Patient care services (31 - 40 of 72 items)
Medicare: Providing Systematic Feedback to Physicians on their Practice Patterns Is a Promising Step Toward Encouraging Program Efficiency
GAO-07-862T: Published: May 10, 2007. Publicly Released: May 10, 2007.
GAO was asked to discuss--based on Medicare: Focus on Physician Practice Patterns Can Lead to Greater Program Efficiency, GAO-07-307 (Apr. 30, 2007)--the importance in Medicare of providing feedback to physicians on how their use of health care resources compares with that of their peers. GAO's report discusses an approach to analyzing physicians' practice patterns in Medicare and ways the Centers...
Medicare: Focus on Physician Practice Patterns Can Lead to Greater Program Efficiency
GAO-07-307: Published: Apr 30, 2007. Publicly Released: Apr 30, 2007.
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) directed GAO to study the compensation of physicians in traditional fee-for service (FFS) Medicare. GAO explored linking physician compensation to efficiency--defined as providing and ordering a level of services that is sufficient to meet a patient's health care needs but not excessive, given the patient's health sta...
Physician Services: Concierge Care Characteristics and Considerations for Medicare
GAO-05-929: Published: Aug 12, 2005. Publicly Released: Aug 12, 2005.
Concierge care is an approach to medical practice in which physicians charge their patients a membership fee in return for enhanced services or amenities. The recent emergence of concierge care has prompted federal concern about how the approach might affect beneficiaries of Medicare, the federal health insurance program for the aged and some disabled individuals. Concerns include the potential th...
Specialty Hospitals: Geographic Location, Services Provided, and Financial Performance
GAO-04-167: Published: Oct 22, 2003. Publicly Released: Oct 22, 2003.
The recent growth in specialty hospitals that are largely for-profit and owned, in part, by physicians, has been controversial. Advocates of these hospitals contend that the focused mission and dedicated resources of specialty hospitals both improve quality and reduce costs. Critics contend that specialty hospitals siphon off the most profitable procedures and patient cases, thus eroding the finan...
NIH Clinical Trials: Various Factors Affect Patient Participation
HEHS-99-182: Published: Oct 30, 1999. Publicly Released: Nov 1, 1999.
Pursuant to a congressional request, GAO reviewed patient access to clinical trials sponsored by the National Institutes of Health (NIH), focusing on: (1) how health insurers' coverage policies and practices affect patient participation in clinical trials; (2) researchers' experience in enrolling patients for trials sponsored by the National Cancer Institute (NCI) and factors that may explain this...
Managed Care: State Approaches on Selected Patient Protections
T-HEHS-99-85: Published: Mar 11, 1999. Publicly Released: Mar 11, 1999.
Pursuant to a congressional request, GAO discussed selected state patient protection provisions already in place and congressional proposals under consideration, focusing on state statutes that relate to seven types of patient protections: (1) coverage of emergency services; (2) access to obstetricians and gynecologists; (3) access to pediatricians; (4) access to other specialists; (5) continuity...
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...
Managed Care: Explicit Gag Clauses Not Found in HMO Contracts, But Physician Concerns Remain
HEHS-97-175: Published: Aug 29, 1997. Publicly Released: Sep 24, 1997.
Pursuant to a congressional request, GAO reviewed contractual limitations, known as gag clauses, imposed by health maintenance organizations (HMO), that interfere with the physician-patient relationship by impeding discussions of treatment options, focusing on: (1) the types of contract clauses that could impede a physician's ability to advise patients of all medically appropriate treatment option...
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...
Practice Guidelines: Managed Care Plans Customize Guidelines to Meet Local Interests
HEHS-96-95: Published: May 30, 1996. Publicly Released: Jul 1, 1996.
Pursuant to a congressional request, GAO reviewed how managed health plans make use of existing clinical practice guidelines.GAO found that: (1) clinical practice guidelines promote greater uniformity within physician networks, encourage improved efficiency and clinical decision-making, and eliminate unnecessary care; (2) several health plans have adopted clinical practice guidelines to control co...