Health care cost control (61 - 70 of 97 items)
Canadian Health Insurance: Lessons for the United States
T-HRD-91-35: Published: Jun 4, 1991. Publicly Released: Jun 4, 1991.
GAO discussed the implications of adopting the Canadian health insurance system for U.S. health care reform. GAO noted that: (1) if the United States adopted key features of the Canadian approach, it could offer health insurance to all residents without adding to national health expenditures; (2) Canada spent less on insurance, since its publicly financed single-payer system eliminated costs assoc...
Private Health Insurance: Problems Caused by a Segmented Market
T-HRD-91-21: Published: May 2, 1991. Publicly Released: May 2, 1991.
GAO discussed health insurance options and private health insurance reforms, focusing on the affordability and availability of such insurance for small business employees. GAO noted that: (1) about one-third of all uninsured persons work for or are dependents of those who work for small businesses; (2) small businesses typically faced restricted availability of health insurance and higher premiums...
Medicare: Variations in Payments to Anesthesiologists Linked to Anesthesia Time
HRD-91-43: Published: Apr 30, 1991. Publicly Released: Apr 30, 1991.
Pursuant to a legislative requirement, GAO reviewed anesthesia times that physicians reported to Medicare to verify their accuracy.GAO found that: (1) there was no consistent time schedule or average Medicare payment among anesthesiologists who performed identical procedures; (2) while Medicare paid other doctors based on procedure instead of time, it paid anesthesiologists based on the amount of...
The Military Health Services System--Prospects for the Future
T-HRD-91-11: Published: Mar 14, 1991. Publicly Released: Mar 14, 1991.
GAO discussed the Department of Defense's (DOD) attempts to develop and institute systemwide managed health care for military beneficiaries. GAO noted that: (1) the military health services system lacked sufficient incentives and tools to control expenditures and provide high-quality care to beneficiaries; (2) beneficiaries needed strong incentives to register for managed care, which they viewed a...
The High Cost of Health
145025: Jan 1, 1991
This article, which appeared in the GAO Journal, No. 13, Summer/Fall 1991, discusses the high costs of health care and health insurance in the United States, focusing on: (1) the factors to which rising health care costs can be attributed; (2) various health care cost-containment methods that have failed; and (3) reforms that could significantly curb the overall growth of health-care spending...
Quality of Care Provided Medicaid Recipients by Chicago-Area HMOs
T-HRD-90-54: Published: Sep 14, 1990. Publicly Released: Sep 14, 1990.
GAO discussed the oversight of Chicago-area health maintenance organizations (HMO) serving Medicaid recipients. GAO noted that: (1) from fiscal year (FY) 1986 through FY 1988, over 58,000 Medicaid recipients voluntarily left their HMO, but neither Illinois nor HMO conducted patient satisfaction surveys to determine the reasons for their dissatisfaction; (2) medical records lacked evidence that HMO...
Medicaid: Oversight of Health Maintenance Organizations in the Chicago Area
HRD-90-81: Published: Aug 27, 1990. Publicly Released: Aug 27, 1990.
Pursuant to a congressional request, GAO assessed the adequacy of the Health Care Financing Administration's (HCFA) and Illinois' oversight of the quality of care provided to Medicaid recipients by Chicago-area health maintenance organizations (HMO).GAO found that: (1) Chicago's two largest HMO used incentive payments that could jeopardize the quality of care provided to Medicaid recipients; (2) s...
Nonprofit Hospitals: Better Standards Needed for Tax Exemption
T-HRD-90-45: Published: Jun 28, 1990. Publicly Released: Jun 28, 1990.
GAO discussed the role played by nonprofit hospitals in providing charitable services to indigent populations. GAO found that: (1) some hospitals are reducing their provision of indigent care and other charitable activities; (2) for many nonprofit hospitals, the link between tax-exempt status and the provision of charitable activities for the poor or underserved is weak; (3) large urban teaching a...
Medical Malpractice: A Continuing Problem With Far-Reaching Implications
T-HRD-90-24: Published: Apr 26, 1990. Publicly Released: Apr 26, 1990.
GAO discussed the implications of medical malpractice for health policy and medical care practices. GAO noted that: (1) health care expenditures accounted for about 12 percent of the gross national product, and 40 percent of those expenditures were publicly financed; (2) malpractice insurance costs increased from $1.7 billion in 1983 to $5.9 billion in 1988 for physicians and from $800 million in...
Medical ADP Systems: Composite Health Care System--Defense Faces a Difficult Task
IMTEC-90-42: Published: Mar 15, 1990. Publicly Released: Mar 15, 1990.
Pursuant to a legislative requirement, GAO assessed the Department of Defense's (DOD) plans for operational testing and evaluation of its Composite Health Care System (CHCS), intended to improve the timeliness, availability, and quality of patient care data at 767 DOD medical treatment facilities.GAO found that, under its revised schedule for CHCS operational testing and evaluation, DOD: (1) exten...