Managed health care (41 - 50 of 107 items)
Veterans' Affairs and Military Health Care Issues Issue Area Plan--Fiscal Years 1998-99
IAP-97-21: Published: Sep 1, 1997. Publicly Released: Sep 1, 1997.
GAO provided information on its Veterans' Affairs and Military Health Care issue area plan for fiscal years 1998 through 1999.GAO plans to examine: (1) opportunities to improve existing Department of Veterans Affairs (VA) and Department of Defense (DOD) health care systems' and VA benefit programs' management and accountability; (2) efforts to structurally reform the VA and DOD health care and VA...
Defense Health Care: TRICARE Resource Sharing Program Failing to Achieve Expected Savings
HEHS-97-130: Published: Aug 22, 1997. Publicly Released: Aug 22, 1997.
Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) use of support contracts to help deliver health care and to control costs, focusing on: (1) whether resource sharing savings are meeting DOD's projections and thus helping control TRICARE costs; (2) what problems DOD might be encountering in pursuing resource sharing; and (3) actions and alternatives pursued by DOD...
Defense Health Care: Actions Under Way to Address Many TRICARE Contract Change Order Problems
HEHS-97-141: Published: Jul 14, 1997. Publicly Released: Jul 14, 1997.
Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) process for managing TRICARE contract change orders to determine: (1) the number of, nature of, and reasons for the orders; (2) whether DOD is adequately managing the change order process; and (3) if appropriate, how DOD can improve the process.GAO noted that: (1) since the 1994 award of the first TRICARE contract,...
Medicaid: Sustainability of Low 1996 Spending Growth Is Uncertain
HEHS-97-128: Published: Jun 27, 1997. Publicly Released: Jun 27, 1997.
Pursuant to a congressional request, GAO reviewed Medicaid's spending growth rate, focusing on: (1) the dominant factors affecting trends in Medicaid spending growth from fiscal years 1989 to 1995; (2) key factors that contributed to the low spending growth rate for fiscal year (FY) 1996 and variations in states' Medicaid spending growth for the most recent 2-year period; and (3) the implication o...
TRICARE Administrative Prices in the Northwest Region May Be Too High
HEHS-97-149R: Published: Jun 24, 1997. Publicly Released: Jun 24, 1997.
GAO reviewed the Department of Defense's (DOD) TRICARE program, focusing on whether TRICARE managers in the Northwest Region had taken advantage of DOD's contractual authority to adjust administrative prices to correspond with a large health care price decrease.GAO noted that: (1) the largest contract change to date in the Northwest Region, modification P00008, effective February 1, 1995, reduced...
Medicaid Managed Care: Challenge of Holding Plans Accountable Requires Greater State Effort
HEHS-97-86: Published: May 16, 1997. Publicly Released: Jun 16, 1997.
Pursuant to a congressional request, GAO reviewed state efforts to hold managed care plans accountable for meeting Medicaid program goals and for providing beneficiaries enrolled in capitated managed care plans the care they need, focusing on state efforts to: (1) ensure Medicaid beneficiaries have access to appropriate providers; (2) assess the adequacy of medical care provided through contracted...
Health Services Quality and Public Health Issue Area Plan--Fiscal Years 1998 and 1999
IAP-97-14: Published: May 1, 1997. Publicly Released: May 1, 1997.
GAO provided information on its Health Services Quality and Public Health issue area plan for fiscal years 1998 and 1999.GAO plans to assess: (1) whether the public health service agencies are ensuring the public's health and safety efficiently and effectively; (2) opportunities for improving the quality of health care under fee-for-service and managed care payment arrangements; (3) opportunities...
Medicare and Medicaid: Meeting Needs of Dual Eligibles Raises Difficult Cost and Care Issues
T-HEHS-97-119: Published: Apr 29, 1997. Publicly Released: Apr 29, 1997.
Pursuant to a congressional request, GAO discussed several issues that arise in financing health care for people known as dual eligibles, Medicare beneficiaries who are also eligible for some form of Medicaid support, focusing on: (1) the health characteristics of those who are eligible for both Medicare and Medicaid and the key structural differences between the two programs that serve this popul...
Medicaid: Decline in Spending Growth Due to a Combination of Factors
T-HEHS-97-91: Published: Mar 4, 1997. Publicly Released: Mar 4, 1997.
GAO discussed recent Medicaid spending trends and their potential implications for future outlays, focusing on: (1) the variation in Medicaid spending growth among the states, especially for the most recent 2-year period, that culminated in the 3.3-percent growth rate in fiscal year 1996; (2) key factors that contributed to the decrease from previous years' growth rates; and (3) the implications o...