Medicaid (31 - 40 of 196 items)
Medicare: Coverage of Pumps Used to Administer Intravenous Drugs
HEHS-99-16R: Published: Nov 16, 1998. Publicly Released: Dec 16, 1998.
Pursuant to a congressional request, GAO reviewed the advantages and disadvantages of providing Medicare coverage for disposable infusion pumps, focusing on: (1) the clinical benefits and limitations of disposable infusion pumps; (2) the factors that affect whether a durable or disposable infusion pump is less expensive to use for home infusion; (3) some Medicaid and private insurance plans' home...
Federal Health Programs: Comparison of Medicare, the Federal Employees Health Benefits Program, Medicaid, Veterans' Health Services, Department of Defense Health Services, and Indian Health Services
HEHS-98-231R: Published: Aug 7, 1998. Publicly Released: Aug 7, 1998.
GAO compared the Medicare program with five other federal health programs: the Federal Employees Health Benefits Program (FEHBP); the Medicaid and Department of Veterans' Affairs (VA) health programs; the Department of Defense's (DOD) TRICARE health program; and the Indian Health Service (IHS). GAO also compared key features of these programs, including: (1) administrative structures, including th...
Health Services Quality and Public Health Issue Area Plan: Fiscal Years 1999-2000
IAP-98-14: Published: Aug 1, 1998. Publicly Released: Aug 1, 1998.
GAO provided information on its Health Services Quality and Public Health issue area plan for fiscal years 1999 and 2000.GAO plans to: (1) determine whether the public health service agencies are ensuring the public's health and safety efficiently and effectively; (2) identify opportunities for improving the quality of health care under fee-for-service and managed care payment arrangements; (3) id...
Medicare Home Health: Success of Balanced Budget Act Cost Controls Depends on Effective and Timely Implementation
T-HEHS-98-41: Published: Oct 29, 1997. Publicly Released: Oct 29, 1997.
GAO discussed how the Balanced Budget Act of 1997 (BBA) addressed the issues of rapid cost growth in Medicare's home health benefit, focusing on: (1) the reasons for the rapid growth of Medicare home health care costs in the 1990s; (2) the interim changes in the BBA to Medicare's current payment system; (3) issues related to implementing the BBA's requirement to establish a prospective payment sys...
Health Financing and Systems Issue Area: Active Assignments
AA-97-15(3): Published: Sep 1, 1997. Publicly Released: Sep 1, 1997.
GAO provided information on its active assignments in the Health Financing and Systems issue area as of August 29, 1997...
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...
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...
Nursing Homes: Too Early to Assess New Efforts to Control Fraud and Abuse
T-HEHS-97-114: Published: Apr 16, 1997. Publicly Released: Apr 16, 1997.
GAO discussed the challenges that exist in combatting fraud and abuse in the nursing facility environment.GAO noted that: (1) while most providers abide by the rules, some unscrupulous providers of supplies and services have used the nursing facility setting as a target of opportunity; (2) this has occurred for several reasons: (a) the complexities of the reimbursement process invite exploitation;...