State-administered programs (81 - 90 of 240 items)
Medicaid: Managed Care and Individual Hospital Limits for Disproportionate Share Hospital Payments
HEHS-98-73R: Published: Jan 28, 1998. Publicly Released: Jan 28, 1998.
Pursuant to a congressional request, GAO reviewed disproportionate share hospital (DSH) payment limits, focusing on: (1) whether state formulas vary in their inclusion of managed care costs and revenues when calculating the maximum amount a specific hospital can receive; and (2) whether such variation is allowed by the Medicaid program; and, if so, (3) Health Care Financing Administration (HCFA) o...
Medicaid: Disproportionate Share Payments to State Psychiatric Hospitals
HEHS-98-52: Published: Jan 23, 1998. Publicly Released: Jan 23, 1998.
Pursuant to a congressional request, GAO reviewed Medicaid disproportionate share hospital (DSH) program payments to state psychiatric institutions, focusing on: (1) how the amount of DSH payments to state psychiatric hospitals compares with DSH payments made to other types of hospitals; (2) how the proportion of Medicaid beneficiaries in state psychiatric hospitals compares with the proportion in...
Medicaid Managed Care: Delays and Difficulties in Implementing California's New Mandatory Program
HEHS-98-2: Published: Oct 1, 1997. Publicly Released: Nov 3, 1997.
Pursuant to a congressional request, GAO reviewed California's Medicaid Program, Medi-Cal, focusing on: (1) the implementation status of California's managed care expansion, including identifying the primary causes of delays; (2) the degree to which state efforts to educate beneficiaries about their managed care options and enroll them in managed care have encouraged beneficiaries to choose a plan...
Health Financing and Systems Issue Area: Active Assignments
AA-97-15(3): Published: Sep 1, 1997. Publicly Released: Sep 1, 1997.
GAO provided information on its active assignments in the Health Financing and Systems issue area as of August 29, 1997...
Inspector General: Information on Resources and Planning at the Department of Health and Human Services
AIMD-97-125R: Published: Aug 1, 1997. Publicly Released: Aug 1, 1997.
Pursuant to a congressional request, GAO provided information on the decline in the Department of Health and Human Services (HHS) Inspector General's (IG) investigative resources and on other federal and state actions designed to improve health care fraud investigative and enforcement activities.GAO noted that: (1) during February 1993, the IG began implementing a strategic plan developed by its O...
Medicaid: Divestiture of Assets to Qualify for Long-Term Care Services
HEHS-97-185R: Published: Jul 28, 1997. Publicly Released: Jul 28, 1997.
Pursuant to a congressional request, GAO reviewed the prevalence of asset transfers to qualify for Medicaid benefits. GAO also responded to specific questions regarding the new criminal provision of the Health Insurance Portability and Accountability Act.GAO noted that: (1) it is difficult to determine from available studies the prevalence of divestitures that are made with the purpose of becoming...
Medicaid: Disproportionate Share Hospital Payments to Institutions for Mental Diseases
HEHS-97-181R: Published: Jul 15, 1997. Publicly Released: Jul 15, 1997.
GAO provided information on disproportionate share hospital (DSH) programs that provide funds to institutions for mental diseases in selected states.GAO noted that: (1) its work to date indicates that the 1993-1995 growth in mental health DSH payments pre dates full implementation of the hospital-specific caps mandated by the Omnibus Budget Reconciliation Act (OBRA) of 1993; (2) in 1996, both tota...
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...
Medicaid: Sustainability of Low 1996 Spending Growth Is Uncertain
HEHS-97-128: Published: Jun 27, 1997. Publicly Released: Jun 27, 1997.
Pursuant to a congressional request, GAO reviewed Medicaid's spending growth rate, focusing on: (1) the dominant factors affecting trends in Medicaid spending growth from fiscal years 1989 to 1995; (2) key factors that contributed to the low spending growth rate for fiscal year (FY) 1996 and variations in states' Medicaid spending growth for the most recent 2-year period; and (3) the implication o...
Medicaid Managed Care: Challenge of Holding Plans Accountable Requires Greater State Effort
HEHS-97-86: Published: May 16, 1997. Publicly Released: Jun 16, 1997.
Pursuant to a congressional request, GAO reviewed state efforts to hold managed care plans accountable for meeting Medicaid program goals and for providing beneficiaries enrolled in capitated managed care plans the care they need, focusing on state efforts to: (1) ensure Medicaid beneficiaries have access to appropriate providers; (2) assess the adequacy of medical care provided through contracted...