State-administered programs (61 - 70 of 137 items)
Medicaid: Spending Pressures Drive States Toward Program Reinvention
HEHS-95-122: Published: Apr 4, 1995. Publicly Released: Apr 4, 1995.
Pursuant to a congressional request, GAO reviewed federal and state Medicaid spending trends, focusing on: (1) states' efforts to contain Medicaid costs and expand coverage through waivers of certain federal requirements; and (2) the potential impact of these waivers on federal spending and on Medicaid's overall program structure.GAO found that: (1) Medicaid accounts for about 6 percent of all fed...
Medicaid: Experience with State Waivers to Promote Cost Control and Access to Care
T-HEHS-95-115: Published: Mar 23, 1995. Publicly Released: Mar 23, 1995.
GAO discussed pending and approved state Medicaid waivers. GAO noted that: (1) states can request waivers of federal Medicaid requirements to facilitate projects that will further the program's objectives; (2) states generally seek waivers to expand coverage and contain costs by shifting to managed care systems; (3) since 1993, nearly half of the states have sought waivers, but only Tennessee, Ore...
Ryan White Funding Formulas
HEHS-95-79R: Published: Feb 14, 1995. Publicly Released: Feb 14, 1995.
Pursuant to a congressional request, GAO provided information on whether the the Ryan White Comprehensive AIDS Resources Emergency Act's title I and II funding formulas equitably distribute funds to states and eligible metropolitan areas (EMA). GAO found that: (1) although the title I and II funding formulas include some equity-based factors, funding disparities persist; (2) the EMA factors in tit...
Health Care: School-Based Health Centers Can Expand Access for Children
HEHS-95-35: Published: Dec 22, 1994. Publicly Released: Dec 22, 1994.
Pursuant to a congressional request, GAO reviewed the role of school-based health centers (SBHC) in expanding children's access to health care and the financial and other obstacles SBHC must overcome to launch and maintain their services.GAO found that: (1) SBHC afford children easier access to needed health services by bringing providers to the children, furnishing free or low-cost services, and...
Medicaid: States Use Illusory Approaches to Shift Program Costs to Federal Government
HEHS-94-133: Published: Aug 1, 1994. Publicly Released: Sep 20, 1994.
Pursuant to a congressional request, GAO reviewed certain states' Medicaid program records, focusing on: (1) whether states are using financial arrangements that inflate the federal share of Medicaid program expenditures; (2) various techniques that states use to obtain federal funds for their basic Medicaid and disproportionate share hospital (DSH) programs; and (3) whether states are using their...
Health Care: Federal and State Antitrust Actions Concerning the Health Care Industry
HEHS-94-220: Published: Aug 5, 1994. Publicly Released: Aug 24, 1994.
Pursuant to a congressional request, GAO reviewed: (1) the Department of Justice's (DOJ) and the Federal Trade Commission's (FTC) antitrust enforcement actions against hospitals; and (2) state legislation that creates regulatory programs for the approval of mergers and joint ventures among health care providers.GAO found that: (1) from fiscal year (FY) 1981 through FY 1993, DOJ and FTC challenged...
Federal Aid: Revising Poverty Statistics Affects Fairness of Allocation Formulas
HEHS-94-165: Published: May 20, 1994. Publicly Released: May 20, 1994.
Pursuant to a congressional request, GAO reviewed whether revisions in poverty statistics would affect the distribution of federal aid to state and local governments.GAO found that: (1) federal grant allocation formulas should reflect the number of people potentially eligible for services, the cost of providing those services, and the ability of state and local taxpayers to fund services from stat...
Quality Assurance Independence
HEHS-94-151R: Published: Apr 28, 1994. Publicly Released: Apr 28, 1994.
GAO reviewed the Social Security Administration's (SSA) regional structure for ensuring the quality of disability decisions made by state disability determination services (DDS). GAO found that: (1) each SSA region's Disability Quality Branch (DQB) works cooperatively with regional medical consultants (RMC) to review the accuracy of disability decisions; (2) based on DQB review, SSA assesses wheth...
Long-Term Care Reform: Program Eligibility, States' Service Capacity, and Federal Role in Reform Need More Consideration
T-HEHS-94-144: Published: Apr 14, 1994. Publicly Released: Apr 14, 1994.
Pursuant to a congressional request, GAO discussed long-term health care reform, focusing on: (1) eligibility determinations; (2) service capacity; and (3) the federal role in implementing long-term care reform. GAO noted that: (1) long-term health care reform is needed because of changing demography, rising costs, and dissatisfaction with current services; (2) the principles of long-term care ref...
Long-Term Care: The Need for Geriatric Assessment in Publicly Funded Home and Community-Based Programs
T-PEMD-94-20: Published: Apr 14, 1994. Publicly Released: Apr 14, 1994.
Pursuant to a congressional request, GAO discussed geriatric assessments for federally-funded home and community-based long-term care, focusing on: (1) its definition; (2) the extent of its use in public programs; (3) the qualification requirements for geriatric assessment administrators; and (4) the benefits of standardizing the evaluation process. GAO noted that: (1) geriatric assessment is the...