Health Care Reform: Potential Difficulties in Determining Eligibility for Low-Income People
HEHS-94-176
Published: Jul 11, 1994. Publicly Released: Aug 01, 1994.
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Highlights
Pursuant to a congressional request, GAO provided information on the problems applicants face in enrolling in the Medicaid program, focusing on the: (1) reasons why eligible applicants are not being enrolled; (2) incentives hospitals have to facilitate patient enrollment; and (3) potential impact of health care reform on Medicaid eligibility determinations.
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Topics
Access to health careClaims processingDisadvantaged personsEligibility criteriaEligibility determinationsHealth care costsHospital care servicesHospitalsIncome maintenance programsMedicaidMedical expense claimsPublic assistance programsSupplemental security incomeHealth care reform