Medicaid (81 - 90 of 184 items)
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...
Medicaid Section 1115 Waivers: Flexible Approach to Approving Demonstrations Could Increase Federal Costs
HEHS-96-44: Published: Nov 8, 1995. Publicly Released: Dec 8, 1995.
Pursuant to a congressional request, GAO examined the financing arrangements for four approved section 1115 Medicaid demonstration waivers.GAO found that: (1) the approved spending limits for demonstration waivers in Oregon, Hawaii, and Florida are not budget neutral and could increase federal Medicaid expenditures; (2) Tennessee's 1115 waiver agreement should cost less than the continuation of it...
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...
National and Public Health Issues Issue Area: Active Assignments
AA-95-18(4): Published: Oct 1, 1995. Publicly Released: Oct 1, 1995.
GAO provided information on its active assignments in the National and Public Health Issues issue area as of October 2, 1995...
Medicaid: Tennessee's Program Broadens Coverage but Faces Uncertain Future
HEHS-95-186: Published: Sep 1, 1995. Publicly Released: Sep 19, 1995.
Pursuant to a congressional request, GAO reviewed Tennessee's Medicaid capitated managed care program (TennCare), focusing on: (1) TennCare's basic design and objectives; (2) the degree to which the program is meeting these objectives; and (3) the experiences of TennCare insurers and medical providers and their implications for TennCare's future.GAO found that: (1) TennCare's objectives are to exp...
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...
Employer-Based Health Plans: Issues, Trends, and Challenges Posed by ERISA
T-HEHS-95-223: Published: Jul 25, 1995. Publicly Released: Jul 25, 1995.
GAO discussed the Employee Retirement Income Security Act of 1974 (ERISA), focusing on the: (1) proportion of workers in self-funded health insurance plans; (2) kinds of state actions preempted by ERISA; and (3) advantages of ERISA preemption to employers that offer health care coverage to their employees. GAO noted that: (1) nearly 40 percent of enrollees in employer-based health plans, or 44 mil...
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...