Health insurance cost control (81 - 90 of 407 items)
Medicare: Program Safeguard Activities Expand, but Results Difficult to Measure
HEHS-99-165: Published: Aug 4, 1999. Publicly Released: Aug 4, 1999.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) efforts to safeguard Medicare payments, focusing on: (1) how Medicare program safeguard activities have changed from fiscal years (FY) 1995 to 1999 and what changes are planned for FY 2000; (2) HCFA's actions to better manage its program safeguard activities, which respond to key findings from GAO's...
Medicare Subvention: Challenges and Opportunities Facing a Possible VA Demonstration
T-HEHS/GGD-99-159: Published: Jul 1, 1999. Publicly Released: Jul 1, 1999.
Pursuant to a congressional request, GAO discussed the Department of Veterans Affairs (VA) Medicare subvention demonstration proposal, focusing on: (1) comparing the 1998 House Ways and Means Committee bill on VA subvention with the Senate Finance Committee proposal; (2) the unique characteristics of VA health care that bear on subvention; and (3) the lessons learned from the design and early impl...
Medicare: Considerations for Adding a Prescription Drug Benefit
T-HEHS-99-153: Published: Jun 23, 1999. Publicly Released: Jun 23, 1999.
Pursuant to a congressional request, GAO discussed: (1) the factors contributing to the growth in prescription drug spending for both the general population and Medicare beneficiaries and efforts to control that growth; and (2) benefit design and implementation issues to be considered in deliberations about adding a new prescription drug benefit to the Medicare Program.GAO noted that: (1) proposal...
Medicare+Choice: Reforms Have Reduced, but Likely Not Eliminated, Excess Plan Payments
HEHS-99-144: Published: Jun 18, 1999. Publicly Released: Jun 22, 1999.
Pursuant to a congressional request, GAO reviewed concerns surrounding the Balanced Budget Act's (BBA) health plan payment changes, focusing on: (1) the extent to which health plans provide additional benefits and whether they could continue to provide additional benefits if payments were reduced; (2) the evidence regarding managed care's effect on Medicare spending; and (3) whether BBA provisions...
Private Health Insurance: Impact of Premium Increases on Number of Covered Individuals Is Uncertain
T-HEHS-99-147: Published: Jun 11, 1999. Publicly Released: Jun 11, 1999.
Pursuant to a congressional request, GAO discussed the impact of private health insurance premium increases on the number of covered individuals, focusing on: (1) the trends in employers' decisions to offer insurance and employees' decisions to purchase it; (2) an assessment of recent studies that have estimated the relationship between premium increases and insurance coverage; and (3) conditions...
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...
VA Health Care: Third-Party Charges Based on Sound Methodology; Implementation Challenges Remain
HEHS-99-124: Published: Jun 11, 1999. Publicly Released: Jun 11, 1999.
Pursuant to a legislative requirement, GAO provided information on the Department of Veterans Affairs' (VA) third party charges, focusing on: (1) the soundness of VA's methodology for setting reasonable charges for inpatient facility, skilled nursing, outpatient facility, physician, and nonphysician services; and (2) potential effects of the new charge-based system on VA, insurers, and veterans.GA...
Medicare+Choice: Impact of 1997 Balanced Budget Act Payment Reforms on Beneficiaries and Plans
T-HEHS-99-137: Published: Jun 9, 1999. Publicly Released: Jun 9, 1999.
Pursuant to a congressional request, GAO discussed on the impact of payment reforms in the Balanced Budget Act of 1997 (BBA) on the Medicare Choice program.GAO noted that: (1) the net effect of BBA payment revisions has been to reduce but not fully eliminate excess payments to health plans; (2) some of the provisions, such as the reduced annual updates, have already been implemented, while others,...
Medicare: Options for Reform
T-HEHS-99-130: Published: May 26, 1999. Publicly Released: May 26, 1999.
Pursuant to a congressional request, GAO discussed efforts to reform the Medicare program, focusing on: (1) a conceptual framework for considering the various possible combinations of reform options; and (2) lessons about implementing reforms learned from recent Medicare experience.GAO noted that: (1) options to reform Medicare have two major dimensions: (a) expansion of Medicare's benefit package...
Medicare Subvention Demonstration: DOD Experience and Lessons for Possible VA Demonstration
T-HEHS/GGD-99-119: Published: May 4, 1999. Publicly Released: May 4, 1999.
Pursuant to a congressional request, GAO discussed the Department of Defense's (DOD) Medicare subvention demonstration program, focusing on: (1) the early phases of implementing the DOD demonstration; (2) issues raised by that experience for DOD subvention; and (3) lessons from the DOD demonstration for a possible Department of Veterans Affairs (VA) demonstration.GAO noted that: (1) subvention hol...