Health insurance (71 - 80 of 138 items)
Small Business: SBA's Health Care Reform Activities
RCED-94-240: Published: Sep 6, 1994. Publicly Released: Sep 6, 1994.
Pursuant to a congressional request, GAO reviewed the Small Business Administation's (SBA) efforts to produce and distribute a brochure on the Health Security Act and establish a toll-free health care hotline, focusing on: (1) whether SBA violated certain laws or regulations by distributing the brochure; (2) circumstances surrounding the brochure's issuance, authorization, and distribution to the...
Early Retiree Health: Health Security Act Would Shift Billions in Costs to Federal Government
HEHS-94-203FS: Published: Jul 21, 1994. Publicly Released: Jul 21, 1994.
Pursuant to a congressional request, GAO provided information on the impact of the proposed Health Security Act on retiree health care costs, focusing on the: (1) projected costs of early retiree health benefits for the federal government and U.S. companies; and (2) potential savings for these benefits under the act.GAO noted that: (1) companies and early retirees could realize substantial savings...
Medicare: Inadequate Review of Claims Payments Limits Ability to Control Spending
HEHS-94-42: Published: Apr 28, 1994. Publicly Released: Jun 8, 1994.
GAO reviewed the adequacy of Medicare contractors' postpayment review activities, focusing on: (1) whether the Health Care Financing Administration (HCFA) is identifying providers that are inappropriately billing the Medicare program; and (2) why Medicare spends so much for certain medical services.GAO found that: (1) HCFA does not monitor Medicare carriers' postpayment analyses and often misses o...
Health Care Alliances: Issues Relating To Geographic Boundaries
HEHS-94-139: Published: Apr 8, 1994. Publicly Released: Apr 8, 1994.
Pursuant to a congressional request, GAO reviewed the provisions of major health bills concerning the configuration of health care alliance boundaries, focusing on the: (1) features and procedures for establishing Metropolitan Statistical Areas (MSA); (2) experiences of two states that have established entities similar to alliances; and (3) potential effects of alliance boundaries on existing heal...
Medicare and Medicaid: Many Eligible People Not Enrolled in Qualified Medicare Beneficiary Program
HEHS-94-52: Published: Jan 20, 1994. Publicly Released: Jan 25, 1994.
Pursuant to a congressional request, GAO reviewed: (1) government efforts to publicize the Qualified Medicare Beneficiary (QMB) program; and (2) suggestions for increasing enrollment in QMB.GAO found that: (1) 2 million people eligible for the QMB program did not enroll in the program in 1991; (2) federal and state efforts to publicize the QMB program have not had a significant effect on the QMB e...
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...
1993 German Health Reforms: New Cost Control Initiatives
HRD-93-103: Published: Jul 7, 1993. Publicly Released: Aug 10, 1993.
Pursuant to a congressional request, GAO examined recent German health care reforms, focusing on: (1) the reasons for the German reforms; (2) the nature of the reforms; (3) the initial reaction to and expected effects of the reforms; and (4) implications for U.S. health care reforms.GAO found that: (1) large increases in mandated health care premiums and variations in contribution rates between he...
Health Care: Rochester's Community Approach Yields Better Access, Lower Costs
HRD-93-44: Published: Jan 29, 1993. Publicly Released: Mar 5, 1993.
Pursuant to a congressional request, GAO reviewed the health care system in Rochester, New York, which has lower health care costs per capita and provides health insurance to a larger proportion of its residents than the nation as a whole.GAO found that: (1) in 1991, health insurance costs per employee in Rochester were 33 percent lower than national health care costs; (2) Rochester's hospital cos...
Health Insurance: Legal and Resource Constraints Complicate Efforts to Curb Fraud and Abuse
T-HRD-93-3: Published: Feb 4, 1993. Publicly Released: Feb 4, 1993.
GAO discussed health care fraud and abuse issues, focusing on: (1) the size and nature of health insurance fraud and abuse; and (2) resource and other problems associated with investigation and prosecution. GAO noted that: (1) health care insurance fraud and abuse contributed an estimated 10 percent to U.S. health care costs; (2) problems in combatting health insurance fraud and abuse include lega...
District of Columbia: Barriers to Medicaid Enrollment Contribute to Hospital Uncompensated Care
HRD-93-28: Published: Dec 29, 1992. Publicly Released: Jan 28, 1993.
Pursuant to a congressional request, GAO reviewed the District of Columbia's (DC) Medicaid program and uncompensated hospital care in DC, focusing on the: (1) extent of DC hospitals' problems with uncompensated care; (2) Medicaid enrollment process and its relationship to Medicaid reimbursement and uncompensated care; and (3) potential barriers to enrollment in the DC Medicaid enrollment process.G...