Medicare (1 - 10 of 23 items)
VA Health Care: Expanded Eligibility Has Increased Outpatient Pharmacy Use and Expenditures
GAO-03-161: Published: Nov 8, 2002. Publicly Released: Nov 8, 2002.
The Department of Veterans Affairs (VA) spent about $3.0 billion on its outpatient pharmacy benefit in fiscal year 2001. After VA implemented the Veterans' Health Care Eligibility Reform Act in 1999, more veterans could use VA outpatient care, including the pharmacy benefit, than before. Increased eligibility contributed to a doubling of the number of Priority 7 veterans using VA health care. Prio...
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: Medicare Reimbursement for Services to Veterans
HEHS-98-145R: Published: Apr 28, 1998. Publicly Released: May 14, 1998.
Pursuant to a congressional request, GAO provided information on proposals that would give the Department of Veterans Affairs (VA) authority to collect Medicare reimbursement for care given to eligible veterans, focusing on the: (1) benefits VA's use of a Medicare health maintenance organization (HMO) demonstration may provide for veterans; (2) risks such a demonstration may pose for veterans; (3)...
VA Medical Care: Increasing Recoveries From Private Health Insurers Will Prove Difficult
HEHS-98-4: Published: Oct 17, 1997. Publicly Released: Oct 17, 1997.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) efforts to recover from private health insurers the costs it incurs to provide health care services to veterans with no service-connected disabilities, focusing on: (1) those factors that limit VA's ability to recover more of its billed charges; (2) VA's ability to achieve its revenue targets by identifying...
Medicare: Comparison of Medicare and VA Payment Rates for Home Oxygen
HEHS-97-120R: Published: May 15, 1997. Publicly Released: May 16, 1997.
Pursuant to a congressional request, GAO compared the rates paid for home oxygen by Medicare and the Department of Veterans Affairs (VA).GAO noted that: (1) Medicare's fee schedule allowances for home oxygen are significantly higher than the rates by VA, which uses competitive contracting arrangements; (2) Medicare's monthly rate, including allowances for portable units, was about $320 for each ho...
VA Health Care: Assessment of VA's Fiscal Year 1998 Budget Proposal
T-HEHS-97-121: Published: May 1, 1997. Publicly Released: May 1, 1997.
GAO discussed the President's 1998 budget request for the Department of Veterans Affairs (VA) health care system.GAO noted that: (1) while VA's budget goals may be attainable, they carry implications such as limited deficit reduction contributions and potential risks to low-income uninsured veterans; (2) achieving increased efficiency is not contingent on either increases in patients served or res...
Department of Veterans Affairs: Programmatic and Management Challenges Facing the Department
T-HEHS-97-97: Published: Mar 18, 1997. Publicly Released: Mar 18, 1997.
GAO discussed some of the major challenges facing the Department of Veterans Affairs (VA) and some of the options for deficit reduction through changes in VA benefits and programs.GAO noted that: (1) significant improvements have occurred in the efficiency of the VA health care system; (2) VA's new management and Veterans Integrated Service Network (VISN) structure clearly values efficiency and cu...
VA Health Care: Better Data Needed to Effectively Use Limited Nursing Home Resources
HEHS-97-27: Published: Dec 20, 1996. Publicly Released: Dec 20, 1996.
Pursuant to a congressional request, GAO provided information on the Department of Veterans Affairs' (VA) nursing home programs, focusing on: (1) the distribution of veterans in VA, community, and state veterans nursing homes; (2) the costs to VA for VA, community, and state veterans nursing homes; (3) the factors affecting VA's use of community and state veterans nursing homes; and (4) whether VA...
VA Health Care: Improving Veterans' Access Poses Financial and Mission-Related Challenges
HEHS-97-7: Published: Oct 25, 1996. Publicly Released: Oct 25, 1996.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) efforts to establish health care access points to provide outpatient care for veterans who are geographically distant from VA hospitals.GAO found that: (1) the new access points represent a proactive effort to transition from a direct delivery system to an integrated network of VA-operated hospitals and VA a...
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;...