Medical services rates (41 - 50 of 84 items)
HCFA: Medicare Program--Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1997 Rates
OGC-96-41: Published: Sep 13, 1996. Publicly Released: Sep 13, 1996.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on changes to the Medicare Program's hospital inpatient prospective payment systems and fiscal year 1997 rates. GAO found that: (1) the rule would adjust the classifications and weighting factors for diagnosis related groups, update the wage index associated with hospital operating costs,...
AARP Medigap Premium Increases, 1996
HEHS-96-119R: Published: Apr 19, 1996. Publicly Released: Apr 19, 1996.
Pursuant to a congressional request, GAO examined why Medigap premiums offered through the American Association of Retired Persons (AARP) were increasing. GAO noted that: (1) premiums for more than 3 million AARP Medigap policyholders increased an average of 26 percent; (2) the increases varied by state and ranged between 0 to 40 percent for both standardized and prestandardized policies; (3) in 1...
Medicare: Enrollment Growth and Payment Practices for Kidney Dialysis Services
HEHS-96-33: Published: Nov 22, 1995. Publicly Released: Nov 22, 1995.
Pursuant to a congressional request, GAO reviewed Medicare's End Stage Renal Disease (ESRD) Program, focusing on: (1) ESRD enrollment patterns; (2) the reasons for program enrollment and cost increases; and (3) whether there are separately billable services that should be included in the future composite rate.GAO found that: (1) ESRD program enrollment has increased at an average annual rate of 11...
VA Health Care: Albuquerque Medical Center Not Recovering Full Costs of Lithotripsy Services
HEHS-95-19: Published: Dec 28, 1994. Publicly Released: Feb 1, 1995.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) Albuquerque Medical Center's contracting practices, focusing on: (1) whether the center fully recovered the government's cost of providing nonveteran lithotripsy services; and (2) the effects of the center's pricing policy on competition for lithotripsy services in the Albuquerque area.GAO found that: (1) in...
Medicare Diagnostic Imaging Rates
HEHS-94-129R: Published: Apr 5, 1994. Publicly Released: Apr 5, 1994.
Pursuant to a congressional request, GAO reviewed diagnostic imaging services offered by physicians, focusing on a comparison of in-practice and referral rates for 7 types of imaging services. GAO noted that: (1) physicians who had their own imaging equipment had much higher imaging rates for all types of imaging services; and (2) in-practice imaging rates were about 3 times higher for magnetic re...
Medicare Physician Payment: Geographic Adjusters Appropriate But Could Be Improved With New Data
HRD-93-93: Published: Jul 20, 1993. Publicly Released: Jul 20, 1993.
Pursuant to a congressional request, GAO assessed whether the Health Care Financing Administration (HCFA) used the best available data when setting the geographic adjusters for the Medicare program.GAO found that: (1) time constraints limited HCFA ability to develop data sources for use in establishing geographic adjusters; (2) HCFA contracted with several research organizations to develop recomme...
Medicare: Physicians Who Invest in Imaging Centers Refer More Patients for More Costly Services
T-HRD-93-14: Published: Apr 20, 1993. Publicly Released: Apr 20, 1993.
GAO discussed the effect on health care utilization and costs when physicians invest in medical facilities and then refer their patients to those facilities. GAO noted that: (1) in 1990, physicians had invested in all but one of the 39 freestanding magnetic resonance imaging (MRI) centers in Florida; (2) 3,000 Florida physicians had a financial interest in a freestanding imaging center; (3) physic...
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
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...
Health Care Spending Control: The Experience of France, Germany, and Japan
T-HRD-92-12: Published: Nov 19, 1991. Publicly Released: Nov 19, 1991.
GAO discussed the health care systems in France, Germany, and Japan. GAO noted that: (1) France, Germany, and Japan provide universal access to health insurance while spending less on health care than the United States; (2) under the U.S. and the three countries' health care systems, multiple payers provide health insurance, people typically get health insurance for themselves and their dependents...