Health care services (71 - 80 of 176 items)
Medicare: Using Education and Claims Scrutiny to Minimize Physician Billing Errors
GAO-02-778T: Published: May 28, 2002. Publicly Released: May 28, 2002.
In its audit for year 2001, the Department of Health and Human Services' Office of Inspector General found that $12.1 billion was improperly paid to Medicare providers. GAO's February report (GAO-02-249) showed that physicians often do not receive complete, accurate, clear, or timely guidance on Medicare billing and payment policies. At the carriers studied, GAO found significant shortcomings in p...
VA Health Care: Changes Needed to Improve Resource Allocation
GAO-02-685T: Published: Apr 30, 2002. Publicly Released: Apr 30, 2002.
The Veterans Equitable Resource Allocation (VERA) system allocated $17.8 billion of its $20.3 billion health care budget to 22 regional health care networks in fiscal year 2001. Before Vera resources were allocated to facilities on the basis of their historical expenditures. By aligning resources with workloads VERA shifted about$921 million among VA's networks in fiscal year 2001. VERA's design i...
VA Long-Term Care: Implementation of Certain Millennium Act Provisions Is Incomplete, and Availability of Noninstitutional Services Is Uneven
GAO-02-510R: Published: Mar 29, 2002. Publicly Released: Apr 25, 2002.
The Department of Veterans Affairs (VA) spent about $3.1 billion on long-term care in fiscal year 2001, This amount is likely to increase as the veteran population ages. VA provides or pays for long-term care in institutional settings, such as nursing homes, or in veteran's own homes and other community locations. The Veterans Millennium Health Care and Benefits Act of 1999 required VA to offer lo...
Medicare Subvention Demonstration: Pilot Satisfies Enrollees, Raises Cost and Management Issues for DOD Health Care
GAO-02-284: Published: Feb 11, 2002. Publicly Released: Feb 11, 2002.
The Department of Defense's (DOD) Medicare subvention demonstration tested alternate approaches to health care coverage for military retirees. Retirees could enroll in new DOD-run Medicare managed care plans, known as TRICARE Senior Prime, at six sites. The demonstration plan offered enrollees the full range of Medicare-covered services as well as additional TRICARE services, with minimal copaymen...
Federal Prisons: Responses to Questions Related to Containing Health Care Costs for an Increasing Inmate Population
GGD-00-160R: Published: Jun 14, 2000. Publicly Released: Jul 14, 2000.
Pursuant to a congressional request, GAO responded to congressional questions on its April 6, 2000, testimony on the Bureau of Prisons (BOP) efforts to contain the costs of providing health care to inmates, focusing on whether: (1) requiring a copayment would reduce the number of prisoners seeking medical care in order to get out of work or other duties; (2) recent BOP initiatives have helped redu...
Federal Prisons: Containing Health Care Costs for an Increasing Inmate Population
T-GGD-00-112: Published: Apr 6, 2000. Publicly Released: Apr 6, 2000.
Pursuant to a congressional request, GAO discussed health care costs at the federal Bureau of Prisons (BOP), focusing on: (1) trends in BOP health care costs from fiscal year (FY) 1990 through FY 1999; (2) BOP initiatives to contain rising medical costs; and (3) legislative and administrative options for helping to contain health care costs.GAO noted that: (1) in conjunction with a rising federal...
Health Care Financing Administration: Medicare Program--Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for 2000
OGC-00-13: Published: Dec 13, 1999. Publicly Released: Dec 13, 1999.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on inpatient hospital deductible and hospital extended care services coinsurance amounts for 2000. GAO noted that: (1) the rule would announce the inpatient hospital deductible and the hospital and extended care services coinsurance amounts for services furnished in calendar year 2000 und...
HCFA: Medicare Program--Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1999
OGC-99-15: Published: Nov 17, 1998. Publicly Released: Nov 17, 1998.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on payment policies and adjustments to the relative value units under the physician fee schedule for calendar year 1999. GAO noted that: (1) the rule would make several policy changes affecting Medicare Part B payments; (2) the changes that relate to physicians' services include: (a) reso...
HIV/AIDS Drugs: Funding Implications of New Combination Therapies for Federal and State Programs
HEHS-99-2: Published: Oct 14, 1998. Publicly Released: Oct 14, 1998.
Pursuant to a congressional request, GAO provided information on the potential implications for federal and state budgets from the increased use of combination drug therapies for patients with human immunodeficiency virus (HIV) and acquired immunedeficiency syndrome (AIDS), focusing on: (1) federal and state spending on HIV and AIDS drug treatment, by major programs, over the last several years; (...
Defense Health Care: Offering Federal Employees' Health Benefits Program to DOD Beneficiaries
HEHS-98-68: Published: Mar 23, 1998. Publicly Released: Mar 23, 1998.
Pursuant to a congressional request, GAO reviewed nine bills introduced in the 105th Congress to authorize the Federal Employees Health Benefits Program (FEHBP) for military beneficiaries, focusing on: (1) issues that cut across the various bills, such as potential effects on beneficiary costs, eligibility, and the military health system (MHS) generally; and (2) the bills' key features, highlighti...