Health care cost control (41 - 50 of 194 items)
Skilled Nursing Facilities: Providers Have Responded to Medicare Payment System By Changing Practices
GAO-02-841: Published: Aug 23, 2002. Publicly Released: Aug 23, 2002.
In 1998, the Health Care Financing Administration implemented a prospective payment system (PPS) for skilled nursing facility (SNF) services provided to Medicare beneficiaries. PPS is intended to control the growth in Medicare spending for skilled nursing and rehabilitative services that SNFs provide. Two years after the implementation of PPS, the mix of patients across the categories of payment g...
VA Health Care: Changes Needed to Improve Resource Allocation to Health Care Networks
GAO-02-744T: Published: May 14, 2002. Publicly Released: May 14, 2002.
The Department of Veterans Affairs (VA) spent $21 billion in fiscal year 2001 to treat 3.8 million veterans--most of whom had service-connected disabilities or low incomes. Since 1997, VA has used the Veterans Equitable Resource Allocation (VERA) system to allocate most of its medical care appropriation. GAO found that VERA has had a substantial impact on network resource allocations and workloads...
Skilled Nursing Facilities: Services Excluded From Medicare's Daily Rate Need to be Reevaluated
GAO-01-816: Published: Aug 22, 2001. Publicly Released: Aug 22, 2001.
Congress and the Health Care Financing Administration recognized that certain services needed to be excluded from the skilled nursing facility (SNF) prospective payment system (PPS) rate to help ensure beneficiary access to appropriate care and to financially protect the SNFs that take care of high-cost patients. The criteria used to identify services--high cost, infrequently provided during a SNF...
Medigap Insurance: Plans Are Widely Available but Have Limited Benefits and May Have High Costs
GAO-01-941: Published: Jul 31, 2001. Publicly Released: Jul 31, 2001.
To protect themselves against large out-of-pocket expenses and help fill gaps in Medicare coverage, most beneficiaries buy supplemental insurance, known as Medigap; contribute to employer-sponsored health benefits to supplement Medicare coverage; or enroll in private Medicare+Choice plans rather than traditional fee-for-service Medicare. Because Medicare+Choice plans are not available everywhere...
Defense Health Care: Across-the-Board Physician Rate Increases Would be Costly and Unnecessary
GAO-01-620: Published: May 24, 2001. Publicly Released: May 24, 2001.
This report describes the financial and management impact of increasing physician reimbursement rates in TRICARE -- the military's managed health care program. GAO found that changing the TRICARE reimbursement rate nationally to the 70th percentile of billed charges would be costly, inflationary, and largely unnecessary. Such an increase could cost the Defense Department (DOD) and its beneficiarie...
Federal Prisons: Responses to Questions Related to Containing Health Care Costs for an Increasing Inmate Population
GGD-00-160R: Published: Jun 14, 2000. Publicly Released: Jul 14, 2000.
Pursuant to a congressional request, GAO responded to congressional questions on its April 6, 2000, testimony on the Bureau of Prisons (BOP) efforts to contain the costs of providing health care to inmates, focusing on whether: (1) requiring a copayment would reduce the number of prisoners seeking medical care in order to get out of work or other duties; (2) recent BOP initiatives have helped redu...
DOD and VA Health Care: Jointly Buying and Mailing Out Pharmaceuticals Could Save Millions of Dollars
T-HEHS-00-121: Published: May 25, 2000. Publicly Released: May 25, 2000.
Pursuant to a congressional request, GAO discussed what the Department of Veterans Affairs (VA) and Department of Defense (DOD) have done and what more they could do to reduce drug prices and dispensing costs, focusing on the: (1) extent of joint DOD and VA drug contracting thus far and the prospects for further contracting; (2) prospects of DOD using VA's consolidated mail outpatient pharmacy (CM...
Federal Prisons: Containing Health Care Costs for an Increasing Inmate Population
T-GGD-00-112: Published: Apr 6, 2000. Publicly Released: Apr 6, 2000.
Pursuant to a congressional request, GAO discussed health care costs at the federal Bureau of Prisons (BOP), focusing on: (1) trends in BOP health care costs from fiscal year (FY) 1990 through FY 1999; (2) BOP initiatives to contain rising medical costs; and (3) legislative and administrative options for helping to contain health care costs.GAO noted that: (1) in conjunction with a rising federal...
VA Health Care: VA's Management of Drugs on Its National Formulary
HEHS-00-34: Published: Dec 14, 1999. Publicly Released: Dec 14, 1999.
Pursuant to a congressional request, GAO reviewed how the Department of Veterans' Affairs' (VA) manages its national formulary and how drugs other than those on the formulary are made available to veterans.GAO noted that: (1) VA's national formulary is administered by the Pharmacy Benefits Management Strategic Healthcare Group (PBM), a strategy modeled after one commonly used in private health car...
Veterans' Health Care: Fiscal Year 2000 Budget
HEHS-99-189R: Published: Sep 14, 1999. Publicly Released: Sep 14, 1999.
Pursuant to a congressional request, GAO provided information on the Veterans Health Administration's (VHA) plans to spend an additional $900 million requested for veterans' medical care and the likelihood of VHA's achieving its proposed management efficiency savings.GAO noted that: (1) VHA intends to spend an additional $900 million appropriation for expenditures that were originally to be financ...