Health care cost control (91 - 100 of 108 items)
VA Health Care: Support Lacking for Mission Change at Miles City, Montana, Medical Center
HRD-87-13: Published: Feb 13, 1987. Publicly Released: Feb 13, 1987.
In response to a congressional request, GAO reviewed the Veterans Administration's (VA) proposal to change the Miles City, Montana, medical center from a predominately acute care to a predominately extended care facility, specifically: (1) the justification for the proposed change; (2) whether the change would be in the best interests of area veterans; and (3) how easily VA could implement the cha...
VA Health Care: Issues and Concerns for VA Nursing Home Programs
HRD-86-111BR: Published: Aug 8, 1986. Publicly Released: Aug 8, 1986.
GAO identified issues Congress may want to address in reviewing the Veterans Administration's (VA) proposal to increase resources for VA-supported state and community nursing home programs since they are less costly than the VA-owned nursing home program.GAO found several issues which would have an effect on VA ability to deliver nursing home care in fiscal year 1987 and beyond, including: (1) whe...
VA Health Care: Fiscal Year 1985 Funded Personnel Levels
HRD-86-79: Published: Apr 10, 1986. Publicly Released: May 12, 1986.
In response to a congressional request, GAO reviewed: (1) the extent to which the Veterans Administration (VA) was able to employ 199,426 full-time equivalent employees (FTEE) funded under its medical care, medical and prosthetic research, and medical administration and miscellaneous operating expenses accounts during fiscal year (FY) 1985; (2) the basis for the VA decision to employ fewer FTEE an...
VA Health Care: Too Many Operating Rooms Being Planned and Built
HRD-86-78: Published: Apr 29, 1986. Publicly Released: Apr 29, 1986.
GAO examined the Veterans Administration's (VA) method for determining operating room requirements in new and replacement hospitals and identified the differences between VA-stated operating room needs and the requirements a GAO surgical work-load model identified.GAO found that VA is developing an operating room planning model at its Ann Arbor Medical Center that will permit planners to: (1) use...
Medical Care Planning and Construction Planning in the Veterans Administration
129592: Apr 10, 1986
GAO commented on: (1) the Veterans Administration's (VA) medical care and construction planning processes; (2) a contractor's study of the VA construction process; (3) the proposed merger of the VA Department of Medicine and Surgery and the Office of Construction; and (4) the sizing of surgical suites in new VA hospitals. GAO noted that: (1) VA financial management systems are not producing accura...
VA Health Care: Opportunities Still Exist for Reducing Fee-Basis Pharmacy Costs
HRD-86-66: Published: Mar 6, 1986. Publicly Released: Mar 6, 1986.
GAO followed up on its 1983 report which recommended that the Veterans Administration (VA): (1) reduce the number and cost of prescriptions filled by private pharmacies on a VA-reimbursable, fee-for-service basis; (2) strengthen its efforts to identify prescriptions that should not have been filled by private pharmacies; and (3) deny payments if veterans fail to use VA pharmacies after being asked...
VA Needs Better Control Over Its Payments to Private Health Care Providers
HRD-85-49: Published: Aug 28, 1985. Publicly Released: Aug 28, 1985.
The Veterans Administration (VA) provides health care to most veterans at its own facilities; however, when circumstances prevent veterans from traveling to VA facilities, VA authorizes them to obtain care from private health care providers. GAO evaluated the VA system for determining how much to pay private health care providers.Under VA reimbursement criteria, the maximum reimbursable fee for an...
VA Justification for Construction of Nursing Home Care Units at Amarillo, Texas, and Tucson, Arizona
HRD-85-80: Published: Aug 12, 1985. Publicly Released: Aug 12, 1985.
Pursuant to a congressional request, GAO reviewed the Veterans Administration's (VA) justification for the two nursing home care unit construction projects proposed in its fiscal year 1986 budget to determine whether: (1) VA adequately considered local needs and resources and less costly alternatives to new construction; and (2) VA planners followed the Medical District Initiated Program Planning...
Better Patient Management Practices Could Reduce Length of Stay in VA Hospitals
HRD-85-52: Published: Aug 8, 1985. Publicly Released: Aug 8, 1985.
GAO reviewed Veterans Administration (VA) hospitals to determine whether VA: (1) was effectively managing its medical and surgical patients; and (2) could more efficiently reduce the length of stay for these patients.GAO found that, although the VA central office issued policy guidelines which recommended that more efficient patient management practices be used and recognized throughout the medica...
VA Recoveries From Private Health Insurance and Proposed Means Test To Determine Eligibility for VA Health Care
127199: Jun 20, 1985
GAO discussed two reports relating to the Veterans Administration's (VA) provision of health care to veterans with non-service-connected medical conditions and disabilities. In the first report, GAO recommended the passage of legislation authorizing VA to recover the costs of care provided to privately insured veterans with such conditions. GAO believes that VA could have recovered between $98 mil...