Health care services (61 - 66 of 66 items)
CHAMPUS Reform Initiative: Unresolved Issues
T-HRD-87-4: Published: Mar 12, 1987. Publicly Released: Mar 12, 1987.
GAO testified on the Department of Defense's (DOD) plans to change the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). The DOD CHAMPUS Reform Initiative objectives are to: (1) contain CHAMPUS costs for the government and beneficiaries; (2) increase beneficiary access to health care; (3) improve coordination between CHAMPUS and military treatment facilities; (4) ensure qual...
Defense Health Programs: Savings Available by Using Two Medicare Cost-Containment Techniques
HRD-86-115: Published: Aug 25, 1986. Publicly Released: Aug 25, 1986.
GAO reviewed the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to determine whether it could better contain costs for professional services if it adopted two cost-containment techniques used in the Medicare program, including: (1) a fee schedule for outpatient laboratory services; and (2) an economic index for physician services.GAO analyzed five states' payment records a...
Reimbursing Physicians Under Medicare on the Basis of Their Specialty
HRD-84-94: Published: Sep 27, 1984. Publicly Released: Sep 27, 1984.
Federal regulations permit Medicare carriers to allow differences in prevailing reimbursement rates based on differences in charging patterns among various physician specialties. The regulations require carriers to compare charging patterns among physician specialties and justify either single or multiple prevailing rates. In addition, Medicare permits carriers to recognize each physician in the s...
Review of Propriety of Medicaid Billings by Outpatient Clinics in New York City,New York
089385: Oct 8, 1975
No summary is currently available...
Public Representation on Boards and Blue Shield Allowances: Important Relationship Not Found
HRD-81-31: Published: Dec 31, 1980. Publicly Released: Jan 12, 1981.
GAO was asked to determine if there is an ascertainable difference in cost-containment efforts between Blue Shield plans with boards of directors apparently controlled by public representatives versus those with a majority of health care provider members.GAO analyses neither conclusively affirmed nor denied that public representation on Blue Shield plans' boards of directors was importantly associ...