Medicaid (31 - 40 of 83 items)
Medicaid Integrity: Implementation of New Program Provides Opportunities for Federal Leadership to Combat Fraud and Abuse
GAO-06-578T: Published: Mar 28, 2006. Publicly Released: Mar 28, 2006.
Today's hearing concerns fraud, waste, and abuse control in Medicaid, a program that provides health care coverage for over 56 million eligible low-income people and is jointly financed by the federal government and the states. In fiscal year 2004, Medicaid had benefit payments of $287 billion, with a federal share of about $168 billion. The states are primarily responsible for ensuring appropriat...
Information Technology: Centers for Medicare & Medicaid Services Needs to Establish Critical Investment Management Capabilities
GAO-06-12: Published: Oct 28, 2005. Publicly Released: Nov 28, 2005.
To carry out its mission of ensuring health care security for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) relies heavily on information technology (IT) systems. In fiscal year 2005, CMS's total IT appropriations was about $2.55 billion, of which about $760 million, or 30 percent, was to support internal investments, and $1.79 billion was to fund the Medicaid Management Inform...
Overview of the Long-Term Care Partnership Program
GAO-05-1021R: Published: Sep 9, 2005. Publicly Released: Oct 11, 2005.
In 2003, the most recent year for which data are available, national spending on long-term care totaled $183 billion, and nearly half of that was paid for by the Medicaid program, the joint federal-state health care financing program that covers basic health and long-term care services for certain low-income individuals. Private insurance paid a small portion of long-term care expenditures--about...
Administrative Expenditures and Federal Matching Rates of Selected Support Programs
GAO-05-839R: Published: Jun 30, 2005. Publicly Released: Jul 28, 2005.
The federal government spends billions of dollars annually for programs that help low-income families and other individuals. A significant portion of these funds cover administrative costs rather than direct benefits and services. To provide information on how these administrative costs compare across programs and the federal government's role in funding these programs' administrative costs, we ex...
Medicaid Financing: States' Use of Contingency-Fee Consultants to Maximize Federal Reimbursements Highlights Need for Improved Federal Oversight
GAO-05-748: Published: Jun 28, 2005. Publicly Released: Jun 28, 2005.
Medicaid--the federal-state health care financing program covering nearly 54 million low-income people at a cost of $276 billion in fiscal year 2003--is by its size and structure at risk of waste and exploitation. Because of challenges inherent in overseeing the program, administered federally by the Centers for Medicare & Medicaid Services (CMS), GAO in 2003 added Medicaid to its list of high-ris...
Health Care Fraud and Abuse Control Program: Results of Review of Annual Reports for Fiscal Years 2002 and 2003
GAO-05-134: Published: Apr 29, 2005. Publicly Released: Apr 29, 2005.
Because of the susceptibility of health care programs to fraud and abuse, Congress enacted the Health Care Fraud and Abuse Control (HCFAC) program as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Pub. L. No. 104-191. HIPAA requires that the Departments of Health and Human Services (HHS) and Justice (DOJ) issue a joint annual report to Congress on amounts deposited...
Social Security Reform: Early Action Would be Prudent
GAO-05-397T: Published: Mar 9, 2005. Publicly Released: Mar 9, 2005.
Social Security is the foundation of the nation's retirement income system, helping to protect the vast majority of American workers and their families from poverty in old age. However, it is much more than a retirement program, also providing millions of Americans with disability insurance and survivors' benefits. Over the long term, as the baby boom generation retires and as Americans continue t...
Social Security: Long-Term Challenges Warrant Early Action
GAO-05-303T: Published: Feb 3, 2005. Publicly Released: Feb 3, 2005.
Social Security is the foundation of the nation's retirement income system, helping to protect the vast majority of American workers and their families from poverty in old age. However, it is much more than a retirement program and also provides millions of Americans with disability insurance and survivors' benefits. Over the long term, as the baby boom generation retires and as Americans continue...
Medicaid Waivers: HHS Approvals of Pharmacy Plus Demonstrations Continue to Raise Cost and Oversight Concerns
GAO-04-480: Published: Jun 30, 2004. Publicly Released: Jul 30, 2004.
Under section 1115 of the Social Security Act, the Secretary of Health and Human Services may waive certain Medicaid requirements for states seeking to deliver services through demonstration projects. By policy, these demonstrations must not increase federal spending. GAO has previously reported concerns with HHS's approval process. GAO was asked to provide information on a new Medicaid section 11...
Medicaid and Ticket to Work: States' Early Efforts to Cover Working Individuals with Disabilities
GAO-03-587: Published: Jun 13, 2003. Publicly Released: Jun 13, 2003.
Over 7 million individuals with disabilities rely on medical and supportive services covered by Medicaid. However, if working-age individuals with disabilities desire to increase their self-sufficiency through employment, they could jeopardize their eligibility for Medicaid coverage, possibly leaving them without an alternative for health insurance. In an effort to help extend Medicaid coverage to...