Health insurance cost control (41 - 50 of 267 items)
Prescription Drugs: Increasing Medicare Beneficiary Access and Related Implications
T-HEHS/AIMD-00-99: Published: Feb 15, 2000. Publicly Released: Feb 15, 2000.
Pursuant to a congressional request, GAO discussed options for increasing Medicare beneficiaries' access to prescription drugs, focusing on the: (1) factors contributing to the growth in prescription drug spending and efforts to control that growth; and (2) design and implementation issues to be considered regarding proposals to improve seniors' access to affordable prescription drugs.GAO noted th...
Medicare: Lessons Learned From HCFA's Implementation of Changes to Benefits
HEHS-00-31: Published: Jan 25, 2000. Publicly Released: Feb 8, 2000.
Pursuant to a congressional request, GAO provided information on the Health Care Financing Administration's (HCFA) efforts to implement changes to the Medicare program, focusing on HCFA's implementation of the: (1) expansion of the partial hospitalization benefit; and (2) more recent changes under the Balanced Budget Act of 1997 (BBA) to determine whether HCFA is acting upon lessons learned from t...
Medicare: Program Reform and Modernization Are Needed But Entail Considerable Challenges
T-HEHS/AIMD-00-77: Published: Feb 8, 2000. Publicly Released: Feb 8, 2000.
Pursuant to a congressional request, GAO discussed efforts to reform the administration, structure, and financing of the Medicare Program.GAO noted that: (1) in addition to its sizable financial imbalance, Medicare is outmoded from a programmatic perspective; (2) to address the need for an updated benefit package and adequate tools to moderate program spending, proposals have been advanced that in...
Medicaid: Federal and State Leadership Needed to Control Fraud And Abuse
T-HEHS-00-30: Published: Nov 9, 1999. Publicly Released: Nov 9, 1999.
Pursuant to a congressional request, GAO discussed ways to combat fraud and abuse in the Medicaid program, focusing on: (1) an overview of the problem; (2) key components of fraud control; and (3) the importance of federal and state cooperation.GAO noted that: (1) GAO's body of work on health care fraud and abuse indicates that programs the size and structure of Medicaid are inherently vulnerable...
Medicare: Outpatient Rehabilitation Therapy Caps Are Important Controls But Should Be Adjusted for Patient Need
HEHS-00-15R: Published: Oct 8, 1999. Publicly Released: Oct 8, 1999.
Pursuant to a congressional request, GAO provided information on the: (1) rationale for imposing per-beneficiary limits on Medicare's coverage of rehabilitation therapy services; and (2) effect of the therapy caps on Medicare beneficiaries' access to needed care.GAO noted that: (1) the per-beneficiary caps on coverage of outpatient rehabilitation therapy services are part of a larger effort by Con...
Medicare: Better Information Can Help Ensure That Refinements to BBA Reforms Lead to Appropriate Payments
T-HEHS-00-14: Published: Oct 1, 1999. Publicly Released: Oct 1, 1999.
Pursuant to a congressional request, GAO discussed the effects of the Balanced Budget Act of 1997 (BBA) on the Medicare program, focusing on the effects on three providers of post-acute care services--home health agencies (HHA), skilled nursing facilities (SNF), and providers of outpatient rehabilitation therapy--and on the health plans participating in the Medicare Choice program.GAO noted that:...
Skilled Nursing Facilities: Medicare Payments Need to Better Account for Nontherapy Ancillary Cost Variation
HEHS-99-185: Published: Sep 30, 1999. Publicly Released: Sep 30, 1999.
Pursuant to a congressional request, GAO provided information on the Medicare payments for skilled nursing facilities' (SNF) services under the new prospective payment system (PPS), focusing on: (1) whether the SNF payment rates incorporate the costs of nontherapy ancillary services; and (2) an analysis of the PPS design and nontherapy ancillary cost variation to assess whether payments are distri...
Medicare: Beneficiaries' Prescription Drug Coverage
T-HEHS-99-198: Published: Sep 28, 1999. Publicly Released: Sep 28, 1999.
Pursuant to a congressional request, GAO discussed Medicare beneficiaries' access to prescription drug coverage, focusing on: (1) how growth in presciption drug spending for both the general population and Medicare beneficiaries has made coverage such an important policy issue; (2) the sources and extent of Medicare beneficiary drug coverage; and (3) benefit design and implementation issues to be...
Medicare Subvention Demonstration: DOD Start-Up Overcame Obstacles, Yields Lessons, and Raises Issues
GGD/HEHS-99-161: Published: Sep 28, 1999. Publicly Released: Sep 28, 1999.
Pursuant to a legislative requirement, GAO provided information on the Department of Defense's (DOD) implementation of its Medicare Subvention Demonstration program, focusing on: (1) progress in establishing the ground rules for program operation, receiving Health Care Financing Administration (HCFA) approval, attracting enrollment, and starting to deliver health services; (2) the useful practices...
VA Health Care: Collections Fall Short of Expectations
T-HEHS-99-196: Published: Sep 23, 1999. Publicly Released: Sep 23, 1999.
Pursuant to a congressional request, GAO discussed the Department of Veterans Affairs' (VA) efforts to increase revenues from alternative sources as a way to supplement its medical care appropriations, focusing on trends in third-party collections.GAO noted that: (1) VA's third-party collections have declined in each of the past 3 fiscal years and may decline again by the end of fiscal year (FY) 1...