Medicaid:
Managed Care and Individual Hospital Limits for Disproportionate Share Hospital Payments
HEHS-98-73R: Published: Jan 28, 1998. Publicly Released: Jan 28, 1998.
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Pursuant to a congressional request, GAO reviewed disproportionate share hospital (DSH) payment limits, focusing on: (1) whether state formulas vary in their inclusion of managed care costs and revenues when calculating the maximum amount a specific hospital can receive; and (2) whether such variation is allowed by the Medicaid program; and, if so, (3) Health Care Financing Administration (HCFA) officials' views on setting a uniform policy in this area.
GAO noted that: (1) state formulas for calculating maximum DSH payments to specific hospitals vary in whether or not they include Medicaid managed care costs and revenues; (2) the rules of the Medicaid program allow this variation; (3) HCFA officials told GAO that different state circumstances may warrant different state approaches; and (4) HCFA does not plan to impose new requirements to eliminate this variation.
Nov 18, 2020
Comparative Effectiveness Research:
Patient-Centered Outcomes Research Institute and HHS Continue Activities and Plan New EffortsGAO-21-61: Published: Nov 18, 2020. Publicly Released: Nov 18, 2020.
Nov 17, 2020
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COVID-19:
Federal Efforts Accelerate Vaccine and Therapeutic Development, but More Transparency Needed on Emergency Use AuthorizationsGAO-21-207: Published: Nov 17, 2020. Publicly Released: Nov 17, 2020.
Nov 13, 2020
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Private Health Insurance:
Markets Remained Concentrated through 2018, with Increases in the Individual and Small Group MarketsGAO-21-34: Published: Nov 13, 2020. Publicly Released: Nov 13, 2020. -
Medicaid Program Integrity:
Action Needed to Ensure CMS Completes Financial Management Reviews in a Timely MannerGAO-21-17: Published: Oct 14, 2020. Publicly Released: Nov 13, 2020.
Nov 12, 2020
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Indian Health Service:
Actions Needed to Improve Oversight of Federal Facilities' Decision-Making About the Use of FundsGAO-21-20: Published: Nov 12, 2020. Publicly Released: Nov 12, 2020.
Nov 4, 2020
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Organ Transplants:
Changes in Allocation Policies for Donated Livers and LungsGAO-21-70: Published: Oct 16, 2020. Publicly Released: Nov 4, 2020.
Oct 26, 2020
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Anesthesia Services:
Differences between Private and Medicare Payments Likely Due to Providers’ Strong Negotiating PositionGAO-21-41: Published: Oct 26, 2020. Publicly Released: Oct 26, 2020.
Oct 8, 2020
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Laboratory Safety:
FDA Should Strengthen Efforts to Provide Effective OversightGAO-20-594: Published: Sep 8, 2020. Publicly Released: Oct 8, 2020.
Oct 1, 2020
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Prescription Drug Monitoring Programs:
Views on Usefulness and Challenges of ProgramsGAO-21-22: Published: Oct 1, 2020. Publicly Released: Oct 1, 2020.
Sep 30, 2020
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VA Acquisition Management:
Actions Needed to Improve Management of Medical-Surgical Prime Vendor Program and Inform Future DecisionsGAO-20-487: Published: Sep 30, 2020. Publicly Released: Sep 30, 2020.
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