Medicaid (61 - 70 of 270 items)
Highlights of a GAO Symposium: Addressing Key Challenges in an Intergovernmental Setting
GAO-03-365SP: Published: Mar 31, 2003. Publicly Released: Mar 31, 2003.
Responding to many of the nation's critical challenges--such as meeting the health care needs of the poor or countering terrorist threats--has been the joint responsibility of all levels of government. The effectiveness of federal programs has increasingly become dependent on state and local management and resources, as well as constructive interactions between federal, state, and local actors, in...
Medicaid and SCHIP: States Use Varying Approaches to Monitor Children's Access to Care
GAO-03-222: Published: Jan 14, 2003. Publicly Released: Feb 14, 2003.
Over 25 million children have health insurance coverage through Medicaid or the State Children's Health Insurance Program (SCHIP). Coverage alone, however, does not guarantee that services will be available or that children will receive needed care. GAO was asked to evaluate states' efforts to facilitate and monitor access to primary and preventive services for children in these jointly funded fed...
Nursing Homes: Quality of Care More Related to Staffing than Spending
GAO-02-431R: Published: Jun 13, 2002. Publicly Released: Jul 15, 2002.
Costs for nursing home care have almost doubled since 1990, from $53 billion to $92 billion in 2000. Much of that spending has been financed with public monies. Under the Medicare and Medicaid programs, the federal government financed 39 percent of the nation's nursing home spending in 2000, up from 28 percent in 1990. As federal outlays have grown, Congress has focused attention on the quality of...
Medicaid: Stronger Efforts Needed to Ensure Children's Access to Health Screening Services
GAO-01-749: Published: Jul 13, 2001. Publicly Released: Aug 13, 2001.
The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program calls for states to provide children and adolescents under age 21 with access to comprehensive, periodic evaluations of health, development, and nutritional status, as well as vision, hearing, and dental services. There is concern that state Medicaid programs are not doing an adequate job of screening children for medical...
Health Care: Consultants' Billing Advice May Lead to Improperly Paid Insurance Claims
GAO-01-818: Published: Jun 27, 2001. Publicly Released: Jun 27, 2001.
This report investigates health care consultants who conduct seminars or workshops that offer advice to health care providers on ways to enhance revenue and avoid audits or investigations. GAO attended several seminars and workshops offered by these consultants. GAO sought to determine whether the consultants were providing advice that could result in improper or excessive claims to Medicare, Medi...
Health Care Financing Administration: Medicare Program--Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2001 Rates
OGC-00-56: Published: Aug 15, 2000. Publicly Released: Aug 15, 2000.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on hospital inpatient payment systems and rates. GAO noted that: (1) the final rule revises the Medicare hospital inpatient prospective payment systems for operating costs and capital-related costs to implement changes arising from HCFA's continuing experience with the systems; and (2) HC...
Health Care Fraud: Schemes to Defraud Medicare, Medicaid, and Private Health Care Insurers
T-OSI-00-15: Published: Jul 25, 2000. Publicly Released: Jul 25, 2000.
Pursuant to a congressional request, GAO discussed the various schemes used to defraud the Medicare and Medicaid programs and private insurance companies and how the proposed legislation contained in H.R. 3461 and S.1231 could strenghten federal and state health care programs.GAO noted that: (1) in the rent-a-patient scheme, organizations pay for--or "rent"--individuals to go to clinics for unnece...
Children With Disabilities: Medicaid Can Offer Important Benefits and Services
T-HEHS-00-152: Published: Jul 12, 2000. Publicly Released: Jul 12, 2000.
Pursuant to a congressional request, GAO discussed the feasibility of allowing some families with children with disabilities to purchase Medicaid coverage, focusing on: (1) what role Medicaid plays in providing health care coverage for children with disabilities; (2) the extent to which private insurance offers coverage of needed services for children with disabilities; and (3) the benefits and se...
Ryan White Care Act: Opportunities to Enhance Funding Equity
T-HEHS-00-150: Published: Jul 11, 2000. Publicly Released: Jul 11, 2000.
Pursuant to a congressional request, GAO discussed ways to distribute Ryan White Comprehensive AIDS Resources Emergency (CARE) Act funds to states and localities, focusing on the: (1) potential for distributing funds on the basis of counts of persons with human immunodeficiency virus (HIV) infection in each geographic area rather than on counts of only persons whose disease has progressed to acqui...
HIV/AIDS: Use of Ryan White CARE Act and Other Assistance Grant Funds
HEHS-00-54: Published: Mar 1, 2000. Publicly Released: Mar 23, 2000.
Pursuant to a congressional request, GAO provided information on three federal human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) programs--the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 (CARE Act), the Centers for Disease Control and Prevention's (CDC) HIV/AIDS prevention grants, and the Department of Housing and Urban Development's Housing Opportunities...