Health services administration (41 - 50 of 118 items)
[Comments on HCFA Medicare Integrity Program Operating Plans]
B-282777: Published: Sep 2, 1999. Publicly Released: Sep 2, 1999.
GAO commented on the Health Care Financing Administration's (HCFA) plans for operating the Medicare Integrity Program (MIP), focusing on whether: (1) the law authorizing the MIP permits HCFA to assign responsibility for local Medicare coverage policy to the payment safeguard contractors (PSC) who will run the MIP under contract to HCFA; and (2) HCFA's proposed MIP regulations would provide an adeq...
Medicare: Options for Reform
T-HEHS-99-130: Published: May 26, 1999. Publicly Released: May 26, 1999.
Pursuant to a congressional request, GAO discussed efforts to reform the Medicare program, focusing on: (1) a conceptual framework for considering the various possible combinations of reform options; and (2) lessons about implementing reforms learned from recent Medicare experience.GAO noted that: (1) options to reform Medicare have two major dimensions: (a) expansion of Medicare's benefit package...
Medicare Managed Care: Greater Oversight Needed to Protect Beneficiary Rights
HEHS-99-68: Published: Apr 12, 1999. Publicly Released: Apr 13, 1999.
Pursuant to a congressional request, GAO reviewed Medicare's managed care beneficiary appeals process, focusing on: (1) the appeals process available to beneficiaries when managed care plans deny care or payment for services; (2) beneficiaries' use of the appeals process and the extent to which they are informed of their appeal rights; and (3) the Health Care Financing Administration's (HCFA) over...
Defense Health Care: Management Attention Needed to Make TRICARE More Effective and User-Friendly
T-HEHS-99-81: Published: Mar 11, 1999. Publicly Released: Mar 11, 1999.
Pursuant to a congressional request, GAO discussed the Department of Defense's (DOD) implementation of TRICARE, focusing on the extent to which: (1) beneficiaries enrolled in TRICARE are getting timely access to health care; (2) claims for medical services are paid in a timely and accurate manner; (3) DOD and its contractors are identifying and mitigating fraud and abuse in TRICARE; and (4) DOD's...
Medicare HMO Institutional Payments: Improved HCFA Oversight, More Recent Cost Data Could Reduce Overpayments
HEHS-98-153: Published: Sep 9, 1998. Publicly Released: Oct 13, 1998.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) oversight of Medicare payments to health maintenance organizations (HMO) for institutionalized beneficiaries, focusing on: (1) the criteria HCFA uses to determine a beneficiary's institutional status; (2) the methods HCFA employs to ensure that HMOs properly classify beneficiaries as institutionaliz...
VA Health Care: More Veterans Are Being Served, but Better Oversight Is Needed
HEHS-98-226: Published: Aug 28, 1998. Publicly Released: Aug 28, 1998.
Pursuant to a legislative requirement, GAO reviewed the: (1) changes in overall access to care, changes in access to certain specialized services, and a comparison of changes in Veterans Integrated Service Network (VISN) 3 (Bronx) and VISN 4 (Pittsburgh) with Department of Veterans Affairs (VA) national data from fiscal years (FY) 1995 to 1997; (2) extent to which VA headquarters and VISNs are wor...
Federal Health Programs: Comparison of Medicare, the Federal Employees Health Benefits Program, Medicaid, Veterans' Health Services, Department of Defense Health Services, and Indian Health Services
HEHS-98-231R: Published: Aug 7, 1998. Publicly Released: Aug 7, 1998.
GAO compared the Medicare program with five other federal health programs: the Federal Employees Health Benefits Program (FEHBP); the Medicaid and Department of Veterans' Affairs (VA) health programs; the Department of Defense's (DOD) TRICARE health program; and the Indian Health Service (IHS). GAO also compared key features of these programs, including: (1) administrative structures, including th...
Health Services Quality and Public Health Issue Area: Active Assignments
AA-98-14(3): Published: Aug 1, 1998. Publicly Released: Aug 1, 1998.
GAO provided information on its active assignments in the Health Services Quality and Public Health issue area as of August 17, 1998...
Health Services Quality and Public Health Issue Area Plan: Fiscal Years 1999-2000
IAP-98-14: Published: Aug 1, 1998. Publicly Released: Aug 1, 1998.
GAO provided information on its Health Services Quality and Public Health issue area plan for fiscal years 1999 and 2000.GAO plans to: (1) determine whether the public health service agencies are ensuring the public's health and safety efficiently and effectively; (2) identify opportunities for improving the quality of health care under fee-for-service and managed care payment arrangements; (3) id...
Medicare: Impact of Changing Transportation Policy for Portable Equipment Is Uncertain
HEHS-98-82: Published: May 18, 1998. Publicly Released: Jun 22, 1998.
Pursuant to a congressional request, GAO reviewed how the Health Care Financing Administration's (HCFA) revised payment policies would affect Medicare beneficiaries and program costs, focusing on the: (1) Medicare recipients, places of service, and providers who might be affected most; (2) number of services that would be affected by the changed policy; and (3) effect on Medicare's program costs.G...