Health insurance (1 - 10 of 17 items)
VA Health Care: Ineffective Medical Center Controls Resulted in Inappropriate Billing and Collection Practices
GAO-10-152T: Published: Oct 15, 2009. Publicly Released: Oct 15, 2009.
GAO was asked to testify on billing practices of the Department of Veterans Affairs (VA). GAO previously reported that continuing problems in billing and collection processes at VA impaired its ability to maximize revenue from private insurance companies (third-party insurers). In June 2008, GAO reported on its follow-up review that (1) evaluated VA billing controls, (2) assessed VA-wide controls...
VA Health Care: Ineffective Controls over Medical Center Billings and Collections Limit Revenue from Third-Party Insurance Companies
GAO-08-675: Published: Jun 10, 2008. Publicly Released: Jul 10, 2008.
GAO previously reported that continuing problems in billing and collection processes at the Department of Veterans Affairs (VA) impaired VA's ability to maximize revenue from private (third-party) insurance companies. VA has undertaken several initiatives to address these weaknesses. GAO was asked to perform a follow-up audit to (1) evaluate VA billing controls, (2) assess VA-wide controls for col...
VA Health Care: VA's Management of Drugs on Its National Formulary
HEHS-00-34: Published: Dec 14, 1999. Publicly Released: Dec 14, 1999.
Pursuant to a congressional request, GAO reviewed how the Department of Veterans' Affairs' (VA) manages its national formulary and how drugs other than those on the formulary are made available to veterans.GAO noted that: (1) VA's national formulary is administered by the Pharmacy Benefits Management Strategic Healthcare Group (PBM), a strategy modeled after one commonly used in private health car...
Federal Health Programs: Comparison of Medicare, the Federal Employees Health Benefits Program, Medicaid, Veterans' Health Services, Department of Defense Health Services, and Indian Health Services
HEHS-98-231R: Published: Aug 7, 1998. Publicly Released: Aug 7, 1998.
GAO compared the Medicare program with five other federal health programs: the Federal Employees Health Benefits Program (FEHBP); the Medicaid and Department of Veterans' Affairs (VA) health programs; the Department of Defense's (DOD) TRICARE health program; and the Indian Health Service (IHS). GAO also compared key features of these programs, including: (1) administrative structures, including th...
VA Health Care: Opportunities to Significantly Reduce Outpatient Pharmacy Costs
HEHS-97-15: Published: Oct 11, 1996. Publicly Released: Oct 11, 1996.
GAO reviewed the Department of Veterans Affairs' (VA) provision of over-the-counter (OTC) medications, medical supplies, and dietary supplements to veterans, focusing on: (1) what OTC products VA pharmacies dispense; (2) how VA provision of OTC products compares with that of non-VA health care providers; (3) how much VA spends on OTC products and how much VA recovers through veterans' copayments;...
Health, Education, Employment, Social Security, Welfare, and Veterans Reports
HEHS-97-29W: Published: Oct 1, 1996. Publicly Released: Oct 1, 1996.
GAO presented a listing and selected summaries of reports and testimonies issued in September 1996 and a listing of reports issued in June 1996 through September 1996 relating to such issues as: (1) health care reform; (2) Medicare and Medicaid; (3) higher education; (4) training and employment; (5) social security, disability, and welfare benefits; and (5) veterans' and military health care...
VA Health Care: Exploring Options to Improve Veterans' Access to VA Facilities
HEHS-96-52: Published: Feb 6, 1996. Publicly Released: Feb 6, 1996.
Pursuant to a congressional request, GAO provided information on veterans' use of Department of Veterans Affairs' (VA) medical facilities, focusing on: (1) users' characteristics; (2) the geographic accessibility of VA and private medical facilities that provide standard benefits; and (3) options to improve accessibility of VA health care.GAO found that: (1) in the early 1990s, over 80 percent of...
Veterans' Health Care: Use of VA Services by Medicare-Eligible Veterans
HEHS-95-13: Published: Oct 24, 1994. Publicly Released: Oct 24, 1994.
Pursuant to a congressional request, GAO reviewed how various health care reforms could affect Medicare-eligible veterans' demands for health care services, focusing on the: (1) extent to which veterans use the Department of Veterans Affairs (VA) to obtain services not extensively covered under Medicare; and (2) income and private health insurance coverage of Medicare-eligible veterans who chose e...
Veterans' Health Care: Implications of Other Countries' Reforms for the United States
HEHS-94-210BR: Published: Sep 27, 1994. Publicly Released: Sep 27, 1994.
Pursuant to a congressional request, GAO reviewed the veterans health care systems in Australia, Canada, Finland, and the United Kingdom, focusing on: (1) why these countries implemented universal health care; (2) how eligibility for veterans health care benefits in these countries compares to that in the United States; (3) how the age and status of U.S. veterans compare to the veteran populations...
VA Health Care Reform: Financial Implications of the Proposed Health Security Act
T-HEHS-94-148: Published: May 5, 1994. Publicly Released: May 5, 1994.
GAO discussed the financial and policy implications of the proposed Health Security Act's provisions for veterans' health care, which would: (1) transform Department of Veterans Affairs (VA) facilities into a series of managed care plans to compete with private-sector plans; (2) expand entitlement to comprehensive health care services for veterans choosing to enroll in a VA health plan; (3) author...