Health insurance (41 - 50 of 52 items)
Long-Term Care Insurance: Actions Needed to Reduce Risks to Consumers
T-HRD-92-44: Published: Jun 23, 1992. Publicly Released: Jun 23, 1992.
GAO discussed its recent studies of long-term care insurance. GAO noted that: (1) many consumers are vulnerable to considerable risks in purchasing long-term care insurance because states have not adopted optional standards drafted by a national insurance industry association; (2) insurance companies have adopted the standards more quickly than states, but most policies reviewed did not meet the s...
Medicaid: Millions of Dollars Not Recovered From Michigan Blue Cross/Blue Shield
HRD-91-12: Published: Nov 30, 1990. Publicly Released: Mar 22, 1991.
Pursuant to a congressional request, GAO examined Michigan's efforts to ensure that its largest private health insurer paid claims for Medicaid recipients it insured.GAO found that: (1) Michigan has experienced difficulty recovering from its largest private insurer since 1972, although other health insurers routinely processed postpayment claims; (2) the insurer maintained that its computer system...
Medicare Catastrophic Act: Estimated Effects of Repeal on Medigap Premiums and Medicaid Costs
HRD-90-48FS: Published: Nov 6, 1989. Publicly Released: Nov 6, 1989.
Pursuant to a congressional request, GAO obtained insurance company and state agency estimates of the potential effects on Medigap premiums and Medicaid expenditures of a repeal of the Medicare Catastrophic Coverage Act.GAO found that: (1) insurance companies estimated that the repeal would cause an average 15.4-percent monthly premium increase, totaling $250 million in Medigap subscriber costs fo...
Federal Compensation: Premium Taxes Paid by the Health Benefits Program
GGD-89-102: Published: Aug 8, 1989. Publicly Released: Aug 8, 1989.
Pursuant to a congressional request, GAO provided information on the amount of premium taxes that underwriters participating in the Federal Employees Health Benefits Program paid to states and other government entities.GAO found that: (1) states, county and municipal governments, U.S. territories, and Panama imposed premium taxes on the portion of premium income that participating plans paid to in...
Efforts Needed To Relieve Medicaid From Paying for Services Covered by Private Insurers
126525: Mar 25, 1985
GAO discussed efforts to reduce Medicaid costs by identifying and collecting from private health and liability insurance companies the amount they are legally liable to pay for services received by Medicaid recipients. Although the Medicaid program should be relieved of health care costs if another party is legally responsible for payment, states continue to receive bills from eligible recipients...
Improved Efforts Needed To Relieve Medicaid From Paying for Services Covered by Private Insurers
HRD-85-10: Published: Feb 12, 1985. Publicly Released: Feb 12, 1985.
GAO reviewed six states' administration of Medicaid programs to assess the extent and effectiveness of their efforts to reduce Medicaid program costs by using other available health care resources. In addition, GAO described how state Medicaid practices for identifying and collecting private health insurance could be improved through more oversight by the Health Care Financing Administration (HCFA...
Need for Legislative Change Affecting the Medicaid Program
HRD-85-9: Published: Nov 30, 1984. Publicly Released: Nov 30, 1984.
GAO has been conducting an ongoing review of the Medicaid program, which is a federally aided and state-administered medical assistance program that currently covers about 22 million low-income people.GAO found that a possible inequity could result in states having to pay the full medical costs for certain Medicaid recipients. This possible inequity occurs when Medicaid recipients are also covered...
New York Requires Employed Medicaid Recipients To Enroll in Employer-Sponsored Health Insurance
HRD-84-86: Published: Aug 10, 1984. Publicly Released: Aug 10, 1984.
As a part of its review of the use of recipient health insurance coverage to avoid Medicaid costs, GAO reported on the New York State practice of requiring working recipients to enroll in available employer-sponsored health insurance plans.GAO found that, if the insurance programs require employee contributions, the state is using Medicaid funds to make contributions to private health insurance pr...
Conflicts Between State Health Insurance Requirements and Contracts of the Federal Employees Health Benefits Carriers
MWD-76-49: Published: Oct 17, 1975. Publicly Released: Nov 5, 1982.
No summary is currently available...
Rising Hospital Costs Can Be Restrained by Regulating Payments and Improving Management
HRD-80-72: Published: Sep 19, 1980. Publicly Released: Sep 19, 1980.
GAO examined the impact on rising hospital costs in nine States having prospective rate-setting programs. Prospective rate-setting programs depart from the traditional cost-based retrospective method of paying for hospital services, and instead, make payments based on rates determined before the services are provided.Twenty-six States have adopted various prospective ratesetting programs These pro...