Patient care services (51 - 60 of 72 items)
Medicare: Reimbursement Policies Can Influence the Setting and Cost of Chemotherapy
PEMD-92-28: Published: Jul 17, 1992. Publicly Released: Aug 17, 1992.
Pursuant to a congressional request, GAO examined factors that influence where oncologists treat Medicare patients and the potential cost to the federal government of treatment in different settings.GAO found that: (1) some oncologists have treated cancer patients in hospital inpatient and outpatient settings when, by clinical standards, these patients could have received treatment in the office;...
Health Care: Most Community and Migrant Health Center Physicians Have Hospital Privileges
HRD-92-98: Published: Jul 16, 1992. Publicly Released: Jul 16, 1992.
Pursuant to a legislative requirement, GAO determined whether community and migrant health center (CMHC) physicians are able to obtain admitting privileges at local hospitals.GAO found that: (1) 82 percent of CMHC physicians have hospital admitting privileges at area hospitals; (2) many physicians have not applied for hospital admitting privileges because they prefer not to have an inpatient pract...
Medical ADP Systems: Changes in Composite Health Care System's Deployment Strategy Are Unwise
IMTEC-91-47: Published: Sep 30, 1991. Publicly Released: Sep 30, 1991.
Pursuant to a legislative requirement, GAO: (1) assessed the status of the Department of Defense (DOD) Composite Health Care System's (CHCS) cost, schedule, performance, and benefits; and (2) identified and evaluated DOD changes in CHCS development, testing, and deployment strategy.GAO found that: (1) CHCS is a state-of-the-art, integrated medical information system that DOD is developing to impro...
Nonprofit Hospitals: Better Standards Needed for Tax Exemption
T-HRD-91-43: Published: Jul 10, 1991. Publicly Released: Jul 10, 1991.
GAO discussed nonprofit hospitals' provision of charitable services to the indigent population of their communities. GAO found that: (1) the link between nonprofit hospitals' tax-exempt status and their provision of charitable activities for the poor or underserved is weak; (2) poor people without public or private health insurance gain access to nonemergency hospital services only if the hospital...
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...
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...
VA Health Care: Few Veterans Denied Care at Florida Clinics
HRD-89-69: Published: May 31, 1989. Publicly Released: May 31, 1989.
Pursuant to a congressional request, GAO reviewed records of 388 applications for outpatient medical care at 4 of Florida's 14 Department of Veterans Affairs' clinics to determine: (1) how many veterans were denied care; and (2) why they were denied care.GAO found that: (1) the 4 clinics denied care to 27 applicants, less than 1.4 percent of the sample; (2) the clinics typically denied care to app...
Medicare: Statutory Modifications Needed for the Peer Review Program Monetary Penalty
HRD-89-18: Published: Mar 30, 1989. Publicly Released: Mar 30, 1989.
GAO reviewed the Department of Health and Human Services' (HHS) Office of the Inspector General's (OIG) actions on monetary penalties recommended by peer review organizations (PRO) against hospitals and physicians for improper or unnecessary health care services to Medicare beneficiaries.GAO found that OIG: (1) revised its policy partially to meet a statutory provision limiting monetary fines to t...
Cancer Treatment: National Cancer Institute's Role in Encouraging the Use of Breakthroughs
PEMD-89-4BR: Published: Oct 20, 1988. Publicly Released: Nov 21, 1988.
In response to a congressional request, GAO examined the role that the National Cancer Institute (NCI) plays in promoting physicians' utilization of breakthroughs in cancer therapies.GAO found that: (1) problems existed at many points in the process that breakthrough treatments take to reach cancer patients; (2) NCI had difficulties in coordinating its position on recommended treatments, so that p...
Medicare PROs: Extreme Variation in Organizational Structure and Activities
PEMD-89-7FS: Published: Nov 8, 1988. Publicly Released: Nov 8, 1988.
Pursuant to a congressional request, GAO provided information regarding the Health Care Financing Administration's Utilization and Quality Control Peer Review Organizations (PRO) Program, which provides nurse and physician reviews of Medicare patients' hospital records, focusing on the organizations': (1) characteristics; (2) review activities; (3) objectives and interventions; and (4) relationshi...