Hospital care services (51 - 60 of 60 items)
Medicare: Hospital Payment Rates Should Be Revised To Assure Reasonableness and Equity
T-HRD-88-9: Published: Mar 1, 1988. Publicly Released: Mar 1, 1988.
Pursuant to a congressional request, GAO discussed Medicare's Prospective Payment System (PPS) hospital rates. GAO noted that: (1) the original PPS rates were too high because they incorporated unaudited cost data, including unallowable costs and costs for unnecessary services; (2) subsequent annual updates and adjustments to rates have used estimated and incomplete data; (3) costs of services cov...
Public Hospitals: Sales Lead to Better Facilities but Increased Patient Costs
HRD-86-60: Published: Jun 20, 1986. Publicly Released: Jun 25, 1986.
In response to a congressional request, GAO reported on: (1) the circumstances leading to the sale or lease of public and nonprofit hospitals in the southeastern United States; (2) the effects on local communities and taxpayers; and (3) the effects on Medicare and Medicaid payments.GAO noted that, of the 40 public and voluntary nonprofit hospitals leased or sold from 1980 to 1982 in the Department...
Medicare Payments to Hospitals
126949: May 14, 1985
GAO discussed two issues related to Medicare reimbursement to hospitals, including: (1) the impact of the Health Care Financing Administration's (HCFA) use of unaudited hospital cost reports in establishing the Prospective Payment System (PPS) payment rates; and (2) the return on equity payments to proprietary hospitals. GAO found that in calculating the national PPS payment rates, HCFA: (1) made...
Ways To Reduce the Cost of Medical Referral Programs in Micronesia and American Samoa
NSIAD-84-139: Published: Aug 9, 1984. Publicly Released: Aug 9, 1984.
Pursuant to a congressional request, GAO examined the medical capabilities and medical referral problems in American Samoa, the Commonwealth of the Northern Mariana Islands, the Republics of Palau and the Marshall Islands, and the Federated States of Micronesia.During the last 3 years, the local governments in the territories reviewed have incurred costs of about $15 million for referring patients...
Comments on the Legislative Intent of Medicare's Hospice Care Benefit
HRD-83-72: Published: Jul 12, 1983. Publicly Released: Aug 11, 1983.
In response to a congressional request, GAO discussed the legislative intent of the hospice reimbursement requirements contained in Medicare law, the payment cap set by law, and the discretion that the Department of Health and Human Services (HHS) has in establishing the payment rate for hospice care.GAO noted that the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) provided for Medicare...
Delays in Transferring Medicaid and Medicare Patients
089620: Jul 3, 1975
No summary is currently available...
How Health Maintenance Organizations Control Costs
HRD-82-31: Published: Dec 29, 1981. Publicly Released: Dec 29, 1981.
GAO evaluated health maintenance organizations' (HMO's) attempts to reduce health care costs. GAO analyzed the results of a questionnaire sent to members and former members of 12 HMO's concerning their satisfaction with health services and compared the HMO premiums with those that a health insurance company would charge for the same benefits.Information on the procedures and practices the 12 HMO's...
Comments on a Study on the Effects of a Restrictive Drug Formulary
PAD-80-42: Published: Jan 21, 1980. Publicly Released: Jan 21, 1980.
GAO reviewed a study which discussed the fact that the high cost of the Medicaid program has forced many States to contain costs via restrictions on optional services such as prescribed drugs. The author concluded that the savings accrued from outpatients' and long-term care patients' drug purchases, which formerly would have been reimbursed through Medicaid, was more than offset by the increase i...
Potential Effects of National Health Insurance Proposals on Medicare Beneficiaries
HRD-76-129: Published: Feb 24, 1977. Publicly Released: Feb 24, 1977.
Medicare was established to protect the elderly against the costs of inpatient hospital care. The proposed Comprehensive Health Insurance Act of 1974 (CHIP) would combine parts A and B of Medicare and would modify Medicare's cost-sharing formulas and limit beneficiaries' liability based on income. The proposed National Health Insurance Act of 1974 (Kennedy-Mills proposal) would leave the Medicare...