Medicaid (81 - 90 of 228 items)
Long-Term Care Insurance: Better Information Critical to Prospective Purchasers
T-HEHS-00-196: Published: Sep 13, 2000. Publicly Released: Sep 13, 2000.
Pursuant to a congressional request, GAO discussed the challenges the baby boom generation and society face in planning for and financing its future long-term care needs, and the role that private long-term care insurance may play in meeting those challenges, focusing on: (1) the increased demand the baby boom generation will likely create for long-term care; (2) an overview of current spending fo...
Medicare: HCFA Could Do More to Identify and Collect Overpayments
HEHS/AIMD-00-304: Published: Sep 7, 2000. Publicly Released: Sep 7, 2000.
Pursuant to a congressional request, GAO provided information on efforts to recover Medicare's overpayments, focusing on: (1) how the Health Care Financing Administration (HCFA) and its contractors identify potential overpayments, and whether techniques used by recovery auditors would improve overpayment identification; (2) how well HCFA and its contractors collect overpayments once they are ident...
Medicaid: State Financing Schemes Again Drive Up Federal Payments
T-HEHS-00-193: Published: Sep 6, 2000. Publicly Released: Sep 6, 2000.
Pursuant to a congressional request, GAO discussed the federal government's role in helping pay for Medicaid, focusing on how: (1) the current financing scheme works; and (2) it compromises the agreement for federal/state sharing of Medicaid financing.GAO noted that: (1) the current scheme inappropriately increases federal Medicaid payments by paying certain providers more than they would normally...
Prescription Drugs: Expanding Access to Federal Prices Could Cause Other Price Changes
HEHS-00-118: Published: Aug 7, 2000. Publicly Released: Sep 6, 2000.
Pursuant to a congressional request, GAO provided information on the expansion of Medicare beneficiaries' access to prescription drugs, focusing on the: (1) federal drug price discounts available to federal and nonfederal purchasers and the size of those discounts; and (2) potential effects that extending such discounts to nonfederal purchasers may have on outpatient drug prices paid by federal an...
Department of Health and Human Services, Health Care Financing Administration: Medicare Program--Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities--Update
OGC-00-58: 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 Medicare payments and consolidated billing for skilled nursing facilities. GAO noted that: (1) the rule sets forth the updates required in section 1888(e) of the Social Security Act, as amended by the Medicare, Medicaid and State Children's Health Insurance Program Balanced Budget Refi...
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...
Medicaid: HCFA and States Could Work Together to Better Ensure the Integrity of Providers
T-HEHS-00-159: Published: Jul 18, 2000. Publicly Released: Jul 18, 2000.
Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) efforts to better ensure the integrity of providers who bill the Medicaid program, focusing on: (1) why it is important to take steps to ensure that only honest providers bill federal health care programs; (2) what Medicare is doing to strengthen its provider enrollment process; (3) what states are...
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...
Medicare: 21st Century Challenges Prompt Fresh Thinking About Program's Administrative Structure
T-HEHS-00-108: Published: May 4, 2000. Publicly Released: May 4, 2000.
Pursuant to a congressional request, GAO discussed ways to improve the administration of the Medicare program, focusing on the: (1) issues the Health Care Financing Administration (HCFA) faces in administering the Medicare program; and (2) extent to which proposed reforms or alternative models might address these issues.GAO noted that: (1) Medicare is an inherently difficult program to manage, reg...
Medicaid and SCHIP: Comparisons of Outreach, Enrollment Practices, and Benefits
HEHS-00-86: Published: Apr 14, 2000. Publicly Released: Apr 26, 2000.
Pursuant to a congressional request, GAO reviewed the Medicaid program and State Children's Health Insurance Program (SCHIP), focusing on the differences between both programs with regard to outreach, application and eligibility determination, screening and enrollment, and benefits.GAO noted that: (1) across GAO's sample of 10 states, Medicaid and SCHIP programs are similar in terms of their outre...