Health care cost control (41 - 50 of 97 items)
1993 German Health Reforms: Initiatives Tighten Cost Controls
T-HRD-94-2: Published: Oct 13, 1993. Publicly Released: Oct 13, 1993.
GAO discussed the German health care system, focusing on the approaches used to control health care costs. GAO noted that: (1) before 1993, Germany had budget caps on physician and hospital services that were negotiated by provider associations and sickness funds that provide health insurance to most Germans; (2) German health care reforms limit physician and hospital expenditures to increases in...
Health Care Access: Innovative Programs Using Nonphysicians
HRD-93-128: Published: Aug 27, 1993. Publicly Released: Sep 14, 1993.
Pursuant to a congressional request, GAO provided information on innovative programs that use nonphysician providers to increase public access to health care, focusing on: (1) the method used by the Indian Health Service (IHS) to deliver emergency and primary care to remote areas; and (2) Florida's integration of the program into a medically underserved urban setting.GAO found that: (1) the Alaska...
1993 German Health Reforms: New Cost Control Initiatives
HRD-93-103: Published: Jul 7, 1993. Publicly Released: Aug 10, 1993.
Pursuant to a congressional request, GAO examined recent German health care reforms, focusing on: (1) the reasons for the German reforms; (2) the nature of the reforms; (3) the initial reaction to and expected effects of the reforms; and (4) implications for U.S. health care reforms.GAO found that: (1) large increases in mandated health care premiums and variations in contribution rates between he...
Nonprofit Hospitals: For-Profit Ventures Pose Access and Capacity Problems
HRD-93-124: Published: Jul 22, 1993. Publicly Released: Aug 3, 1993.
Pursuant to a congressional request, GAO provided information about joint ventures between nonprofit hospitals and physicians, focusing on the: (1) rate at which nonprofit hospitals participate in joint ventures; (2) extent to which these ventures serve the poor; (3) extent that joint ventures can contribute to excess capacity for community medical services; and (4) effect of recent federal and st...
Medicaid: HealthPASS: An Evaluation of a Managed Care Program for Certain Philadelphia Recipients
HRD-93-67: Published: May 7, 1993. Publicly Released: Jun 8, 1993.
Pursuant to a congressional request, GAO reviewed the Philadelphia Accessible Services System's (HealthPASS) medical services, focusing on whether HealthPASS members receive: (1) timely and appropriate pregnancy-related services; (2) early and periodic screening, diagnostic, and treatment (EPSDT) services; and (3) Special Supplemental Food Program for Women, Infants, and Children (WIC) benefits. G...
Medical Malpractice: Experience with Efforts to Address Problems
T-HRD-93-24: Published: May 20, 1993. Publicly Released: May 20, 1993.
GAO discussed the effects of medical malpractice problems on health care and malpractice insurance costs and quality and the reform of the health care system. GAO noted that: (1) insurance premiums have increased due to the increase in the number and cost of malpractice claims, which in turn has affected the availability of malpractice insurance and medical services; (2) state licensing boards hav...
Cataract Surgery: Patient-Reported Data on Appropriateness and Outcomes
T-PEMD-93-3: Published: Apr 21, 1993. Publicly Released: Apr 21, 1993.
GAO discussed the results of its survey on cataract surgery. GAO noted that: (1) survey responses indicated that a high proportion of patients benefitted from surgery; (2) most patients reported that one or more symptoms improved after surgery with slight interim effects such as numbness or swelling; (3) patients reported one or more visual problems affecting their ability to drive, read, or watch...
Medicaid: States Turn to Managed Care to Improve Access and Control Costs
HRD-93-46: Published: Mar 17, 1993. Publicly Released: Mar 17, 1993.
Pursuant to a congressional request, GAO reviewed state implementation of managed care programs, focusing on: (1) difficulties states face in implementation of certain program components; (2) the effect of the managed care approach on health care access, quality, and cost; and (3) the features that ensure the quality of health services and providers' financial stability.GAO found that: (1) from 19...
Health Insurance: Remedies Needed to Reduce Losses From Fraud and Abuse
T-HRD-93-8: Published: Mar 8, 1993. Publicly Released: Mar 8, 1993.
GAO discussed health care fraud and abuse and the need for better remedies and more resources to combat the problem. GAO noted that: (1) fraud and abuse encompassed a wide range of improper billing practices by physicians, medical equipment suppliers, and other suppliers that add 10 percent to U.S. health care costs; (2) whether or not health care insurers pursued a fraudulent act depended on the...
Canadian Health Insurance: Estimating Costs and Savings for the United States
HRD-92-83: Published: Apr 28, 1992. Publicly Released: Aug 24, 1992.
Pursuant to a congressional request, GAO provided information on the methodology it used to derive estimates of the difference between the current level of U.S. health care expenditures and the cost of having a new program with key elements of a Canadian-style system.GAO noted that: (1) in Canada, each provincial plan provides for universal insurance coverage with no deductibles or copayments, con...