Medicare (41 - 50 of 63 items)
Medicare and Medicaid: More Information Exchange Could Improve Detection of Substandard Care
HRD-90-29: Published: Mar 7, 1990. Publicly Released: Mar 7, 1990.
GAO provided information on the Health Care Financing Administration's (HCFA) implementation of a recommendation that it develop guidelines to coordinate reporting on Medicaid and Medicare quality of care.GAO found that: (1) review entities, including insurance carriers and peer review organizations (PRO), did not routinely exchange information about problem physicians; (2) officials agreed that d...
Medicare: Assuring the Quality of Home Health Services
HRD-90-7: Published: Oct 10, 1989. Publicly Released: Jan 10, 1990.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) process for surveying home health care agencies and certifying them for Medicare participation.GAO found that: (1) HCFA contracted with states to periodically survey home health agencies, and certified those agencies that state surveyors determined to be in compliance with HCFA standards; (2) HCFA p...
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...
Information Technology: Health Care Financing Administration's Budget Process Needs Improvement
IMTEC-89-31: Published: Aug 11, 1989. Publicly Released: Aug 11, 1989.
Pursuant to a congressional request, GAO analyzed the Health Care Financing Administration's (HCFA): (1) fiscal year (FY) 1990 budget request for its information technology systems and data processing needs; and (2) efforts to reduce Medicare contractors' automatic data processing (ADP) costs.GAO found that HCFA: (1) requested $73.6 million for its information technology systems for FY 1990; (2) c...
Medicare: Share of Hospitals' Inpatient Use and Revenue
HRD-88-44BR: Published: Jan 15, 1988. Publicly Released: Jan 15, 1988.
Pursuant to a congressional request, GAO provided data on the Medicare Program's share of rural and urban hospitals' total inpatient days, discharges, and revenues for 1985.GAO found that Medicare: (1) represented an average 31.5 percent of revenues, 32.3 percent of discharges, and 42 percent of inpatient days for all hospitals; (2) represented 36.3 percent of revenues, 42.3 percent of discharges,...
137894: Jan 1, 1988
This article, which appeared in the GAO Journal, No. 4, Winter 1988, discusses ways to reform entitlement programs. Social security benefits constituted more than 42 percent of federal entitlements outlays in fiscal year 1986, while federal health care programs were about 16 percent and retirement systems were 9 percent. Entitlements growth after 1980 was entirely due to expansion of poverty progr...
Medigap Insurance: Update on Regulation Under the Baucus Amendment
T-HRD-87-18: Published: Jul 22, 1987. Publicly Released: Jul 22, 1987.
GAO discussed the federal standards designed to protect the elderly from substandard and overpriced Medigap insurance policies, which are designed to pay expenses which Medicare will not reimburse. GAO found that: (1) the Baucus Amendment, which established minimum requirements for state regulation of insurance policies marketed to the elderly, was meeting its objectives; (2) all but four states h...
Health Care: States Assume Leadership Role in Providing Emergency Medical Services
HRD-86-132: Published: Sep 30, 1986. Publicly Released: Oct 30, 1986.
In response to a congressional request, GAO reviewed the status of emergency medical services programs in the United States, specifically: (1) the effect of the transition from federal to state leadership under the Preventive Health and Health Services block grant on local emergency medical services; and (2) the significant issues and barriers affecting the appropriate and timely delivery of local...
S. 837, S. 1323, and H.R. 1868
127379: Jul 12, 1985
GAO testified on its views on S. 837, S. 1323, and H.R. 1868, bills that would afford beneficiaries protection under Social Security Act health care programs from unfit health care practitioners. Each bill proposes consolidation of current legislative authorities and provides new authorities to the Department of Health and Human Services (HHS) to exclude unfit and unethical health care practitione...
The Need for Expanded Federal Exclusion Authority
125177: Sep 18, 1984
Testimony was given on the need for expanded federal exclusion authority for medical practitioners to help ensure that Medicare and Medicaid recipients receive quality care. While reviewing Medicare and Medicaid operations, GAO found that it is possible for medical practitioners, who hold licenses in more than one state, to have one of these licenses suspended or revoked by a state licensing board...