Health insurance (31 - 40 of 664 items)
Medicaid: Additional Federal Action Needed to Further Improve Third-Party Liability Efforts
GAO-15-208: Published: Jan 28, 2015. Publicly Released: Feb 10, 2015.
Based on responses to the 2012 U.S. Census Bureau's American Community Survey (ACS)—the most recent available at the time the work was conducted—GAO estimates that 7.6 million Medicaid enrollees (13.4 percent) had private health insurance in 2012. The estimated prevalence of private health insurance varied among Medicaid eligibility categories, which may differ with respect to Medicaid benefit...
Medicaid: Federal Funds Aid Eligibility IT System Changes, but Implementation Challenges Persist
GAO-15-169: Published: Dec 12, 2014. Publicly Released: Dec 12, 2014.
Reported spending across all 50 states and the District of Columbia totaled more than $1.8 billion for Medicaid 90/10 funds—funds for eligibility information technology (IT) system changes—through September 30, 2014. Spending has grown steadily, with the most significant increases over the most recent quarters. According to the Centers for Medicare & Medicaid Services (CMS), 34 states used 90/...
Children's Health Insurance: Cost, Coverage, and Access Considerations for Extending Federal Funding
GAO-15-268T: Published: Dec 3, 2014. Publicly Released: Dec 3, 2014.
Over the last 17 years, the State Children's Health Insurance Program (CHIP)—a federal-state program that provides coverage to about 8 million low-income children—has played an important role in providing health insurance coverage for children who would otherwise be uninsured. The Patient Protection and Affordable Care Act (PPACA) created alternative coverage options with the establishment of...
Private Health Insurance: Concentration of Enrollees among Individual, Small Group, and Large Group Insurers from 2010 through 2013
GAO-15-101R: Published: Dec 1, 2014. Publicly Released: Dec 1, 2014.
The Patient Protection and Affordable Care Act (PPACA) requires GAO to study competition and market concentration in the health insurance market. For this study, we examined individual, small group, and large group health insurance markets prior to the implementation of key PPACA provisions that went into effect in 2014 and that could affect competition and market concentration among health insure...
Small Business Health Insurance Exchanges: Low Initial Enrollment Likely due to Multiple, Evolving Factors
GAO-15-58: Published: Nov 13, 2014. Publicly Released: Nov 13, 2014.
Though all of the Small Business Health Options Programs (SHOPs) required by the Patient Protection and Affordable Care Act were operational, many features were not yet available and enrollment was low as of June 2014. According to the Centers for Medicare & Medicaid Services (CMS), the agency that oversees the SHOPs, all 33 of the SHOPs run by CMS (federally facilitated, or FF-SHOPs) and 14 of th...
Private Health Insurance: The Range of Base Premiums in the Individual Market by County in January 2013
GAO-14-772R: Published: Sep 5, 2014. Publicly Released: Oct 6, 2014.
GAO is reporting the range of base premiums prior to underwriting for individual market health insurance plans as displayed on the HealthCare.gov Plan Finder in January 2013 for every county in each of the 50 states and the District of Columbia. The base premiums reflected information from data submitted by insurers to the...
Patient Protection and Affordable Care Act: Largest Issuers of Health Coverage Participated in Most Exchanges, and Number of Plans Available Varied
GAO-14-657: Published: Aug 29, 2014. Publicly Released: Sep 29, 2014.
Most of the largest issuers of health coverage from 2012 participated in the exchanges that the Patient Protection and Affordable Care Act (PPACA) required be established in all states in 2014. Previously, in 2012, while a large number of issuers participated in state individual and small-group markets, a small number of these participating issuers held a majority of the market share in terms of e...
Patient Protection and Affordable Care Act: Procedures for Reporting Certain Financial Management Information Should Be Improved
GAO-14-697: Published: Sep 22, 2014. Publicly Released: Sep 22, 2014.
The Department of Health and Human Service's (HHS) Centers for Medicare and Medicaid Services (CMS) provided GAO with most of the requested data regarding financial resources that the Center for Consumer Information and Insurance Oversight (CCIIO) and other CMS offices received, used, and expect to use to implement the private health insurance and health insurance exchange provisions of the Patien...
Healthcare.gov: Actions Needed to Address Weaknesses in Information Security and Privacy Controls
GAO-14-730: Published: Sep 16, 2014. Publicly Released: Sep 16, 2014.
Many systems and entities exchange information to carry out functions that support individuals' ability to use Healthcare.gov to compare, select, and enroll in private health insurance plans participating in the federal marketplaces, as required by the Patient Protection and Affordable Care Act (PPACA). The Centers for Medicare & Medicaid Services (CMS) has overall responsibility for key federal s...
Health Insurance Exchanges: Coverage of Non-excepted Abortion Services by Qualified Health Plans
GAO-14-742R: Published: Sep 15, 2014. Publicly Released: Sep 16, 2014.
Under the Patient Protection and Affordable Care Act (PPACA), insurance plans offered in health insurance exchanges—known as qualified health plans (QHP)—may cover abortion services as a benefit consistent with federal and state law. Federal law applicable to QHPs for the 2014 benefit year prohibits the use of federal funds made available to offset the cost of QHP coverage to pay for abortion...