Hospitals (31 - 40 of 98 items)
Medicare Hospital and Physician Payments: Geographic Cost Adjustments Important to Preserve Beneficiary Access to Services
GAO-02-968T: Published: Jul 23, 2002. Publicly Released: Jul 23, 2002.
This testimony discusses Medicare program payment adjustments to hospitals and physicians that account for geographic differences in costs. Because Medicare's hospital and physician payment systems are based on national rates, these geographic cost adjustments are essential to account for costs beyond providers' control and to ensure that beneficiaries have adequate access to services. If these ad...
VA Health Care: VA Has Not Sufficiently Explored Alternatives for Optimizing Third-Party Collections
GAO-01-1157T: Published: Sep 20, 2001. Publicly Released: Sep 20, 2001.
The Department of Veterans Affairs (VA) has reversed the general decline in its third-party collections for the first time since fiscal year 1995. The fiscal year 2001 increase appears to be largely the result of VA's implementation of a new system, known as the reasonable charges billing system, which allowed VA to move from a flat-rate billing system to one that itemizes charges. However, long-s...
Emergency Care: EMTALA Implementation and Enforcement Issues
GAO-01-747: Published: Jun 22, 2001. Publicly Released: Jun 22, 2001.
In 1986, Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in response to reports that some emergency rooms across the country had refused to treat indigent and uninsured patients or had inappropriately transferred them to other hospitals, a practice known as "patient dumping." EMTALA requires hospitals that participate in Medicare to provide a medical screening examina...
Medical Devices: Reprocessing and Reuse of Devices Labeled Single-Use
T-HEHS-00-143: Published: Jun 27, 2000. Publicly Released: Jun 27, 2000.
Pursuant to a congressional request, GAO discussed the reprocessing and reuse of medical devices marketed for single use, focusing on: (1) the extent of single-use devices (SUD) reprocessing; (2) the health risks associated with SUD reprocessing; (3) the cost savings from SUD reprocessing; and (4) the Food and Drug Administration's (FDA) oversight of SUD reprocessing.GAO noted that: (1) it is clea...
Single-Use Medical Devices: Little Available Evidence of Harm From Reuse, but Oversight Warranted
HEHS-00-123: Published: Jun 20, 2000. Publicly Released: Jun 26, 2000.
Pursuant to a congressional request, GAO reviewed the practice of single-use device (SUD) reprocessing in the United States, focusing on the: (1) extent of SUD reprocessing; (2) health risks associated SUD with reprocessing; (3) cost savings from reprocessing; and (4) Food and Drug Administration's (FDA) oversight of SUD reprocessing.GAO noted that: (1) while some health care institutions have cho...
Military Treatment Facilities: Emergency Department Utilization
HEHS-00-63R: Published: Mar 13, 2000. Publicly Released: Mar 13, 2000.
Pursuant to a congressional request, GAO provided information on whether military active duty service personnel, retirees, and their dependents not enrolled in the Department of Defense's (DOD) TRICARE program, are obtaining nonemergency medical care through Military Treatment Facilities (MTF) emergency departments, focusing on the: (1) services' efforts to determine requirements for MTF emergency...
Medicare: Concerns With Physicians at Teaching Hospitals (PATH) Audits
HEHS-98-174: Published: Jul 23, 1998. Publicly Released: Aug 12, 1998.
Pursuant to a congressional request, GAO reviewed the Physicians at Teaching Hospitals (PATH) initiative, focusing on: (1) whether the Department of Health and Human Services' (HHS) Office of the Inspector General (OIG) has a legal basis for conducting PATH audits; (2) whether the OIG has followed an acceptable approach and methodology in conducting the audits; and (3) the significance of the bill...
Medical Readiness: Efforts Are Underway for DOD Training in Civilian Trauma Centers
NSIAD-98-75: Published: Apr 1, 1998. Publicly Released: Apr 1, 1998.
Pursuant to a legislative requirement, GAO evaluated the effectiveness of the Department of Defense's (DOD) demonstration program that would provide trauma care training for military medical personnel through one or more public or nonprofit hospitals, focusing on: (1) the status of the demonstration program and DOD's actions to meet the legislative provisions; (2) other initiatives aimed at traini...
Veterans' Affairs and Military Health Care Issue Area: Active Assignments
AA-98-12(1): Published: Feb 1, 1998. Publicly Released: Feb 1, 1998.
GAO provided information on its active assignments in the Veterans' Affairs and Military Health Care issue area as of February 2, 1998...
Military Construction: Renovation Plans at the Portsmouth Naval Medical Center
NSIAD-97-144: Published: Jun 12, 1997. Publicly Released: Jun 12, 1997.
GAO reviewed the Department of Defense's (DOD) plans to renovate building 215 at the Portsmouth Naval Medical Center in Portsmouth, VA, focusing on whether: (1) the actual workload at Portsmouth affects its requirements facility space; (2) the planned occupants of the bottom six floors of building 215 could move into the replacement hospital; and (3) alternative uses exist for the top floors in bu...