Health care cost control (21 - 30 of 97 items)
Defense Health Care: Operational Difficulties and System Uncertainties Pose Continuing Challenges for TRICARE
T-HEHS-98-100: Published: Feb 26, 1998. Publicly Released: Feb 26, 1998.
GAO discussed the status of the Department of Defense's (DOD) implementation of its managed health care program, TRICARE, focusing on: (1) DOD's progress in implementing TRICARE; (2) whether DOD is adequately assessing TRICARE'S effects on military health care access, quality, and cost; and (3) the implications of ongoing and proposed changes in the military health care system itself for TRICARE's...
Defense Health Care: Reimbursement Rates Appropriately Set; Other Problems Concern Physicians
HEHS-98-80: Published: Feb 26, 1998. Publicly Released: Feb 26, 1998.
Pursuant to a legislative requirement, GAO examined: (1) whether the Department of Defense's (DOD) methodology for setting the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) maximum allowable charge (CMAC) rates complies with statutory requirements and how current CMAC rates compare with Medicare rates for similar services; (2) the basis for physicians' concerns about CMAC...
Health, Education, Employment, Social Security, Welfare, and Veterans Reports
HEHS-97-56W: Published: Jan 1, 1997. Publicly Released: Jan 1, 1997.
GAO published a listing and selected summaries of reports and testimonies issued in December 1996 and a listing of reports issued between September 1996 and December 1996 relating to such issues as: (1) health; (2) education; (3) employment; (4) social security, disability, and welfare benefits; and (5) veterans affairs and military health care...
Managed Care Initiatives
HEHS-96-153R: Published: Sep 25, 1996. Publicly Released: Oct 28, 1996.
Pursuant to a congressional request, GAO provided information on: (1) tools that managed care plans use to control costs; and (2) state initiatives that address concerns associated with managed care. GAO noted that managed care plans use a variety of tools to control costs, including: (1) shifting some financial risk to providers; (2) requiring plan permission to refer a patient to a specialist; a...
Consumer Health Informatics: Emerging Issues
AIMD-96-86: Published: Jul 26, 1996. Publicly Released: Jul 26, 1996.
Pursuant to a congressional request, GAO reviewed consumer health informatics, focusing on: (1) the demand for health information and expanding technological capabilities; (2) users' and developers' views on potential systems advantages and issues surrounding systems development and use; (3) federal, state, and local government involvement in developing these technologies; and (4) the status of re...
Practice Guidelines: Managed Care Plans Customize Guidelines to Meet Local Interests
HEHS-96-95: Published: May 30, 1996. Publicly Released: Jul 1, 1996.
Pursuant to a congressional request, GAO reviewed how managed health plans make use of existing clinical practice guidelines.GAO found that: (1) clinical practice guidelines promote greater uniformity within physician networks, encourage improved efficiency and clinical decision-making, and eliminate unnecessary care; (2) several health plans have adopted clinical practice guidelines to control co...
Prescription Drugs and the Elderly: Many Still Receive Potentially Harmful Drugs Despite Recent Improvements
T-HEHS-96-114: Published: Mar 28, 1996. Publicly Released: Mar 28, 1996.
GAO reviewed the inappropriate use of prescription drugs among the elderly. GAO noted that: (1) according to 1992 data, about 17.5 percent of the almost 30 million Medicare beneficiaries were prescribed drugs inappropriate for their age; (2) factors that contribute to the inappropriate use of drugs include poor coordination among patients, doctors, and pharmacists, and the absence of guidelines fo...
Medicare: Enhancing Health Care Quality Assurance
T-HEHS-95-224: Published: Jul 27, 1995. Publicly Released: Jul 27, 1995.
Pursuant to a congressional request, GAO discussed quality health care for Medicare beneficiaries, focusing on: (1) how the Health Care Financing Administration (HCFA) plans to ensure that Medicare providers furnish quality care in both fee-for-service and managed care delivery systems; and (2) experts' views on essential quality assurance components. GAO noted that: (1) HCFA has had problems impl...
Practice Guidelines: Overview of Agency for Health Care Policy and Research Efforts
T-HEHS-95-221: Published: Jul 25, 1995. Publicly Released: Jul 25, 1995.
GAO discussed the effectiveness of the Agency for Health Care Policy and Research's (AHCPR) clinical practice guideline efforts. GAO noted that: (1) during its first 5 years, AHCPR performance has received mixed reviews from potential users of clinical practice guidelines; (2) while AHCPR has demonstrated strengths in the difficult process of guideline development and has received praise for its m...