Health care cost control (31 - 40 of 47 items)
Medicare: Further Changes Needed to Reduce Program and Beneficiary Costs
HRD-91-67: Published: May 15, 1991. Publicly Released: Jun 14, 1991.
Pursuant to a congressional request, GAO provided information on Medicare's efforts to reduce its program and beneficiary costs.GAO found that: (1) the growth in Medicare hospital payments averaged 15.7 percent annually in the 3 years before it established the prospective payment system (PPS), resulting in 6.3-percent annual growth rate since 1983; (2) additional Medicare PPS payments would not ne...
Post-Hospital Care: Efforts To Evaluate Medicare Prospective Payment Effects Are Insufficient
PEMD-86-10: Published: Jun 2, 1986. Publicly Released: Jun 2, 1986.
In response to a congressional request, GAO: (1) examined the Health Care Financing Administration's (HCFA) methods for evaluating the Medicare Prospective Payment System's (PPS) effect on post-hospital services; and (2) developed a plan to determine these effects.GAO found that: (1) the studies the Department of Health and Human Services (HHS) is conducting on PPS will produce limited information...
Evaluating the Effects of Medicare Prospective Payment on Post-Hospital Care
128404: Nov 12, 1985
GAO discussed the effects of implementing a prospective payment system (PPS) for post-hospital care in the Medicare program, focusing on: (1) patients' condition when they are discharged from hospitals; (2) use of, expenditures for, and access to post-hospital care services; (3) the quality of care delivered by post-hospital services; and (4) the Health Care Financing Administration's (HCFA) use o...
Simulations of a Medicare Prospective Payment System for Home Health Care
HRD-85-110: Published: Sep 30, 1985. Publicly Released: Sep 30, 1985.
Pursuant to a congressional request, GAO simulated the probable prospective payment rates for home health care under the Medicaid program.The system GAO modeled specified that: (1) rates should be nationwide, and no distinction should be made between the rates for freestanding and facility-based providers; (2) rates should be set at the 75th percentile instead of the 60th percentile; (3) costs sho...
Inadequate Controls Over Medicare Payments for Once-in-a-Lifetime Physician Procedures
HRD-84-23: Published: Feb 13, 1984. Publicly Released: Feb 13, 1984.
GAO evaluated the controls that Medicare carriers have over payments for once-in-a-lifetime physician procedures. The Health Care Financing Administration (HCFA) promulgates program regulations and defines such procedures as certain types of surgical operations and initial service visits.GAO found that there is a fairly widespread lack of compliance with the HCFA requirement to control payments fo...
Functioning of the Maryland System for Reviewing the Use of Medical Services Under Medicaid
B-164031(3): Published: Dec 21, 1972. Publicly Released: Dec 30, 1983.
No summary is currently available...
The Elderly Should Benefit From Expanded Home Health Care but Increasing These Services Will Not Insure Cost Reductions
IPE-83-1: Published: Dec 7, 1982. Publicly Released: Dec 7, 1982.
In response to a congressional request, GAO reviewed evaluations of projects offering a wide range of community-based health care services to determine the cost and effectiveness of expanded home health care service.In examining nursing home use, GAO found that service availability did not conclusively reduce the use of nursing homes among the elderly and that more work is needed to better define...
Responses to Questions About Performance Evaluation Criteria for Professional Standards Review Organizations
HRD-82-124: Published: Sep 2, 1982. Publicly Released: Sep 13, 1982.
Pursuant to a congressional request, GAO reviewed the criteria and methodology which the Health Care Financing Administration (HCFA) used in its 1981 and 1982 evaluation of Professional Standards Review Organizations (PSRO). PSRO's are the organizations primarily responsible for assuring that inpatient hospital services are medically necessary, appropriate, and of acceptable quality. GAO was asked...
Data Used by HCFA in Preparing Its Proposal for the End Stage Renal Disease Program
117799: Mar 15, 1982
Medicare coverage is provided to persons suffering from kidney failure who are insured under the Social Security Act or are dependents of an insured person. The End Stage Renal Disease (ESRD) Program, which provides this coverage, is generally considered effective in protecting beneficiaries from the catastrophic costs associated with caring for a person with renal failure. However, large and rapi...
The Proposed Regulations Governing Reimbursement Under the Medicare End Stage Renal Disease Program
118458: Mar 15, 1982
Medicare coverage is provided to persons suffering from kidney failure who are either insured under the Social Security Act or are dependents of an insured person. The End Stage Renal Disease Program, which provides this coverage, is generally considered effective in protecting beneficiaries from the catastrophic costs associated with caring for a person with renal failure. However, large and rapi...