Managed health care (71 - 80 of 107 items)
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...
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...
Medicare and Medicaid Issue Area: Active Assignments
AA-95-15(4): Published: Oct 1, 1995. Publicly Released: Oct 1, 1995.
GAO provided information on its active assignments in the Medicare and Medicaid issue area as of October 2, 1995...
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...
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...
Hospital-Based Home Health Agencies
HEHS-95-209R: Published: Jul 19, 1995. Publicly Released: Jul 19, 1995.
Pursuant to a congressional request, GAO reviewed whether increased hospital ownership of home health agencies (HHA) has contributed to the growth in Medicare home health costs. GAO noted that hospital-based HHA: (1) generally care for beneficiaries with less chronic conditions and provide fewer visits to patients than all other types of HHA, except those run by the government; and (2) it does not...
Medicaid: State Flexibility in Implementing Managed Care Programs Requires Appropriate Oversight
T-HEHS-95-206: Published: Jul 12, 1995. Publicly Released: Jul 12, 1995.
GAO discussed the flexibility that state's have in restructuring their Medicaid programs, focusing on the: (1) existing authority to waive Medicaid managed care restrictions; (2) purpose behind the restrictions and the need for oversight in their absence; and (3) impact of recently approved waivers on federal Medicaid expenditures. GAO found that: (1) over 33 million low-income individuals depend...
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...