Health care costs (21 - 30 of 42 items)
Medicare Home Health: Payments to Most Freestanding Home Health Agencies More Than Cover Their Costs
GAO-04-359: Published: Feb 27, 2004. Publicly Released: Feb 27, 2004.
Under Medicare's home health prospective payment system (PPS), home health agencies (HHA) are paid a fixed amount, adjusted for differences in individual patients' expected care needs, for providing an episode (up to 60 days) of care. For this payment, HHAs provide therapy, skilled nursing, medical social service, and aide visits to patients in their homes. GAO previously reported that PPS payment...
Retiree Health Benefits at Selected Government Contractors
GAO-03-412R: Published: Feb 27, 2003. Publicly Released: Feb 27, 2003.
Since World War II, some employers have voluntarily sponsored postretirement health plans as a benefit to their employees. According to government sources, these health plans constitute the primary source of health coverage for retirees aged 55 to 64 and supplemental coverage for nearly one third of retirees aged 65 or older with Medicare coverage. However, with costs already amounting to hundreds...
VA Health Care: Allocation Changes Would Better Align Resources with Workload
GAO-02-338: Published: Feb 28, 2002. Publicly Released: Feb 28, 2002.
The Department of Veterans Affairs (VA) spent $21 billion in fiscal year 2001 to treat 3.8 million veterans--most of whom had service-connected disabilities or low incomes. Since 1997, VA has used the Veterans Equitable Resource Allocation (VERA) system to allocate most of its medical care appropriation. GAO found that VERA has had a substantial impact on network resource allocations and workloads...
Health Care Alliances: Issues Relating To Geographic Boundaries
HEHS-94-139: Published: Apr 8, 1994. Publicly Released: Apr 8, 1994.
Pursuant to a congressional request, GAO reviewed the provisions of major health bills concerning the configuration of health care alliance boundaries, focusing on the: (1) features and procedures for establishing Metropolitan Statistical Areas (MSA); (2) experiences of two states that have established entities similar to alliances; and (3) potential effects of alliance boundaries on existing heal...
Defense Health Care: Expansion of the CHAMPUS Reform Initiative Into DOD's Region 6
HEHS-94-100: Published: Feb 9, 1994. Publicly Released: Feb 9, 1994.
Pursuant to a legislative requirement, GAO evaluated the Department of Defense's (DOD) certification on expanding the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Reform Initiative (CRI) to beneficiaries in Arkansas, Oklahoma, and portions of Louisiana and Texas.GAO found that: (1) DOD reasonably evaluated the costs of expanding the modified CRI program to DOD region 6 f...
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...
Costs Related Medicaid Reimbursements to Nursing Homes in the State of Kansas
103500: Sep 8, 1977
Controls and procedures used to reimburse nursing homes in Kansas for services provided patients under the Medicaid program were surveyed. The analysis focused on the State's method of establishing reimbursement rates, selected program providers' cost reports which the State used to establish these rates, and four providers' records in order to verify the propriety of selected costs included in th...
Problems Found in Nursing Homes
089011: May 23, 1977
No summary is currently available...
Study of the Availability of Medical Services to Medicaid Recipients
089261: Jan 5, 1979
GAO conducted a study designed to determine where Medicaid recipients received their medical care and what problems, if any, were encountered in obtaining care. The review encompassed the cities of Denver, Colorado; Honolulu, Hawaii; Richmond, Virginia; Syracuse, New York; and various counties which provide a cross section of the level of care provided across the nation...
Improving Medicare and Medicaid Systems To Control Payments for Unnecessary Physicians' Services
HRD-83-16: Published: Feb 8, 1983. Publicly Released: Feb 8, 1983.
GAO reviewed the Medicare and Medicaid programs to assess the mechanisms that paying agents under these programs are using to identify and prevent reimbursement to physicians and suppliers for medically unnecessary services and to recoup payments made for such services. The objectives of the review were to: (1) assess and compare the costs and benefits of the prepayment and postpayment utilization...