Medicaid (61 - 70 of 184 items)
Medicaid: Federal and State Leadership Needed to Control Fraud And Abuse
T-HEHS-00-30: Published: Nov 9, 1999. Publicly Released: Nov 9, 1999.
Pursuant to a congressional request, GAO discussed ways to combat fraud and abuse in the Medicaid program, focusing on: (1) an overview of the problem; (2) key components of fraud control; and (3) the importance of federal and state cooperation.GAO noted that: (1) GAO's body of work on health care fraud and abuse indicates that programs the size and structure of Medicaid are inherently vulnerable...
Nursing Home Care: Enhanced HCFA Oversight of State Programs Would Better Ensure Quality
HEHS-00-6: Published: Nov 4, 1999. Publicly Released: Nov 4, 1999.
Pursuant to a congressional request, GAO provided information on the Health Care Financing Administration's (HCFA) oversight programs of state agencies' nursing home survey process, focusing on the: (1) effectiveness of HCFA's approaches to assessing state agency performance; (2) extent to which HCFA's regional offices vary in their application of these approaches; and (3) the corrective actions a...
Nursing Homes: HCFA Should Strengthen Its Oversight of State Agencies to Better Ensure Quality Care
T-HEHS-00-27: Published: Nov 4, 1999. Publicly Released: Nov 4, 1999.
Pursuant to a congressional request, GAO discussed its study of the Health Care Financing Administration's (HFCA) implementation of two of its nursing home initiatives.GAO noted that: (1) HCFA's mechanisms for assessing state agency survey performance are limited in their scope and effectiveness and are not being applied consistently across each of HCFA's 10 regional offices; (2) as a result, HCFA...
Reported Medicaid Year 2000 Readiness
AIMD-00-22R: Published: Oct 5, 1999. Publicly Released: Oct 5, 1999.
Pursuant to a congressional request, GAO determined: (1) what the Health Care Financing Administration (HCFA) is doing to ensure that the year 2000 computing challenge does not adversely affect the delivery of Medicaid benefits; and (2) the readiness of states to successfully transition to year 2000 for Medicaid.GAO noted that: (1) HCFA has taken several actions that have significantly reduced the...
Nursing Home Oversight: Industry Examples Do Not Demonstrate That Regulatory Actions Were Unreasonable
HEHS-99-154R: Published: Aug 13, 1999. Publicly Released: Sep 13, 1999.
Pursuant to a congressional request, GAO analyzed materials from the American Health Care Association (AHCA) to determine whether any cases reflected the actions of an overly aggressive regulatory process.GAO noted that: (1) in each of the eight cases for which there was sufficient information for an objective assessment, GAO believes appropriate regulatory action was taken; (2) in these cases, ei...
Nursing Homes: HCFA Initiatives to Improve Care Are Under Way but Will Require Continued Commitment
T-HEHS-99-155: Published: Jun 30, 1999. Publicly Released: Jun 30, 1999.
Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) progress in implementing its recent initiatives to strengthen efforts to ensure the quality of care provided by the nation's nursing homes.GAO noted that: (1) HCFA has undertaken a wide array of changes in its nursing home oversight that can be summarized in three key areas: (a) strengthening the s...
Nursing Homes: Proposal To Enhance Oversight of Poorly Performing Homes Has Merit
HEHS-99-157: Published: Jun 30, 1999. Publicly Released: Jun 30, 1999.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) proposal to expand the definition of "poor performing" nursing homes to include homes with repeated actual harm violations (G-level deficiencies).GAO noted that: (1) HCFA's proposed expansion of the poor-performer criteria to include homes with repeated isolated actual harm deficiencies would substa...
Food Stamp Program: Relatively Few Improper Benefits Provided to Individuals in Long-Term Care Facilities
RCED-99-151: Published: Jun 4, 1999. Publicly Released: Jun 22, 1999.
Pursuant to a congressional request, GAO reviewed the extent to which individuals residing in long-term care facilities are improperly included as members of food stamp households, focusing on: (1) how many individuals were included as members of food stamp households while they were residing in long-term care facilities and the estimated value of the overpayments to those households; and (2) whet...
Nursing Homes: Complaint Investigation Processes in Maryland
T-HEHS-99-146: Published: Jun 15, 1999. Publicly Released: Jun 15, 1999.
GAO discussed its recent findings on the effectiveness of federal and state nursing home complaint investigation processes, with a specific focus on its work in Maryland.GAO noted that: (1) federal and states' practices for investigating complaints about care provided in nursing homes are often not effective; (2) among many of the 14 states GAO examined, GAO found numerous problems, including proc...
Children's Health Insurance Program: State Implementation Approaches Are Evolving
HEHS-99-65: Published: May 14, 1999. Publicly Released: Jun 14, 1999.
Pursuant to a congressional request, GAO provided information on the implementation of the State Children's Health Insurance Program (SCHIP), focusing on states': (1) initial SCHIP design choices, including the use of the statutory flexibility to design their programs; (2) pursuit of statutory options, particularly extending coverage to adults in families with children; (3) development of innovati...