Beneficiaries (61 - 70 of 77 items)
Medicare: Reviews of Quality of Care at Participating Hospitals
HRD-86-139: Published: Sep 15, 1986. Publicly Released: Sep 15, 1986.
GAO reported on the quality of medical care provided to in-hospital Medicare beneficiaries, specifically the Health Care Financing Administration's (HCFA) increased requirements for utilization and quality control peer review organizations (PRO) to monitor the quality of care provided.GAO reviewed PRO in California, Florida, and Georgia. Although HCFA expanded its requirements for the second contr...
Medicare: Physician Incentive Payments by Hospitals Could Lead to Abuse
HRD-86-103: Published: Jul 22, 1986. Publicly Released: Jul 29, 1986.
In response to a congressional request, GAO analyzed existing and proposed Medicare physician incentive plans to: (1) assess their legality under current law; and (2) determine the potential abuses that could arise under them in view of the changed incentives under prospective payment.GAO reviewed operational and proposal plans under which hospitals make incentive payments to physicians for reduci...
S. 837, S. 1323, and H.R. 1868
127379: Jul 12, 1985
GAO testified on its views on S. 837, S. 1323, and H.R. 1868, bills that would afford beneficiaries protection under Social Security Act health care programs from unfit health care practitioners. Each bill proposes consolidation of current legislative authorities and provides new authorities to the Department of Health and Human Services (HHS) to exclude unfit and unethical health care practitione...
126456: Mar 19, 1985
GAO discussed H.R. 1370, a bill to give beneficiaries protection under the health care programs of the Social Security Act from unfit health care practitioners and entities. A review of the Department of Health and Human Services' (HHS) authority to exclude such practitioners identified several significant gaps which allow these practitioners to continue working within the system. The bill would a...
Costs of Physician and Psychiatric Care--Civilian Health and Medical Program of the Uniformed Services
B-133142: Published: Jul 19, 1971. Publicly Released: Jul 25, 1983.
No summary is currently available...
Full-Time Support Personnel Programs in the Army and Air Force Reserve Components
121561: Jun 8, 1983
Testimony was given concerning GAO views on: (1) whether the planned growth in the full-time support programs in the Army and Air Force National Guard and Reserve is justified; and (2) whether proposed conversions of civilian technical positions in the Army Reserve to full-time, active-duty positions would be cost effective. GAO examined the methodologies used by the Army in two evaluations to det...
SSA's Program for Reviewing the Disability of Persons With Mental Impairments
121085: Apr 7, 1983
In response to a congressional request, GAO testified on the Social Security Administration's (SSA) current process for determining whether persons with mental impairments qualify for disability under two SSA disability programs. GAO reviewed a total of 159 mental disability cases that had been recently adjudicated by SSA and examined 40 denials or terminations in detail. Although this case review...
The SSA Program for Reviewing the Continuing Eligibility of Disabled Persons
119228: Aug 18, 1982
In testimony before a Senate committee, GAO discussed the Social Security Administration's (SSA) reexamination of the eligibility of disabled persons receiving benefits, commonly referred to as continuing disability investigations, which began in March 1981. Because of congressional concern about the large number of beneficiaries terminated from the rolls, in January 1982 GAO began to review SSA p...
SSA Program for Reviewing the Continuing Eligibility of Disabled Persons
118739: May 25, 1982
GAO discussed recent efforts by the Social Security Administration (SSA) to reexamine the continued eligibility of persons on the disability rolls. The reexaminations are known as accelerated continuing disability investigations (ACDI). GAO identified a number of issues and problems with the current ACDI process that deserve attention from Congress and SSA. The ACDI's have confirmed that SSA has b...
Reasonable Charge Reductions Under Part B of Medicare
HRD-81-12: Published: Oct 22, 1980. Publicly Released: Oct 22, 1980.
GAO examined whether Medicare beneficiaries are being properly reimbursed for doctors' bills under the Medicare program. Part B of the Medicare Program, which primarily covers the cost of physician services, is paying an increasingly smaller portion of the elderly's total cost for physician services. On the average, the charges submitted by doctors are reduced by about 20 percent by the program, b...