Health care services (11 - 20 of 66 items)
Health Financing and Systems Issues Issue Area Plan--Fiscal Years 1998-2000
IAP-97-13: Published: Jul 1, 1997. Publicly Released: Jul 1, 1997.
GAO provided information on its Health Financing and Systems issue area plan for fiscal years 1998 to 2000.GAO plans to examine: (1) actions to improve the management and financial integrity of the Medicare and Medicaid programs; (2) new strategies for paying for Medicare and Medicaid services that promote cost containment while preserving quality and access; (3) how financing arrangements affect...
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...
Health Financing and Systems Issue Area Plan--Fiscal Years 1997-99
IAP-96-26: Published: Sep 1, 1996. Publicly Released: Sep 1, 1996.
GAO provided information on its Health Financing and Systems issue area plan for fiscal years 1997 to 1999.GAO plans to: (1) review the Health Care Financing Administration's efforts to collect payments from other insurers in the Medicare Secondary Payer program; (2) review states' ability to monitor managed care plans' financial solvency and administrative costs; (3) review managed care programs...
Health Insurance: Coverage of Autologous Bone Marrow Transplantation for Breast Cancer
HEHS-96-83: Published: Apr 24, 1996. Publicly Released: May 28, 1996.
Pursuant to a congressional request, GAO reviewed insurance coverage of autologous bone marrow transplantation (ABMT) for breast cancer, focusing on: (1) the factors insurers consider when deciding whether to cover treatment; (2) the effectiveness of the treatment; and (3) the consequences of the increased use and insurance coverage of the treatment while it is still in clinical trials.GAO found t...
Medicare HMOs: Rapid Enrollment Growth Concentrated in Selected States
HEHS-96-63: Published: Jan 18, 1996. Publicly Released: Feb 20, 1996.
Pursuant to a congressional request, GAO provided information on the: (1) number of Medicare beneficiaries enrolling in health maintenance organizations (HMO); and (2) factors that influence beneficiaries' decisions to enroll in HMO.GAO found that: (1) about 2.8 million Medicare beneficiaries are enrolled in risk-contract HMO and another 2 percent are enrolled in cost-reimbursement HMO; (2) the nu...
Medicare: Millions Can Be Saved by Screening Claims for Overused Services
HEHS-96-49: Published: Jan 30, 1996. Publicly Released: Feb 9, 1996.
GAO provided information on Medicare payments for unnecessary medical services, focusing on the: (1) extent to which Medicare contractors employ medical necessity prepayment screens for procedures that are likely to be overused; (2) potential impact of autoadjudicated prepayment screens on Medicare spending; and (3) federal government's role in reducing overused medical procedures billed to Medica...
Health Insurance for the Elderly: Owning Duplicate Policies Is Costly and Unnecessary
HEHS-94-185: Published: Aug 3, 1994. Publicly Released: Aug 3, 1994.
Pursuant to a congressional request, GAO reviewed Medigap insurance policies, focusing on the: (1) potential for duplicate coverage among elderly Medicare beneficiaries; and (2) necessity for a beneficiary covered by an employer-sponsored retiree plan to purchase a Medigap policy.GAO found that: (1) owning multiple health insurance policies to supplement Medicare is both costly and unnecessary; (2...
HEHS-94-207R: Published: Aug 1, 1994. Publicly Released: Aug 1, 1994.
Pursuant to a congressional request, GAO provided information on the use of immunosuppressant drugs by organ transplant patients, focusing on: (1) the number of organ transplants performed in 1991; (2) the survival rates for the patients who receive immunosuppressant drugs; (3) the cost of extending Medicare coverage of immunosuppressant drugs; and (4) whether such drugs would be covered under the...
Health Security Act: Analysis of Veterans' Health Care Provisions
HEHS-94-205FS: Published: Jul 15, 1994. Publicly Released: Jul 15, 1994.
GAO provided information on health care reform legislation, focusing on the proposed reforms to the veterans health care system.GAO found that: (1) although many legislative proposals have been introduced to reform the nation's health care system, only the Health Security Act contains specific proposals for restructuring the veterans' health care system; (2) the Health Security Act would authorize...
Health Reform: Purchasing Cooperatives Have an Increasing Role in Providing Access to Insurance
T-HEHS-94-196: Published: Jun 30, 1994. Publicly Released: Jun 30, 1994.
GAO discussed health insurance purchasing cooperatives, focusing on: (1) the operation, authority, and accountability of existing cooperatives; and (2) issues that could make such cooperatives a more important part of the health care environment. GAO noted that: (1) common administrative functions among purchasing cooperatives include enrollment, premium collection, and contracting with health pla...