Medicare/Medicaid: Data Bank Unlikely to Increase Collections From Other Insurers
HEHS-94-147
Published: May 06, 1994. Publicly Released: May 06, 1994.
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Highlights
GAO reviewed the Department of Health and Human Services' proposed Medicare/Medicaid data bank, focusing on whether it would: (1) improve existing Medicare and Medicaid fund recovery operations; and (2) realize greater savings beyond what the existing systems already achieve.
Recommendations
Matter for Congressional Consideration
| Matter | Status | Comments |
|---|---|---|
| Congress should delay the implementation of the Medicare/Medicaid data bank until its cost-effectiveness and other potential benefits to Medicare and Medicaid can be clearly shown. |
Closed – Implemented
|
Public Law 104-226 repealed the Medicare/Medicaid Data Bank. |
| Congress should require the Secretary of Health and Human Services to report annually on the status of HCFA ongoing and planned efforts to improve identification and recovery of claims from other insurers. |
Closed – Implemented
|
No legislation has been introduced. |
| Congress should amend Medicaid law by authorizing HCFA to withhold federal matching funds when states do not comply with federal requirements for identification and recovery of claims from other insurers. |
Closed – Implemented
|
No legislation has been introduced. |
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Topics
BeneficiariesComputer matchingCost effectiveness analysisstate relationsHealth insurance cost controlMedicaidMedical expense claimsMedical information systemsMedicareHealth insurance