Program management (11 - 20 of 42 items)
Medicaid Financing: Long-standing Concerns about Inappropriate State Arrangements Support Need for Improved Federal Oversight
GAO-08-650T: Published: Apr 3, 2008. Publicly Released: Apr 3, 2008.
Medicaid, a joint federal-state program, financed the health care for about 59 million low-income people in fiscal year 2006. States have considerable flexibility in deciding what medical services and individuals to cover and the amount to pay providers, and the federal government reimburses a portion of states' expenditures according to a formula established by law. The Centers for Medicare & Med...
State Children's Health Insurance Program: Program Structure, Enrollment and Expenditure Experiences, and Outreach Approaches for States That Cover Adults
GAO-08-50: Published: Nov 26, 2007. Publicly Released: Dec 20, 2007.
In 2006 about 4.5 million individuals were enrolled in the State Children's Health Insurance Program (SCHIP). Congress created SCHIP with the goal of significantly reducing the number of low-income uninsured children. Under certain circumstances, states may also cover adults, and in June 2006 about 349,000 adults were enrolled. Each state receives an annual allotment of federal funds, available as...
Medicaid Integrity: Implementation of New Program Provides Opportunities for Federal Leadership to Combat Fraud and Abuse
GAO-06-578T: Published: Mar 28, 2006. Publicly Released: Mar 28, 2006.
Today's hearing concerns fraud, waste, and abuse control in Medicaid, a program that provides health care coverage for over 56 million eligible low-income people and is jointly financed by the federal government and the states. In fiscal year 2004, Medicaid had benefit payments of $287 billion, with a federal share of about $168 billion. The states are primarily responsible for ensuring appropriat...
Medicaid: States' Efforts to Maximize Federal Reimbursements Highlight Need for Improved Federal Oversight
GAO-05-836T: Published: Jun 28, 2005. Publicly Released: Jun 28, 2005.
Medicaid--the federal-state health care financing program covering almost 54 million low-income people at a cost of $276 billion in fiscal year 2003--is by its size and structure at significant risk of waste and exploitation. Because of challenges inherent in overseeing the program, which is administered federally by the Centers for Medicare & Medicaid Services (CMS), GAO added Medicaid to its lis...
Vaccines for Children: Critical Issues in Design and Implementation
PEMD-94-28: Published: Jul 18, 1994. Publicly Released: Jul 19, 1994.
Pursuant to a congressional request, GAO reviewed the Centers for Disease Control's (CDC) implementation plans for the Vaccines for Children (VFC) Program, focusing on: (1) how CDC plans to implement the VFC Program; and (2) the likelihood that CDC will meet its program goals.GAO found that: (1) as of July 5, 1994, only 4 of the 15 contracts with vaccine manufacturers had been awarded; (2) as of J...
Managed Care: Oregon Program Appears Successful but Expansions Should Be Implemented Cautiously
T-HRD-91-48: Published: Sep 16, 1991. Publicly Released: Sep 16, 1991.
GAO discussed Oregon's proposal to expand its prepaid managed care activities as part of a demonstration that would restructure its entire Medicaid program, focusing on the existing managed care program that will serve as the foundation for the proposed demonstration project. GAO noted that: (1) since 1985, Oregon's Medicaid program has increased to an enrollment of about 65,000 and Oregon has con...
Medicaid: Federal Oversight of Kansas Facility for the Retarded Inadequate
HRD-89-85: Published: Sep 29, 1989. Publicly Released: Sep 29, 1989.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) termination and subsequent reinstatement of the Winfield State Hospital and Training Center, Kansas, in the Medicaid program, focusing on whether it: (1) improperly reinstated the facility; (2) obtained state certification for the facility prior to reinstatement; (3) satisfied Medicaid requirements...
Mental Health: Funds Needed for Future Planning Activities
HRD-89-94: Published: Apr 28, 1989. Publicly Released: Apr 28, 1989.
Pursuant to a congressional request, GAO assessed whether 14 states would need additional federal funds to establish and implement statutorily required comprehensive community-based mental health services.GAO found that: (1) the Department of Health and Human Services (HHS) provided each state with $82,200 in fiscal year (FY) 1988 and $81,000 in FY 1989 to develop programs; (2) 13 of the 14 states...
Drug Abuse Prevention: Further Efforts Needed To Identify Programs That Work
HRD-88-26: Published: Dec 4, 1987. Publicly Released: Feb 3, 1988.
In response to a congressional request, GAO reviewed federal drug abuse prevention and education activities to determine: (1) how the federal government provides leadership and coordination; (2) which federal agencies are involved in these activities; (3) the amount each agency is spending and for what types of programs; and (4) how the federal government evaluates the programs.GAO found that: (1)...
Medicaid: Early Problems in Implementing the Philadelphia HealthPASS Program
HRD-88-37: Published: Dec 22, 1987. Publicly Released: Dec 22, 1987.
In response to a congressional request, GAO reviewed Pennsylvania's progress and problems in implementing the Philadelphia Accessible Services System (HealthPASS), a contractor-operated program that manages and coordinates delivery of prepaid health care services to Medicaid recipients.GAO found that the contractor: (1) obtained a 2-year waiver of Medicaid regulations to administer HealthPASS as a...