Health care services (21 - 30 of 74 items)
Implementation of HIPAA: Progress Slow in Enforcing Federal Standards in Nonconforming States
HEHS-00-85: Published: Mar 31, 2000. Publicly Released: Apr 25, 2000.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) enforcement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), focusing on: (1) HCFA's progress in enforcing HIPAA and related laws in states lacking conforming statutes; (2) HCFA's role in enforcing HIPAA for state and local government health plans; and (3) the status of pe...
Health Insurance Standards: Implications of New Federal Law for Consumers, Insurers, Regulators
T-HEHS-98-114: Published: Mar 19, 1998. Publicly Released: Mar 19, 1998.
Pursuant to a congressional request, GAO discussed the implementation of the private insurance market provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).GAO noted that: (1) although HIPAA gives people losing coverage a guarantee of access to coverage in the individual market, consumers attempting to exercise this right have been hindered in some states by carrier...
Traumatic Brain Injury: Programs Supporting Long-Term Services in Selected States
HEHS-98-55: Published: Feb 27, 1998. Publicly Released: Feb 27, 1998.
Pursuant to a congressional request, GAO reviewed federal and state efforts to provide services the individuals with traumatic brain injury (TBI), focusing on the: (1) primary federal and state programs that provide adults with TBI services to help them function more independently; (2) strategies that states have developed to enhance access to TBI-related services; and (3) circumstances believed t...
Medicaid: Matching Formula's Performance and Potential Modifications
T-HEHS-95-226: Published: Jul 27, 1995. Publicly Released: Jul 27, 1995.
Pursuant to a congressional request, GAO discussed the formula used to share the cost of the Medicaid program between the federal and state governments. GAO noted that: (1) the Medicaid matching formula, which relies on per capita income as a measure of state wealth, has not significantly reduced wide differences in states' Medicaid programs; (2) large disparities persist in states' Medicaid cover...
Medicaid: Statewide Section 1115 Demonstrations' Impact on Eligibility, Service Delivery, and Program Cost
T-HEHS-95-182: Published: Jun 21, 1995. Publicly Released: Jun 21, 1995.
GAO discussed the states' efforts to reinvent their Medicaid programs through section 1115 waivers, focusing on: (1) Medicaid spending trends; (2) states' efforts to contain Medicaid costs and expand coverage through section 1115 waivers; and (3) the waivers' potential impact on Medicaid spending. GAO noted that: (1) federal and state governments spent $104 billion more on Medicaid in 1994 than th...
Medicaid: Experience with State Waivers to Promote Cost Control and Access to Care
T-HEHS-95-115: Published: Mar 23, 1995. Publicly Released: Mar 23, 1995.
GAO discussed pending and approved state Medicaid waivers. GAO noted that: (1) states can request waivers of federal Medicaid requirements to facilitate projects that will further the program's objectives; (2) states generally seek waivers to expand coverage and contain costs by shifting to managed care systems; (3) since 1993, nearly half of the states have sought waivers, but only Tennessee, Ore...
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...
VA Health Care: Inadequate Planning in the Chesapeake Network
HEHS-95-6: Published: Dec 22, 1994. Publicly Released: Dec 22, 1994.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) planned construction of a new nursing home in the Baltimore, Maryland, area, focusing on whether VA used sound planning criteria in: (1) choosing the new nursing home site; and (2) developing its plans to replace the former medical center and nursing home.GAO found that: (1) VA did not soundly plan its const...
Medicaid: States Use Illusory Approaches to Shift Program Costs to Federal Government
HEHS-94-133: Published: Aug 1, 1994. Publicly Released: Sep 20, 1994.
Pursuant to a congressional request, GAO reviewed certain states' Medicaid program records, focusing on: (1) whether states are using financial arrangements that inflate the federal share of Medicaid program expenditures; (2) various techniques that states use to obtain federal funds for their basic Medicaid and disproportionate share hospital (DSH) programs; and (3) whether states are using their...