Health care cost control (81 - 90 of 109 items)
DOD Medical Inventory: Reductions Are Possible Through the Use of Commercial Practices
T-NSIAD-92-6: Published: Dec 5, 1991. Publicly Released: Dec 5, 1991.
GAO discussed the Department of Defense's (DOD) medical supply practices, focusing on practices DOD could adopt from progressive civilian hospitals and the Department of Veterans Affairs (VA) to reduce its medical logistics costs. GAO noted that: (1) civilian and military inventory management practices were significantly different in such areas as supply storage and the use of depot systems; (2) t...
Medicaid: Changes in Drug Prices Paid by VA and DOD Since Enactment of Rebate Provisions
HRD-91-139: Published: Sep 18, 1991. Publicly Released: Sep 18, 1991.
Pursuant to a legislative requirement, GAO provided information on the effects of the Omnibus Budget Reconciliation Act of 1990 (OBRA), which requires drug manufacturers to give rebates to state Medicaid programs based on the discounts offered to large purchasers, focusing on: (1) how the Department of Veterans Affairs (VA) and the Department of Defense (DOD) prescription drug prices had changed;...
Health Care for Hawaii Veterans
T-HRD-91-45: Published: Aug 16, 1991. Publicly Released: Aug 16, 1991.
GAO discussed the Department of Veterans Affairs' (VA) plans for establishing a medical center on the grounds of the Tripler Army Medical Center. GAO noted that: (1) VA included adequate acute care capacity in the Tripler Center renovation to meet the current and future needs of Hawaii's veterans; (2) construction of 105 additional VA acute care beds will increase costs and decrease access to VA-s...
VA Health Care: Telephone Service Should Be More Accessible to Patients
HRD-91-110: Published: Jul 31, 1991. Publicly Released: Jul 31, 1991.
Pursuant to a congressional request, GAO identified ways in which Department of Veterans Affairs (VA) medical centers can decrease the amount of time nurses spend on nonclinical activities, focusing on benefits of providing telephone service to patients in their rooms.GAO found that: (1) with few exceptions, VA medical centers do not provide telephones in patients' rooms; (2) telephone service in...
VA Health Care Cost Recoveries
T-HRD-90-40: Published: Jun 20, 1990. Publicly Released: Jun 20, 1990.
GAO discussed the Department of Veteran Affairs' (VA) efforts to implement legislative requirements for medical care cost recovery. GAO found that VA: (1) collections exceeded its recovery costs; and (2) VA missed collection opportunities and needed more effective collection procedures. GAO believes that VA: (1) should develop a comprehensive plan to improve its recovery procedures; (2) needs imp...
VA Health Care: Better Procedures Needed to Maximize Collections From Health Insurers
HRD-90-64: Published: Apr 6, 1990. Publicly Released: May 4, 1990.
Pursuant to a congressional request, GAO reviewed whether the Department of Veterans Affairs (VA): (1) collections from health insurers exceeded health care costs; and (2) had effective procedures to identify insured veterans and bill insurers and collect amounts owed.GAO found that: (1) VA collected only about one-third of the health care costs for medical services it provided to insured veterans...
VA/DOD Health Care: Further Opportunities To Increase the Sharing of Medical Resources
HRD-88-51: Published: Mar 1, 1988. Publicly Released: Mar 1, 1988.
In response to a congressional request, GAO reviewed the Veterans Administration's (VA) and the Department of Defense's (DOD) implementation of legislation to promote their sharing of health care resources, to determine: (1) whether the two agencies took full advantage of opportunities to share their resources; (2) the adequacy of current incentives to share resources; (3) whether there were any b...
VA Health Care: Resource Allocation Methodology Should Improve VA's Financial Management
HRD-87-123BR: Published: Aug 31, 1987. Publicly Released: Aug 31, 1987.
Pursuant to a congressional request, GAO examined the Veterans Administration's (VA) new methodology for allocating resources among its medical centers, focusing on: (1) the objectives and function of the methodology; (2) how the methodology will improve VA financial management; (3) problems in VA implementation of the methodology; and (4) limitations on assessing the methodology's impact on VA he...
Veterans Administration: VA Pensions to Medicaid Nursing Home Residents Should Be Reduced
HRD-87-111: Published: Jul 10, 1987. Publicly Released: Aug 11, 1987.
GAO reviewed how Veterans Administration (VA) and Medicaid benefits interact to determine: (1) how many medical nursing home residents are receiving VA pensions; (2) how states apply these pensions toward the cost of care; (3) the effect of VA pensions on state and federal costs; and (4) how other needs-based programs adjust benefits for institutionalized recipients.GAO found that: (1) about 6 per...
Hospital ADP Systems: VA Needs To Better Manage Its Decentralized System Before Expansion
IMTEC-87-28: Published: Jul 24, 1987. Publicly Released: Jul 24, 1987.
In response to a congressional request, GAO reviewed the Veterans Administration's (VA) Decentralized Hospital Computer Program (DHCP) system, which services 172 medical centers, to determine: (1) the status of the decentralized system; (2) VA effectiveness in managing the system's development and implementation; and (3) the possibility of using three commercial systems VA tested as alternatives t...