Medical services rates (31 - 40 of 111 items)
Health Financing and Systems Issue Area--Active Assignments
AA-97-15(1): Published: Jan 2, 1997. Publicly Released: Jan 2, 1997.
GAO provided information on its active assignments in the Health Financing and Systems issue area as of January 2, 1997...
VA Health Care: Better Data Needed to Effectively Use Limited Nursing Home Resources
HEHS-97-27: Published: Dec 20, 1996. Publicly Released: Dec 20, 1996.
Pursuant to a congressional request, GAO provided information on the Department of Veterans Affairs' (VA) nursing home programs, focusing on: (1) the distribution of veterans in VA, community, and state veterans nursing homes; (2) the costs to VA for VA, community, and state veterans nursing homes; (3) the factors affecting VA's use of community and state veterans nursing homes; and (4) whether VA...
Rural Health Clinics: Rising Program Expenditures Not Focused on Improving Care in Isolated Areas
HEHS-97-24: Published: Nov 22, 1996. Publicly Released: Dec 2, 1996.
Pursuant to a congressional request, GAO reviewed the Rural Health Clinic (RHC) Program, focusing on: (1) whether the RHC program is serving a Medicare and Medicaid population that would otherwise have difficulty obtaining primary care; and (2) whether there are controls in place to ensure that costs claimed for reimbursement are reasonable and to target the cost-reimbursement benefit of the progr...
VA Health Care: Opportunities to Reduce Outpatient Pharmacy Costs
T-HEHS-96-162: Published: Jun 11, 1996. Publicly Released: Jun 11, 1996.
GAO discussed the Department of Veterans Affairs (VA) policies concerning over-the-counter (OTC) medications, medical supplies, and dietary supplements. GAO noted that: (1) VA pharmacies provide many OTC medications; (2) VA pharmacies dispensed analgesics nearly 3 million times in 1995; (3) some VA pharmacies restrict certain veterans from receiving OTC products, as well as the quantity that they...
Health Insurance: Coverage of Autologous Bone Marrow Transplantation for Breast Cancer
HEHS-96-83: Published: Apr 24, 1996. Publicly Released: May 28, 1996.
Pursuant to a congressional request, GAO reviewed insurance coverage of autologous bone marrow transplantation (ABMT) for breast cancer, focusing on: (1) the factors insurers consider when deciding whether to cover treatment; (2) the effectiveness of the treatment; and (3) the consequences of the increased use and insurance coverage of the treatment while it is still in clinical trials.GAO found t...
Medicare: Private Payer Strategies Suggest Options to Reduce Rapid Spending Growth
T-HEHS-96-138: Published: Apr 30, 1996. Publicly Released: Apr 30, 1996.
GAO discussed strategies to curb Medicare spending, which has grown by over 10 percent a year since 1989, twice the rate of the national economy. GAO noted that: (1) Medicare has not used tools used by private health care payers to manage and improve its utilization, reimbursement, and claims policies and procedures; (2) Medicare's smaller categories of services, which are typically less managed a...
Medicare: Home Health Utilization Expands While Program Controls Deteriorate
HEHS-96-16: Published: Mar 27, 1996. Publicly Released: Apr 3, 1996.
Pursuant to a congressional request, GAO examined the growth in the use of Medicare home health benefits, focusing on the: (1) changes in the home health industry; (2) composition of Medicare home health users; (3) differences in utilization of home health benefits across geographic areas; (4) incentives to overuse Medicare home health benefits; and (5) effectiveness of payment controls in prevent...
Health Insurance for Children: State and Private Programs Create New Strategies to Insure Children
HEHS-96-35: Published: Jan 18, 1996. Publicly Released: Feb 20, 1996.
Pursuant to a congressional request, GAO reviewed state and private efforts to insure children who are not eligible for Medicaid and whose parents cannot purchase private insurance, focusing on: (1) enrollment, costs, funding sources, and annual budgets of these state and private programs; (2) state strategies to manage costs while providing children access to health care; and (3) program design e...
Montana's Medical Assistance Facilities
HEHS-96-12R: Published: Oct 2, 1995. Publicly Released: Oct 2, 1995.
Pursuant to a congressional request, GAO provided information on Montana's medical assistance facilities (MAF), focusing on the: (1) services performed at MAF; (2) inpatient service costs to Medicare at MAF and acute-care hospitals; and (3) number of hospitals nationwide that qualify as MAF. GAO noted that: (1) MAF mainly serve patients with uncomplicated conditions or stabilize patients with more...