Employee medical benefits (21 - 30 of 92 items)
Medicaid: Three States' Experiences in Buying Employer-Based Health Insurance
HEHS-97-159: Published: Jul 25, 1997. Publicly Released: Aug 26, 1997.
Pursuant to a congressional request, GAO examined selected states considered to be successful in implementing section 1906 of the Social Security Act, focusing on: (1) the extent to which these states are purchasing employer-based health insurance for Medicaid-eligible individuals and achieving budgetary savings, as well as the potential for greater savings; (2) the cost-effectiveness criteria the...
Private Health Insurance: Continued Erosion of Coverage Linked to Cost Pressures
HEHS-97-122: Published: Jul 24, 1997. Publicly Released: Jul 24, 1997.
Pursuant to a congressional request, GAO reviewed major trends in the private health insurance market, during the 1980s and 1990s, focusing on: (1) the decline in private health insurance coverage and factors contributing to this decline; (2) trends in health insurance premiums and reasons for these trends; and (3) employer's efforts to control health benefits costs.GAO noted that: (1) private hea...
Health Insurance: Management Strategies Used by Large Employers to Control Costs
HEHS-97-71: Published: May 6, 1997. Publicly Released: May 14, 1997.
Pursuant to a congressional request, GAO reviewed the strategies of large, innovative purchasers who have attempted to stem the rapid escalation in health insurance costs while maintaining or enhancing the quality of care for their employees.GAO noted that: (1) several dominant themes emerged from GAO's examination of 25 large purchasers' health benefit purchasing strategies: (a) emphasis on the d...
Medicare HMO Enrollment: Area Differences Affected by Factors Other Than Payment Rates
HEHS-97-37: Published: May 2, 1997. Publicly Released: May 2, 1997.
Pursuant to a congressional request, GAO reviewed the factors affecting Medicare risk health maintenance organization (HMO) enrollment, focusing on: (1) the patterns in HMO enrollment and Medicare payment rates; (2) selected geographical areas with higher enrollment, lower payment rates and areas with lower enrollment, higher payment rates; and (3) how the presence or absence of certain factors co...
Employment-Based Health Insurance: Costs Increase and Family Coverage Decreases
HEHS-97-35: Published: Feb 24, 1997. Publicly Released: Mar 21, 1997.
Pursuant to a congressional request, GAO provided information on the decline in employment-based health insurance, focusing on: (1) recent trends in employment-based private health insurance, particularly for family coverage; (2) any corresponding changes in the number of adults and children with private insurance coverage as dependents; and (3) the potential effect of these changes, if any, on pu...
Medicare HMOs: Potential Effects of a Limited Enrollment Period Policy
HEHS-97-50: Published: Feb 28, 1997. Publicly Released: Mar 5, 1997.
Pursuant to a congressional request, GAO reviewed how a limited enrollment period would affect the Medicare program, private health plans, beneficiaries, and employers who provide Medicare supplemental benefits to retirees, focusing on: (1) the growth of Medicare's managed care program; (2) employers' attempts to administer their respective benefits seasons; (3) taxpayer savings measured against b...
Pharmacy Benefit Managers: FEHBP Plans Satisfied with Savings and Services, but Retail Pharmacies Have Concerns
HEHS-97-47: Published: Feb 21, 1997. Publicly Released: Feb 21, 1997.
Pursuant to a congressional request, GAO reviewed the Federal Employees Health Benefits Program's (FEHBP) pharmacy benefits, focusing on: (1) why FEHBP plans have contracted with pharmacy benefit managers (PBM) to provide pharmacy benefits; (2) what types of services and savings the PBMs provide FEHBP plans; (3) how FEHBP plans evaluate PBM customer service; and (4) retail pharmacists' concerns ab...
Health Insurance Regulation: Varying State Requirements Affect Cost of Insurance
HEHS-96-161: Published: Aug 19, 1996. Publicly Released: Sep 23, 1996.
Pursuant to a congressional request, GAO provided information on the costs of state health insurance requirements, focusing on: (1) premium taxes on insured health plans; (2) mandated health benefits; (3) financial solvency standards; and (4) state health insurance reforms affecting small employers.GAO found that: (1) state health insurance regulation imposes requirements and costs on third-party...
Blue Cross and Blue Shield: Change in Pharmacy Benefits Affects Federal Enrollees
T-HEHS-96-206: Published: Sep 5, 1996. Publicly Released: Sep 5, 1996.
GAO discussed the Blue Cross and Blue Shield Association's change in prescription drug benefits covered under its federal employee health plan. GAO noted that: (1) the Association's payments for prescription drugs increased about 21 percent between 1988 and 1995; (2) to manage costs, the Association contracted with two pharmacy benefit managers (PBM) to provide retail prescription and mail order d...
Blue Cross FEHBP Pharmacy Benefits
HEHS-96-182R: Published: Jul 19, 1996. Publicly Released: Aug 9, 1996.
Pursuant to a congressional request, GAO provided information on the Blue Cross and Blue Shield Association's two pharmacy benefit managers and the services they provide to federal employee benefit plans. GAO noted that: (1) to control drug costs, the Association is requiring Medicare Part B participants to pay the standard copayment for drugs bought at participating retail pharmacies, but it is w...