Medical services rates (61 - 70 of 111 items)
Medicaid: HealthPASS: An Evaluation of a Managed Care Program for Certain Philadelphia Recipients
HRD-93-67: Published: May 7, 1993. Publicly Released: Jun 8, 1993.
Pursuant to a congressional request, GAO reviewed the Philadelphia Accessible Services System's (HealthPASS) medical services, focusing on whether HealthPASS members receive: (1) timely and appropriate pregnancy-related services; (2) early and periodic screening, diagnostic, and treatment (EPSDT) services; and (3) Special Supplemental Food Program for Women, Infants, and Children (WIC) benefits. G...
Screening Mammography: Higher Medicare Payments Could Increase Costs Without Increasing Use
HRD-93-50: Published: Apr 22, 1993. Publicly Released: May 25, 1993.
Pursuant to a congressional request, GAO reviewed the Medicare Program's payment levels and billing procedures for screening mammography, focusing on whether: (1) Medicare payments should be increased so physicians would increase mammography availability by offering it in their offices; and (2) physicians who contract with leasing firms for screening mammography services have problems with Medicar...
Medicare: Renal Facility Cost Reports Probably Overstate Costs of Patient Care
HRD-93-70: Published: May 18, 1993. Publicly Released: May 24, 1993.
Pursuant to a congressional request, GAO reviewed Medicare dialysis payment rates and the Health Care Financing Administration's (HCFA) proposal to reduce these rates, focusing on: (1) the definitions Medicare uses to define costs for payment rate-setting; (2) the quality of the most recent audited rate-setting cost data; and (3) whether costs incurred by integrated and nonintegrated firms differ...
Defense Health Care: CHAMPUS Mental Health Demonstration Project in Virginia
HRD-93-53: Published: Dec 30, 1992. Publicly Released: Jan 12, 1993.
Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) mental health demonstration project for Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) beneficiaries, focusing on: (1) the extent of program cost-savings; and (2) whether DOD oversight was adequate to ensure CHAMPUS beneficiaries' access to quality care.GAO found that: (1) the project's tot...
Hospital Costs: Adoption of Technologies Drives Cost Growth
HRD-92-120: Published: Sep 9, 1992. Publicly Released: Oct 14, 1992.
Pursuant to a congressional request, GAO provided information on hospital costs and Medicare's ability to provide adequate payments under the prospective payment system (PPS), focusing on: (1) the impact of PPS on growth of hospital operating costs; and (2) factors which have caused persistent increases in hospital costs, including acquired immune deficiency syndrome (AIDS), malpractice insurance,...
Canadian Health Insurance: Estimating Costs and Savings for the United States
HRD-92-83: Published: Apr 28, 1992. Publicly Released: Aug 24, 1992.
Pursuant to a congressional request, GAO provided information on the methodology it used to derive estimates of the difference between the current level of U.S. health care expenditures and the cost of having a new program with key elements of a Canadian-style system.GAO noted that: (1) in Canada, each provincial plan provides for universal insurance coverage with no deductibles or copayments, con...
Medicare: Excessive Payments Support the Proliferation of Costly Technology
HRD-92-59: Published: May 27, 1992. Publicly Released: Jun 30, 1992.
Pursuant to a congressional request, GAO compared Medicare payment levels with providers' costs for such high-technology radiology services as magnetic resonance imaging (MRI) and Computed Tomography, to determine whether the Health Care Financing Administration (HCFA) has adjusted technical component payments to reflect cost decreases.GAO found that: (1) Medicare's technical component payments fo...
Medicare: Payments for Medically Directed Anesthesia Services Should Be Reduced
HRD-92-25: Published: Mar 3, 1992. Publicly Released: Mar 3, 1992.
Pursuant to a legislative requirement, GAO reviewed whether: (1) payments to anesthesiologists are excessive for services provided when they concurrently direct certified registered nurse anesthetists (CRNA); and (2) reduced payments resulting from the Omnibus Budget Reconciliation Act (OBRA) of 1987 have affected the use and employment of CRNA.GAO found that: (1) Medicare is providing an economic...
Canadian Health Insurance
HRD-92-20R: Published: Feb 20, 1992. Publicly Released: Feb 20, 1992.
In response to a congressional request, GAO responded to a January 1992 briefing paper that criticized an earlier GAO report on Canadian health insurance claiming that GAO overstated administrative savings and understated the additional costs of adopting a Canadian-style health insurance system. GAO noted that: (1) estimates in its report and the briefing paper were not comparable because of the d...
Medicare: Third Status Report on Medicare Insured Group Demonstration Projects
HRD-92-53: Published: Jan 29, 1992. Publicly Released: Jan 29, 1992.
Pursuant to a legislative requirement, GAO reviewed the status of: (1) the Health Care Financing Administration's (HCFA) implementation of the Medicare Insured Groups (MIG) demonstration projects; and (2) any projects awarded.GAO found that: (1) two of the three MIG sponsors that completed feasibility analysis phases decided not to proceed to the development phase, while the third had submitted a...