Health care cost control (31 - 40 of 97 items)
Vaccines for Children: Refocusing the Program's Goal and Implementation
T-PEMD-95-23: Published: Jun 15, 1995. Publicly Released: Jun 15, 1995.
Pursuant to a congressional request, GAO discussed the Vaccines for Children (VFC) Program, focusing on: (1) whether vaccine cost has prevented children from being routinely immunized; (2) VFC implementation; and (3) options for improving children's immunization rates. GAO noted that: (1) vaccine cost has not been a major barrier to children's timely immunization, since children often have access...
Maine Practice Guidelines
HEHS-95-118R: Published: Apr 4, 1995. Publicly Released: Apr 4, 1995.
Pursuant to a congressional request, GAO reviewed the Maine Medical Liability Demonstration Project, focusing on whether physician practice guidelines have had an effect on defensive medicine in Maine. GAO noted that: (1) it lacked sufficient data to determine the effect of the guidelines on defensive medical practices in Maine; (2) to provide the data, the major insurer in Maine needs to consolid...
German Health Reforms: Changes Result in Lower Health Costs in 1993
HEHS-95-27: Published: Dec 16, 1994. Publicly Released: Dec 16, 1994.
GAO reviewed the German health care system, focusing on the: (1) effects of nonnegotiable budgets on health care cost and access to care; and (2) status of some of the structural changes intended to control costs over the longer term.GAO found that: (1) during 1993, the German health care sectors generally succeeded in controlling the growth of health care costs, with outlays per member falling mo...
Medicare: Referrals to Physician-Owned Imaging Facilities Warrant HCFA's Scrutiny
HEHS-95-2: Published: Oct 20, 1994. Publicly Released: Nov 22, 1994.
Pursuant to a congressional request, GAO compared physicians' referral rates for diagnostic imaging services, focusing on: (1) referrals by physicians with a financial interest in joint-venture imaging service facilities; and (2) whether the Department of Health and Human Services' (HHS) procedures and policies are effective in monitoring and identifying abusive self-referral practices.GAO found t...
Health Care: Employers Urge Hospitals to Battle Costs Using Performance Data Systems
HEHS-95-1: Published: Oct 3, 1994. Publicly Released: Oct 12, 1994.
Pursuant to a congressional request, GAO reviewed three communities' experiences with hospital performance measurement systems, focusing on: (1) the purposes for which employer coalitions and hospitals are using comparative performance measurement systems; and (2) whether these systems report the information employers and hospitals need to compare outcomes.GAO found that: (1) severity-adjusted per...
Primary Care Physicians: Managing Supply in Canada, Germany, Sweden, and the United Kingdom
HEHS-94-111: Published: May 18, 1994. Publicly Released: Jun 20, 1994.
Pursuant to a congressional request, GAO examined the methods other countries use to manage their physician supply and specialty distribution, focusing on how other countries: (1) ensure that they have an adequate supply of primary care physicians; and (2) encourage physicians to practice medicine in medically underserved areas.GAO found that: (1) Canada and Great Britain have established primary...
Medicare: Graduate Medical Education Payment Policy Needs to Be Reexamined
HEHS-94-33: Published: May 4, 1994. Publicly Released: May 12, 1994.
Pursuant to a congressional request, GAO reviewed Medicare financing for graduate medical education (GME), focusing on: (1) how Medicare compensates hospitals for GME costs; and (2) the extent of Medicare's support for primary care and nonprimary care physicians' GME.GAO found that: (1) Medicare pays for about 29 percent of total GME direct costs, which totalled $1.46 billion in 1992; (2) although...
Health Care in Hawaii: Implications for National Reform
HEHS-94-68: Published: Feb 11, 1994. Publicly Released: Mar 15, 1994.
Pursuant to a congressional request, GAO provided information on Hawaii's health care insurance system, focusing on the system's effect on: (1) accessibility to health services; (2) health care costs; and (3) the business community.GAO found that: (1) Hawaii has the highest level of insurance coverage of any state in the United States; (2) the percentage of Hawaiian residents that lack health insu...
Managed Health Care: Effect on Employers' Costs Difficult to Measure
T-HEHS-94-91: Published: Feb 2, 1994. Publicly Released: Feb 2, 1994.
GAO discussed managed health care and its effect on employers' health care costs. GAO noted that: (1) certain managed care plans' potential for providing care at lower cost depends on the plans' controls on price and the use of services and the incentives for consumers and physicians; (2) group and staff health maintenance organizations (HMO) have the most potential for cost savings; (3) the effec...
Medical Malpractice: Maine's Use of Practice Guidelines to Reduce Costs
HRD-94-8: Published: Oct 25, 1993. Publicly Released: Oct 25, 1993.
Pursuant to a congressional request, GAO reviewed Maine's medical malpractice demonstration project, focusing on the: (1) factors that led to its establishment; and (2) development of practice guidelines that define care standards and reduce health care costs.GAO found that: (1) in an attempt to reduce health care costs and improve health care services, Maine has initiated a malpractice reform dem...