Medicaid (71 - 80 of 184 items)
Nursing Homes: Complaint Investigation Processes Often Inadequate to Protect Residents
HEHS-99-80: Published: Mar 22, 1999. Publicly Released: Mar 22, 1999.
Pursuant to a congressional request, GAO provided information on how states implement the federal requirement that establishes a process for nursing home complaint investigations, focusing on the: (1) effectiveness of state complaint investigation practices as a component of the system to ensure sustained compliance with federal nursing home quality-of-care standards; and (2) Health Care Financing...
Nursing Homes: Stronger Complaint and Enforcement Practices Needed to Better Ensure Adequate Care
T-HEHS-99-89: Published: Mar 22, 1999. Publicly Released: Mar 22, 1999.
Pursuant to a congressional request, GAO discussed the effectiveness of complaint and enforcement practices to protect nursing home residents, and to ensure that homes participating in Medicare and Medicaid comply with federal standards, focusing on the: (1) effectiveness of states' complaint practices in protecting residents; (2) Health Care Financing Administration's (HCFA) role in establishing...
Teen Pregnancy: State and Federal Efforts to Implement Prevention Programs and Measure Their Effectiveness
HEHS-99-4: Published: Nov 30, 1998. Publicly Released: Dec 14, 1998.
Pursuant to a congressional request, GAO provided information on: (1) state strategies to reduce teen pregnancy and how states fund these efforts; (2) how welfare reform affected states' strategies; (3) the extent to which programs that are part of states' prevention strategies are evaluated; and (4) what teen pregnancy prevention activities the federal government supports.GAO noted that: (1) the...
Income Security Issue Area: Active Assignments
AA-98-11(2): Published: May 1, 1998. Publicly Released: May 1, 1998.
GAO provided information on its active assignments in the Income Security issue area as of May 3, 1998...
Health Insurance Standards: New Federal Law Creates Challenges for Consumers, Insurers, Regulators
HEHS-98-67: Published: Feb 25, 1998. Publicly Released: Mar 10, 1998.
Pursuant to a congressional request, GAO reviewed the implementation of the Health Insurance Portability and Accountability Act (HIPAA), focusing on issues affecting: (1) consumers; (2) issuers of health coverage, including employers and insurance carriers; (3) state insurance regulators; and (4) federal regulators. GAO also reviewed efforts undertaken by federal agencies to address some of the co...
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: Managed Care and Individual Hospital Limits for Disproportionate Share Hospital Payments
HEHS-98-73R: Published: Jan 28, 1998. Publicly Released: Jan 28, 1998.
Pursuant to a congressional request, GAO reviewed disproportionate share hospital (DSH) payment limits, focusing on: (1) whether state formulas vary in their inclusion of managed care costs and revenues when calculating the maximum amount a specific hospital can receive; and (2) whether such variation is allowed by the Medicaid program; and, if so, (3) Health Care Financing Administration (HCFA) o...
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...
Long-Term Care: Some States Apply Criminal Background Checks to Home Care Workers
PEMD-96-5: Published: Sep 27, 1996. Publicly Released: Oct 31, 1996.
Pursuant to a congressional request, GAO examined federal and state provisions for protecting vulnerable elderly and disabled persons from home care wokers with histories of crime and patient abuse, focusing on: (1) federal or state requirements for licensure, registration, or certification of home care workers and organizations; (2) the extent to which states have used the federally mandated regi...