State-administered programs (71 - 80 of 119 items)
Medicaid: Divestiture of Assets to Qualify for Long-Term Care Services
HEHS-97-185R: Published: Jul 28, 1997. Publicly Released: Jul 28, 1997.
Pursuant to a congressional request, GAO reviewed the prevalence of asset transfers to qualify for Medicaid benefits. GAO also responded to specific questions regarding the new criminal provision of the Health Insurance Portability and Accountability Act.GAO noted that: (1) it is difficult to determine from available studies the prevalence of divestitures that are made with the purpose of becoming...
Medicaid: Disproportionate Share Hospital Payments to Institutions for Mental Diseases
HEHS-97-181R: Published: Jul 15, 1997. Publicly Released: Jul 15, 1997.
GAO provided information on disproportionate share hospital (DSH) programs that provide funds to institutions for mental diseases in selected states.GAO noted that: (1) its work to date indicates that the 1993-1995 growth in mental health DSH payments pre dates full implementation of the hospital-specific caps mandated by the Omnibus Budget Reconciliation Act (OBRA) of 1993; (2) in 1996, both tota...
Health Financing and Systems Issues Issue Area Plan--Fiscal Years 1998-2000
IAP-97-13: Published: Jul 1, 1997. Publicly Released: Jul 1, 1997.
GAO provided information on its Health Financing and Systems issue area plan for fiscal years 1998 to 2000.GAO plans to examine: (1) actions to improve the management and financial integrity of the Medicare and Medicaid programs; (2) new strategies for paying for Medicare and Medicaid services that promote cost containment while preserving quality and access; (3) how financing arrangements affect...
Medicaid: Sustainability of Low 1996 Spending Growth Is Uncertain
HEHS-97-128: Published: Jun 27, 1997. Publicly Released: Jun 27, 1997.
Pursuant to a congressional request, GAO reviewed Medicaid's spending growth rate, focusing on: (1) the dominant factors affecting trends in Medicaid spending growth from fiscal years 1989 to 1995; (2) key factors that contributed to the low spending growth rate for fiscal year (FY) 1996 and variations in states' Medicaid spending growth for the most recent 2-year period; and (3) the implication o...
Medicaid Managed Care: Challenge of Holding Plans Accountable Requires Greater State Effort
HEHS-97-86: Published: May 16, 1997. Publicly Released: Jun 16, 1997.
Pursuant to a congressional request, GAO reviewed state efforts to hold managed care plans accountable for meeting Medicaid program goals and for providing beneficiaries enrolled in capitated managed care plans the care they need, focusing on state efforts to: (1) ensure Medicaid beneficiaries have access to appropriate providers; (2) assess the adequacy of medical care provided through contracted...
Medicaid Matching Formula: Effects of Need Indicators on New York's Funding
HEHS-97-152R: Published: Jun 9, 1997. Publicly Released: Jun 9, 1997.
Pursuant to a congressional request, GAO provided an analysis of what New York's federal Medicaid matching percentage and funding would have been if the current matching formula had included certain factors that affect state financing burdens, such as the number of people in poverty and the cost of health care services.GAO noted that: (1) it estimated that, had the Medicaid matching formula reflec...
Medicaid Fraud and Abuse: Stronger Action Needed to Remove Excluded Providers From Federal Health Programs
HEHS-97-63: Published: Mar 31, 1997. Publicly Released: Apr 30, 1997.
Pursuant to a congressional request, GAO reviewed the Department of Health and Human Services (HHS) Inspector General's (OIG) process for excluding providers from federal health care programs.GAO noted that: (1) over the years, the OIG, working with state agencies, has excluded thousands of providers from participating in federal health care programs because of health care fraud, abuse, or quality...
Medicare and Medicaid: Meeting Needs of Dual Eligibles Raises Difficult Cost and Care Issues
T-HEHS-97-119: Published: Apr 29, 1997. Publicly Released: Apr 29, 1997.
Pursuant to a congressional request, GAO discussed several issues that arise in financing health care for people known as dual eligibles, Medicare beneficiaries who are also eligible for some form of Medicaid support, focusing on: (1) the health characteristics of those who are eligible for both Medicare and Medicaid and the key structural differences between the two programs that serve this popul...
Health Financing and Systems Issue Area: Active Assignments
AA-97-15(2): Published: Apr 15, 1997. Publicly Released: Apr 15, 1997.
GAO provided information on its active assignments in the Health Financing and Systems issue area as of April 15, 1997...
Medicaid: Graduate Medical Education Payments
HEHS-97-77R: Published: Mar 3, 1997. Publicly Released: Apr 2, 1997.
Pursuant to a congressional request, GAO provided information on: (1) existing studies that estimate overall Medicaid expenditures for graduate medical education (GME); (2) the amount of Medicaid GME payments for the 10 states with the largest overall Medicaid expenditures, and the basis for determining these payments; and (3) how Medicaid and Medicare coordinate their GME payments to avoid duplic...