reform that could affect risk adjustment and selection bias.GAO found that: (1) the goal of community rating may be co...
Veterans' Health Care: Use of VA Services by Medicare-Eligible Veterans
HEHS-95-13: Published: Oct 24, 1994. Publicly Released: Oct 24, 1994.
Pursuant to a congressional request, GAO reviewed how various health care reforms could affect Medicare-eligible veterans' demands for health care services, focusing on the: (1) extent to which veterans use the Department of Veterans Affairs (VA) to obtain services not extensively covered under Medicare; and (2) income and private health insurance coverage of Medicare-eligible veterans who chose e...
Long-Term Care: Other Countries Tighten Budgets While Seeking Better Access
HEHS-94-154: Published: Aug 30, 1994. Publicly Released: Oct 3, 1994.
Pursuant to a congressional request, GAO reviewed the provision of long-term care services in Canada, Germany, Sweden, and the United Kingdom, focusing on the: (1) financing and cost-containment measures these countries use to control spending for long-term care; and (2) administrative and delivery approaches the countries use to expand the range of and access to long-term care services.GAO found...
Health Care Reform: 'Report Cards' Are Useful but Significant Issues Need to Be Addressed
HEHS-94-219: Published: Sep 29, 1994. Publicly Released: Sep 29, 1994.
Pursuant to a congressional request, GAO reviewed the development of health care report cards, focusing on the: (1) approaches that should be used to develop health care performance measures; (2) opportunities to misrepresent health care data; and (3) potential uses of report cards by consumers, providers, and health plans.GAO found that: (1) report cards can be useful to educate the public on hea...