Health care cost control (61 - 70 of 126 items)
Medicare: Fewer and Lower Cost Beneficiaries With Chronic Conditions Enroll in HMOs
HEHS-97-160: Published: Aug 18, 1997. Publicly Released: Sep 15, 1997.
Pursuant to a congressional request, GAO examined a mature managed care market to determine: (1) the extent to which Medicare beneficiaries with chronic conditions enroll in health maintenance organizations (HMO); (2) whether beneficiaries with chronic conditions who enroll in HMOs are as costly as those remaining in fee-for-service (FFS) Medicare; and (3) whether beneficiaries with chronic condit...
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...
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...
Defense Health Care: TRICARE Progressing, but Some Cost and Performance Issues Remain
T-HEHS-96-100: Published: Mar 7, 1996. Publicly Released: Mar 7, 1996.
GAO discussed the Department of Defense's (DOD) implementation of TRICARE, its nationwide managed health care program. GAO noted that: (1) although early TRICARE implementation is basically proceeding as planned, there was some initial beneficiary confusion due to a shortage of adequately trained staff and uncoordinated education and marketing efforts; (2) DOD needs to gather demographic and other...
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...
German Health Reforms: Changes Result in Lower Health Costs in 1993
HEHS-95-27: Published: Dec 16, 1994. Publicly Released: Dec 16, 1994.
GAO reviewed the German health care system, focusing on the: (1) effects of nonnegotiable budgets on health care cost and access to care; and (2) status of some of the structural changes intended to control costs over the longer term.GAO found that: (1) during 1993, the German health care sectors generally succeeded in controlling the growth of health care costs, with outlays per member falling mo...
VA/DOD Health Care: More Guidance Needed to Implement CHAMPUS-Funded Sharing Agreements
HEHS-95-15: Published: Oct 28, 1994. Publicly Released: Nov 7, 1994.
Pursuant to a congressional request, GAO reviewed the extent to which Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) funds are being used for health care resource-sharing agreements between the Departments of Veterans Affairs (VA) and Defense (DOD).GAO found that: (1) in February 1994, after nearly 3 years of negotiation, VA and DOD agreed on a framework for VA to treat CH...
Medicaid: Changes in Best Price for Outpatient Drugs Purchased by HMOs and Hospitals
HEHS-94-194FS: Published: Aug 5, 1994. Publicly Released: Aug 5, 1994.
Pursuant to a congressional request, GAO reviewed the best prices for the drugs purchased by health maintenance organizations (HMO) and group purchasing organizations (GPO), focusing on the difference between the drugs' best prices and their best price discount.GAO found that: (1) in the 2 years since the Omnibus Budget Reconciliation Act (OBRA) was enacted, the average best price for outpatient d...
Defense Health Care: Expansion of the CHAMPUS Reform Initiative Into DOD's Region 6
HEHS-94-100: Published: Feb 9, 1994. Publicly Released: Feb 9, 1994.
Pursuant to a legislative requirement, GAO evaluated the Department of Defense's (DOD) certification on expanding the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Reform Initiative (CRI) to beneficiaries in Arkansas, Oklahoma, and portions of Louisiana and Texas.GAO found that: (1) DOD reasonably evaluated the costs of expanding the modified CRI program to DOD region 6 f...
1993 German Health Reforms: Initiatives Tighten Cost Controls
T-HRD-94-2: Published: Oct 13, 1993. Publicly Released: Oct 13, 1993.
GAO discussed the German health care system, focusing on the approaches used to control health care costs. GAO noted that: (1) before 1993, Germany had budget caps on physician and hospital services that were negotiated by provider associations and sickness funds that provide health insurance to most Germans; (2) German health care reforms limit physician and hospital expenditures to increases in...