Physicians (61 - 70 of 77 items)
Medicare Payments for Services of Supervisory and Teaching Physicians at Jackson Memorial Hospital
B-164031(4): Published: Nov 13, 1970. Publicly Released: Nov 12, 1982.
No summary is currently available...
Allegations Related to the Processing of Injured Employees' Hearing Loss Claims
HRD-82-102: Published: Aug 31, 1982. Publicly Released: Sep 30, 1982.
Pursuant to a congressional request, GAO reviewed charges of improprieties associated with the activities of the Department of Labor's Hearing Loss Task Force. The task force was established in 1976 to process a backlog of hearing loss claims, and it adjudicated more than 19,000 claims during the 5.5 years of its operation.Although Labor hired three audiologists for the task force, it also contrac...
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...
Public Representation on Boards and Blue Shield Allowances: Important Relationship Not Found
HRD-81-31: Published: Dec 31, 1980. Publicly Released: Jan 12, 1981.
GAO was asked to determine if there is an ascertainable difference in cost-containment efforts between Blue Shield plans with boards of directors apparently controlled by public representatives versus those with a majority of health care provider members.GAO analyses neither conclusively affirmed nor denied that public representation on Blue Shield plans' boards of directors was importantly associ...
Medicare Payments for Services of Supervisory and Teaching Physicians at Cook County Hospital
B-164031(4): Published: Feb 11, 1970. Publicly Released: Nov 17, 1980.
No summary is currently available...
Reasonable Charge Reductions Under Part B of Medicare
HRD-81-12: Published: Oct 22, 1980. Publicly Released: Oct 22, 1980.
GAO examined whether Medicare beneficiaries are being properly reimbursed for doctors' bills under the Medicare program. Part B of the Medicare Program, which primarily covers the cost of physician services, is paying an increasingly smaller portion of the elderly's total cost for physician services. On the average, the charges submitted by doctors are reduced by about 20 percent by the program, b...
Extent of Billings by Nonpsychiatric Specialty Physicians for Mental Health Services Under CHAMPUS
HRD-80-113: Published: Sep 11, 1980. Publicly Released: Sep 11, 1980.
A Senator requested an indepth study of the state of the art of financing for mental health services provided by four categories of providers. After it had been determined that nonpsychiatric specialty physicians, those physicians with specialties other than psychiatry, were providing 30 to 50 percent of all mental health services, GAO agreed to focus its work on identifying the extent to which th...
Comparison of Physician Charges and Allowances Under Private Health Insurance Plans and Medicare
HRD-79-111: Published: Sep 6, 1979. Publicly Released: Sep 10, 1979.
A comparison was made of the actual and allowed charges for physicians at four commercial and two Blue Shield Medicare carriers for their private and Medicare businesses. An assessment was also made of the Department of Health, Education, and Welfare's (HEW) use of a Medicare provision requiring that charges allowed as reasonable under Medicare not be higher than those allowed under Medicare carri...
Review of GHI's Administration of Part B of Medicare in Queens County, New York
HRD-78-104: Published: Apr 11, 1978. Publicly Released: Apr 11, 1978.
Operations of Group Health Incorporated (GHI) in carrying out its responsibilities under Part B of the Medicare program in Queens County, New York, were reviewed. GHI has operated as the Medicare Part B carrier for Queens County since the beginning of the program. The initial contract commenced on February 11, 1966, and has been renewed annually. A detailed explanation of the events and circumstan...