Health care cost control (71 - 80 of 102 items)
Canadian Health Insurance: Lessons for the United States
T-HRD-91-35: Published: Jun 4, 1991. Publicly Released: Jun 4, 1991.
GAO discussed the implications of adopting the Canadian health insurance system for U.S. health care reform. GAO noted that: (1) if the United States adopted key features of the Canadian approach, it could offer health insurance to all residents without adding to national health expenditures; (2) Canada spent less on insurance, since its publicly financed single-payer system eliminated costs assoc...
Private Health Insurance: Problems Caused by a Segmented Market
T-HRD-91-21: Published: May 2, 1991. Publicly Released: May 2, 1991.
GAO discussed health insurance options and private health insurance reforms, focusing on the affordability and availability of such insurance for small business employees. GAO noted that: (1) about one-third of all uninsured persons work for or are dependents of those who work for small businesses; (2) small businesses typically faced restricted availability of health insurance and higher premiums...
Medicare: Variations in Payments to Anesthesiologists Linked to Anesthesia Time
HRD-91-43: Published: Apr 30, 1991. Publicly Released: Apr 30, 1991.
Pursuant to a legislative requirement, GAO reviewed anesthesia times that physicians reported to Medicare to verify their accuracy.GAO found that: (1) there was no consistent time schedule or average Medicare payment among anesthesiologists who performed identical procedures; (2) while Medicare paid other doctors based on procedure instead of time, it paid anesthesiologists based on the amount of...
U.S. Health Care Spending: Trends, Contributing Factors, and Proposals for Reform
T-HRD-91-16: Published: Apr 17, 1991. Publicly Released: Apr 17, 1991.
GAO discussed U.S. health care spending, problems of the U.S. health care system, and reform issues. GAO noted that: (1) in 1990, over 12 percent of U.S. national income went to buying health care services, and if the growth trend continues, nearly 15 percent of the gross national product will be spent on health care by 2000; (2) in 1987, U.S. corporations' employee health care costs equalled more...
Long-Term Care Insurance: Risks to Consumers Should Be Reduced
T-HRD-91-14: Published: Apr 11, 1991. Publicly Released: Apr 11, 1991.
GAO discussed long-term care insurance policies, focusing on whether: (1) states and insurers met National Association of Insurance Commissioners (NAIC) standards; (2) consumer protection issues were adequately addressed; and (3) there was a need for minimum federal standards. GAO noted that: (1) while states made substantial progress in adopting long-term care insurance standards, many states sti...
Medicare: Comparison of Two Methods of Computing Home Health Care Cost Limits
HRD-90-167: Published: Sep 28, 1990. Publicly Released: Sep 28, 1990.
Pursuant to a legislative requirement, GAO provided information on the potential effect on Medicare costs and beneficiaries of limiting home health care costs by type of visit.GAO found that: (1) Medicare home health costs would have been about $36.9 million lower from July 1, 1987, through June 30, 1988, if the cost limits had been applied by type of visit rather than in the aggregate; (2) from J...
Defense Health Care: Potential for Savings by Treating CHAMPUS Patients in Military Hospitals
HRD-90-131: Published: Sep 7, 1990. Publicly Released: Sep 7, 1990.
Pursuant to a congressional request, GAO assessed the potential for savings by adding staff and other resources at military hospitals to treat more patients, instead of paying for their care under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).GAO found that: (1) the Department of Defense (DOD) could potentially save between $18 million and $21 million if it increased...
Medicare: Second Status Report on Medicare Insured Group Demonstration Projects
HRD-90-117: Published: Jun 6, 1990. Publicly Released: Jun 6, 1990.
Pursuant to a legislative requirement, GAO reviewed the status of the Medicare Insured Groups (MIG) project.GAO found that: (1) a major utility and a life insurance company were analyzing the feasibility of using MIG to provide benefits to retirees; (2) the utility was continuing to develop its proposed method for determining Medicare payment rates, and the insurance company was still in the proce...
Medicare: Improvements Needed in the Identification of Inappropriate Hospital Care
PEMD-90-7: Published: Dec 20, 1989. Publicly Released: Dec 20, 1989.
Pursuant to a congressional request, GAO examined both Medicare and private programs' approaches to assessing the appropriateness of hospital care and reducing the level of inappropriate hospital care.GAO found that: (1) both the Medicare and private programs conducted utilization review activities, typically involving nurses' examination of medical records and referral of suspected inappropriate...
Medicare: Status Report on Medicare Insured Group Demonstration Projects
HRD-89-64: Published: Jun 27, 1989. Publicly Released: Jun 27, 1989.
Pursuant to a legislative requirement, GAO: (1) monitored the status of the Health Care Financing Administration's (HCFA) implementation of the Medicare Insured Groups (MIG) demonstration group projects; and (2) reviewed the potential effects of the Omnibus Budget Reconciliation Act (OBRA) of 1987 requirements on the projects.GAO found that: (1) HCFA entered into cooperative agreements with three...