Health care programs (61 - 70 of 90 items)
Medicaid Fraud and Abuse: Stronger Action Needed to Remove Excluded Providers From Federal Health Programs
HEHS-97-63: Published: Mar 31, 1997. Publicly Released: Apr 30, 1997.
Pursuant to a congressional request, GAO reviewed the Department of Health and Human Services (HHS) Inspector General's (OIG) process for excluding providers from federal health care programs.GAO noted that: (1) over the years, the OIG, working with state agencies, has excluded thousands of providers from participating in federal health care programs because of health care fraud, abuse, or quality...
Medicaid: Recent Spending Experience and the Administration's Proposed Program Reform
T-HEHS-97-94: Published: Mar 11, 1997. Publicly Released: Mar 11, 1997.
GAO discussed recent Medicaid spending trends and their potential implications for future outlays, focusing on: (1) key factors that explain the Medicaid 3.3-percent growth rate in fiscal year 1996; and (2) the administration's proposal to contain Medicaid cost growth through decreases in disproportionate share hospital (DSH) payments and per capita caps, and to increase state flexibility.GAO note...
Fraud and Abuse: Providers Excluded From Medicaid Continue to Participate in Federal Health Programs
T-HEHS-96-205: Published: Sep 5, 1996. Publicly Released: Sep 5, 1996.
GAO discussed whether the Department of Health and Human Services' (HHS) Office of Inspector General's (OIG) process for removing fraudulent health care providers from all federal health programs. GAO noted that: (1) weaknesses within HHS OIG allow sanctioned health care providers to remain in federal health care programs; (2) these weaknesses include lengthy delays in the OIG decision-making proc...
State Medicaid Financing Practices
HEHS-96-76R: Published: Jan 23, 1996. Publicly Released: Jan 23, 1996.
Pursuant to a congressional request, GAO provided information on state Medicaid financing arrangements in Michigan, Tennessee, and Texas. GAO noted that: (1) until the Health Care Financing Administration (HCFA) ruled in 1985 that states could use Medicaid provider donations to reduce their share of Medicaid expenditures, states could only use provider donations for the cost of training administra...
Medigrant: Hawaii's Base Year Funding
HEHS-96-74R: Published: Dec 15, 1995. Publicly Released: Dec 15, 1995.
Pursuant to a congressional request, GAO examined the accuracy of the tables it provided to the Senate showing Hawaii's fiscal year (FY) 1995 Medicaid spending, focusing on whether Hawaii's base year funding amounts reflected possible inaccuracies. GAO noted that: (1) it was unable to determine if Hawaii's Medicaid funding accurately reflected its Medicaid payments, since prior base year spending...
HEHS-96-11R: Published: Oct 2, 1995. Publicly Released: Oct 2, 1995.
Pursuant to a congressional request, GAO provided information on how the proposed MediGrant Program will affect Florida's federal Medicaid funding between fiscal years (FY) 1996 to 2002. GAO noted that: (1) Florida state officials estimate that Florida would receive $7.6 billion less under the proposed MediGrant program; (2) Florida is expected to match $30.6 billion under Medicaid spending law an...
Ryan White CARE Act of 1990: Opportunities Are Available to Improve Funding Equity
T-HEHS-95-91: Published: Feb 22, 1995. Publicly Released: Feb 22, 1995.
GAO discussed the distribution of funds to states and eligible metropolitan areas (EMA) under the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. GAO noted that: (1) the CARE Act is the only federal program that makes funds available specifically for medical and support services to individuals with acquired immunodeficiency syndrome (AIDS); (2) during fiscal year 1994, over $500 mill...
Ryan White Funding Formulas
HEHS-95-79R: Published: Feb 14, 1995. Publicly Released: Feb 14, 1995.
Pursuant to a congressional request, GAO provided information on whether the the Ryan White Comprehensive AIDS Resources Emergency Act's title I and II funding formulas equitably distribute funds to states and eligible metropolitan areas (EMA). GAO found that: (1) although the title I and II funding formulas include some equity-based factors, funding disparities persist; (2) the EMA factors in tit...
Public Health Services: Agencies Use Different Approaches to Protect Public Against Disease and Injury
HEHS-94-85BR: Published: Apr 29, 1994. Publicly Released: Apr 29, 1994.
Pursuant to a congressional request, GAO reviewed the Public Health Service's (PHS) disease prevention, health promotion, and biomedical research programs, focusing on whether: (1) program activity duplication exists among PHS agencies; and (2) Centers for Disease Control (CDC) programs involving chronic diseases, intentional injury, and health services funding are appropriate.GAO found that: (1)...
Long-Term Care Reform: Program Eligibility, States' Service Capacity, and Federal Role in Reform Need More Consideration
T-HEHS-94-144: Published: Apr 14, 1994. Publicly Released: Apr 14, 1994.
Pursuant to a congressional request, GAO discussed long-term health care reform, focusing on: (1) eligibility determinations; (2) service capacity; and (3) the federal role in implementing long-term care reform. GAO noted that: (1) long-term health care reform is needed because of changing demography, rising costs, and dissatisfaction with current services; (2) the principles of long-term care ref...