Health services administration (81 - 90 of 118 items)
Health Services Quality and Public Health Issue Area Plan--Fiscal Years 1997-98
IAP-96-25: Published: Sep 1, 1996. Publicly Released: Sep 1, 1996.
GAO provided information on its Health Services Quality and Public Health issue area plan for fiscal years 1997 through 1998.GAO plans to: (1) identify opportunities for improving access to health care services and ensuring accountability for performance in fee-for-service and managed care systems; (2) identify opportunities for improving the quality of health care financed with federal dollars; (...
Blue Cross FEHBP Pharmacy Benefits
HEHS-96-182R: Published: Jul 19, 1996. Publicly Released: Aug 9, 1996.
Pursuant to a congressional request, GAO provided information on the Blue Cross and Blue Shield Association's two pharmacy benefit managers and the services they provide to federal employee benefit plans. GAO noted that: (1) to control drug costs, the Association is requiring Medicare Part B participants to pay the standard copayment for drugs bought at participating retail pharmacies, but it is w...
Medicaid: Waiver Program for Developmentally Disabled Is Promising But Poses Some Risks
HEHS-96-120: Published: Jul 22, 1996. Publicly Released: Jul 22, 1996.
Pursuant to a congressional request, GAO reviewed states' experiences in utilizing the Medicaid waiver program to provide care for developmentally disabled adults in alternative settings, focusing on: (1) expanding state use of the waiver program; (2) controlling long-term care costs for developmentally disabled individuals; and (3) the strengths and limitations in states' quality assurance approa...
Veterans' Health Care: Challenges for the Future
T-HEHS-96-172: Published: Jun 27, 1996. Publicly Released: Jun 27, 1996.
GAO discussed the future of the Department of Veterans Affairs' (VA) health care system. GAO noted that: (1) VA hospitals' workload has decreased 56 percent during the last 25 years and will probably decrease further as more veterans die and delivery settings and health care plans change; (2) the demand for nursing home care has increased for veterans 85 years of age and older; (3) VA and other pu...
Defense Health Care: New Managed Care Plan Progressing, but Cost and Performance Issues Remain
HEHS-96-128: Published: Jun 14, 1996. Publicly Released: Jun 14, 1996.
Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) implementation of its TRICARE managed health care program, focusing on: (1) whether early implementation produced the expected results; (2) how early outcomes may affect costs; and (3) whether DOD is capturing data needed to manage and assess TRICARE performance.GAO found that: (1) early implementation of TRICARE h...
HEHS-96-135R: Published: May 29, 1996. Publicly Released: May 29, 1996.
Pursuant to a congressional request, GAO provided information on the policies and procedures governing the participation of certain nonphysician health specialists in several federal health care programs. GAO noted that: (1) although nonphysician specialists are authorized to participate and provide services in federal health care programs, participation requirements and allowable services vary am...
Medicare: Private Payer Strategies Suggest Options to Reduce Rapid Spending Growth
T-HEHS-96-138: Published: Apr 30, 1996. Publicly Released: Apr 30, 1996.
GAO discussed strategies to curb Medicare spending, which has grown by over 10 percent a year since 1989, twice the rate of the national economy. GAO noted that: (1) Medicare has not used tools used by private health care payers to manage and improve its utilization, reimbursement, and claims policies and procedures; (2) Medicare's smaller categories of services, which are typically less managed a...
District of Columbia: Information on Health Care Costs
AIMD-96-42: Published: Apr 22, 1996. Publicly Released: Apr 22, 1996.
Pursuant to a congressional request, GAO reviewed the District of Columbia's various restructuring proposals for its health care system, focusing on the health care budget and the composition of its health care system.GAO found that: (1) the District's Department of Human Services includes the Commission on Public Health, Commission on Health Care Finance, the Commission on Mental Health Services,...
Medicare: Federal Efforts to Enhance Patient Quality of Care
HEHS-96-20: Published: Apr 10, 1996. Publicly Released: Apr 10, 1996.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) efforts to enhance the quality of care for Medicare beneficiaries, focusing on: (1) the strategies to ensure that Medicare providers furnish quality health care, in both fee-for-service providers and health maintenance organizations (HMO); and (2) experts' views on desirable attributes of a quality...
Veterans' Health Care: VA's Approaches to Meeting Veterans' Home Health Care Needs
HEHS-96-68: Published: Mar 15, 1996. Publicly Released: Mar 22, 1996.
Pursuant to a congressional request, GAO provided information on how the Department of Veterans Affairs (VA) meets veterans' home health care needs, focusing on: (1) the characteristics and services of the home health care programs VA uses; (2) the available data describing program costs; and (3) how VA ensures that veterans receive quality home care services.GAO found that: (1) most veterans rece...