Health care services (81 - 90 of 175 items)
Medicaid Managed Care: More Competition and Oversight Would Improve California's Expansion Plan
HEHS-95-87: Published: Apr 28, 1995. Publicly Released: May 15, 1995.
Pursuant to a congressional request, GAO reviewed California's Medicaid managed care program, focusing on: (1) state oversight of managed care contractors; (2) state plans for expansion; and (3) key issues in implementing the expanded program.GAO found that: (1) California plans a major expansion of its Medi-Cal managed care program in selected counties; (2) by the end of 1996, the number of enrol...
Indian Health Service: Improvements Needed in Credentialing Temporary Physicians
HEHS-95-46: Published: Apr 21, 1995. Publicly Released: May 1, 1995.
Pursuant to a congressional request, GAO provided information on American Indians' access to quality health care services, focusing on the: (1) Indian Health Service's (IHS) efforts to ensure that temporary physicians working in IHS facilities are qualified and competent to perform assigned duties; and (2) extent that medical services are delayed under the IHS Contract Health Services Program.GAO...
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...
Indian Health Service: Efforts to Recruit Health Care Professionals
HEHS-94-180FS: Published: Jul 7, 1994. Publicly Released: Jul 7, 1994.
Pursuant to a congressional request, GAO reviewed the Indian Health Service's (IHS) employment practices, focusing on: (1) whether differences exist in the salary schedules within the various IHS service areas; (2) the effectiveness of current manpower recruitment programs in the Aberdeen, South Dakota, service area; and (3) IHS and the Department of Veterans Affairs' (VA) processes for determinin...
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: Inadequate Review of Claims Payments Limits Ability to Control Spending
HEHS-94-42: Published: Apr 28, 1994. Publicly Released: Jun 8, 1994.
GAO reviewed the adequacy of Medicare contractors' postpayment review activities, focusing on: (1) whether the Health Care Financing Administration (HCFA) is identifying providers that are inappropriately billing the Medicare program; and (2) why Medicare spends so much for certain medical services.GAO found that: (1) HCFA does not monitor Medicare carriers' postpayment analyses and often misses o...
Medicare Diagnostic Imaging Rates
HEHS-94-129R: Published: Apr 5, 1994. Publicly Released: Apr 5, 1994.
Pursuant to a congressional request, GAO reviewed diagnostic imaging services offered by physicians, focusing on a comparison of in-practice and referral rates for 7 types of imaging services. GAO noted that: (1) physicians who had their own imaging equipment had much higher imaging rates for all types of imaging services; and (2) in-practice imaging rates were about 3 times higher for magnetic re...
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...
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...
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...