Health services administration (31 - 40 of 118 items)
Defense Health Care: Observations on Proposed Benefit Expansion and Overcoming TRICARE Obstacles
T-HEHS/NSIAD-00-129: Published: Mar 15, 2000. Publicly Released: Mar 15, 2000.
Pursuant to a congressional request, GAO discussed proposed changes and improvements to the military health system (MHS), focusing on: (1) the various proposals to expand the military health care benefit, especially those for older retirees, including describing the nature of the enhancement, the present or potential challenges in implementing these proposals, and overall cost implications; (2) th...
Medicare Financial Management: Further Improvements Needed to Establish Adequate Financial Control and Accountability
T-AIMD-00-118: Published: Mar 15, 2000. Publicly Released: Mar 15, 2000.
Pursuant to a congressional request, GAO discussed its review of the Health Care Financing Administration's (HCFA) financial management activities for Medicare, focusing on challenges HCFA faces in establishing an adequate foundation for control and accountability over the Medicare program's financial operations.GAO noted that: (1) financial statement audits have repeatedly cited claims contractor...
Military Health Care: TRICARE's Civilian Provider Networks
HEHS-00-64R: Published: Mar 13, 2000. Publicly Released: Mar 13, 2000.
Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) managed care program, TRICARE, focusing on: (1) DOD's requirements for and oversight of network adequacy; (2) the content and methodology of DOD's July 1999 report to Congress on network adequacy; and (3) the changes to network adequacy requirements that DOD anticipates under its next round of TRICARE contracts, re...
Medicare: HCFA Faces Challenges to Control Improper Payments
T-HEHS-00-74: Published: Mar 9, 2000. Publicly Released: Mar 9, 2000.
Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) efforts to control improper payments in the Medicare program, focusing on the ongoing and emerging challenges HCFA faces in safeguarding Medicare payments.GAO noted that: (1) major information gaps exist in the Medicare program--in both traditional Medicare and Medicare Choice--that impede HCFA's a...
Medicare Reform: Leading Proposals Lay Groundwork, While Design Decisions Lie Ahead
T-HEHS/AIMD-00-103: Published: Feb 24, 2000. Publicly Released: Feb 24, 2000.
Pursuant to a congressional request, GAO discussed two leading proposals on Medicare reform: (1) the President's Plan to Modernize and Strengthen Medicare for the 21st Century; and (2) S. 1895, entitled the Medicare Preservation and Improvement Act of 1999, which is commonly referred to as the Breax-Frist proposal.GAO noted that: (1) the elements of restructuring of Medicare as proposed by the Pre...
Medicare: Program Reform and Modernization Are Needed But Entail Considerable Challenges
T-HEHS/AIMD-00-77: Published: Feb 8, 2000. Publicly Released: Feb 8, 2000.
Pursuant to a congressional request, GAO discussed efforts to reform the administration, structure, and financing of the Medicare Program.GAO noted that: (1) in addition to its sizable financial imbalance, Medicare is outmoded from a programmatic perspective; (2) to address the need for an updated benefit package and adequate tools to moderate program spending, proposals have been advanced that in...
Defense Health Care: Tri-Service Strategy Needed to Justify Medical Resources for Readiness and Peacetime Care
HEHS-00-10: Published: Nov 1, 1999. Publicly Released: Nov 1, 1999.
Pursuant to a legislative requirement, GAO provided information on the Department of Defense's (DOD) military health system (MHS), focusing on: (1) the need for national capital area (NCA) military treatment facilities (MTF) and DOD's strategy for assessing such needs; (2) identifying any obstacles hindering DOD's ability to make coherent needs assessments; and (3) whether current care coordinatio...
Medicare: Better Information Can Help Ensure That Refinements to BBA Reforms Lead to Appropriate Payments
T-HEHS-00-14: Published: Oct 1, 1999. Publicly Released: Oct 1, 1999.
Pursuant to a congressional request, GAO discussed the effects of the Balanced Budget Act of 1997 (BBA) on the Medicare program, focusing on the effects on three providers of post-acute care services--home health agencies (HHA), skilled nursing facilities (SNF), and providers of outpatient rehabilitation therapy--and on the health plans participating in the Medicare Choice program.GAO noted that:...
Defense Health Care: Appointment Timeliness Goals Not Met; Measurement Tools Need Improvement
HEHS-99-168: Published: Sep 30, 1999. Publicly Released: Sep 30, 1999.
Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) administration of its health maintenance organization, TRICARE Prime, focusing on: (1) DOD's performance in scheduling appointments; and (2) possible reasons why Prime enrollees might not obtain appointments within the appointment timeliness goals.GAO noted that: (1) after correcting definitional discrepancies in D...
Medicare Reform: Ensuring Fiscal Sustainability While Modernizing the Program Will be Challenging
T-HEHS/AIMD-99-294: Published: Sep 22, 1999. Publicly Released: Sep 22, 1999.
Pursuant to a congressional request, GAO discussed efforts to reform the administration, structure, and financing of the Medicare program.GAO noted that: (1) in March, the Bipartisan Commission on the Future of Medicare completed its deliberations; (2) reform options emerged from these discussions that touched on all aspects of the Medicare program, including: (a) modernization of the traditional...