Insurance regulation (11 - 20 of 70 items)
Private Health Insurance: Access to Individual Market Coverage May Be Restricted for Applicants with Mental Disorders
GAO-02-339: Published: Feb 28, 2002. Publicly Released: Mar 28, 2002.
Five percent of adults suffer from serious mental disorders. Although health insurance carriers in a few states guarantee coverage for mental health treatment, in most states individuals with mental disorders face restrictions in purchasing private health insurance for themselves and their families. Eleven states require carriers to accept all applicants regardless of health status, but coverage o...
Private Health Insurance: Federal Role in Enforcing New Standards Continues to Evolve
GAO-01-652R: Published: May 7, 2001. Publicly Released: May 7, 2001.
In recent years, Congress passed the Health Insurance Portability and Accountability Act (HIPAA) and three subsequent laws that create new federal standards for private health insurance which covers nearly 175 million Americans under the age of 65. These laws include standards guaranteeing access to health insurance for small employers and individuals with existing health conditions as well as req...
Mental Health Parity Act: Despite New Federal Standards, Mental Health Benefits Remain Limited
HEHS-00-95: Published: May 10, 2000. Publicly Released: May 18, 2000.
Pursuant to a congressional request, GAO reviewed the implementation of the Mental Health Parity Act of 1996, focusing on the: (1) extent to which employers comply with the law and how they have revised their health plans; (2) law's effect on claims costs; and (3) steps federal agencies have taken to ensure compliance with the law.GAO noted that: (1) 86 percent of the responding employers in the 2...
Implementation of HIPAA: Progress Slow in Enforcing Federal Standards in Nonconforming States
HEHS-00-85: Published: Mar 31, 2000. Publicly Released: Apr 25, 2000.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) enforcement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), focusing on: (1) HCFA's progress in enforcing HIPAA and related laws in states lacking conforming statutes; (2) HCFA's role in enforcing HIPAA for state and local government health plans; and (3) the status of pe...
Medigap: Premiums for Standardized Plans that Cover Prescription Drugs
HEHS-00-70R: Published: Mar 1, 2000. Publicly Released: Mar 1, 2000.
Pursuant to a congressional request, GAO provided information on Medicare supplemental insurance (Medigap) premiums for standard plans that provide outpatient prescription drug coverage, focusing on: (1) a description of the benefits under the standard plans; and (2) average premiums, which reflect insurance company reporting practices as well as different state regulations.GAO noted that: (1) GAO...
Children's Health Insurance Program: State Implementation Approaches Are Evolving
HEHS-99-65: Published: May 14, 1999. Publicly Released: Jun 14, 1999.
Pursuant to a congressional request, GAO provided information on the implementation of the State Children's Health Insurance Program (SCHIP), focusing on states': (1) initial SCHIP design choices, including the use of the statutory flexibility to design their programs; (2) pursuit of statutory options, particularly extending coverage to adults in families with children; (3) development of innovati...
Private Health Insurance: Progress and Challenges in Implementing 1996 Federal Standards
HEHS-99-100: Published: May 12, 1999. Publicly Released: Jun 11, 1999.
Pursuant to a congressional request, GAO provided information on: (1) the implementation status of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) provisions in the group insurance market; (2) the price of coverage for certain individuals losing group insurance; (3) the extent of consumer understanding of HIPAA as well as federal, state, and private efforts undertaken to ed...
Private Health Insurance: HCFA Cautious in Enforcing Federal HIPAA Standards in States Lacking Conforming Laws
HEHS-98-217R: Published: Jul 22, 1998. Publicly Released: Jul 27, 1998.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) regulatory enforcement of federal Health Insurance Portability and Accountability Act (HIPAA) standards in states lacking conforming laws, focusing on the: (1) tasks required of HCFA to assume the role of insurance regulator for HIPAA provisions in states lacking conforming laws and the extent to wh...
HCFA: Medicare Program--Establishment of the Medicare+Choice Program
OGC-98-60: Published: Jul 13, 1998. Publicly Released: Jul 13, 1998.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on the establishment of the Medicare Plus Choice program. GAO noted that: (1) the rule would implement provisions of the Balanced Budget Act of 1997 which established a new Medicare Plus Choice program that significantly expands the health care options available to Medicare beneficiaries;...
Private Health Insurance: Employer Coverage Trends Signal Possible Decline in Access for 55- to 64-Year-Olds
T-HEHS-98-199: Published: Jun 25, 1998. Publicly Released: Jun 25, 1998.
Pursuant to a congressional request, GAO discussed access to health insurance by near-elderly Americans aged 55 to 64, focusing on the near elderly's: (1) health, employment, income, and health insurance status; (2) ability to obtain employer-based health insurance if they retire before they are eligible for Medicare; and (3) access to individually purchased coverage or employer-based continuation...