Indian Health Service:
Contracting for Health Services Under the Indian Self-Determination Act
HRD-86-99: Published: Sep 17, 1986. Publicly Released: Sep 17, 1986.
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In response to a congressional request, GAO presented information concerning contracting activities between various Indian tribes and the Department of Health and Human Services' Indian Health Service (IHS) under the Indian Self-Determination Act.
The act established a policy to permit Indians to effectively and meaningfully participate in the planning, conduct, and administration of programs and services through contracts with the federal government. GAO found that the majority of Indian tribal contractors had problems working with IHS in obtaining and administering contracts. Disagreements over subject matter or funding levels for contracts have resulted in delays in approving or disapproving contract proposals and delays in approving renewals of existing contracts. However, these delays did not result in loss of services to tribal members. According to most Indian contractors, Indian self-determination has not been achieved. The Indian contractors view the law as giving them the opportunity to determine the manner in which health care services should be delivered and IHS restricts this with various contract regulations. IHS views self-determination as Indian tribes being able to operate IHS activities through contracts that adhere to applicable contracting rules and regulations.
Jan 14, 2021
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Medicaid:
Data Completeness and Accuracy Have Improved, Though Not All Standards Have Been MetGAO-21-196: Published: Jan 14, 2021. Publicly Released: Jan 14, 2021.
Jan 4, 2021
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Medicare Severe Wound Care:
Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on QualityGAO-21-92: Published: Jan 4, 2021. Publicly Released: Jan 4, 2021.
Dec 22, 2020
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Defense Health Care:
Efforts to Ensure Beneficiaries Access Specialty Care and Receive Timely and Effective CareGAO-21-143: Published: Dec 22, 2020. Publicly Released: Dec 22, 2020.
Dec 16, 2020
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Medicaid Long-Term Services and Supports:
Access and Quality Problems in Managed Care Demand Improved OversightGAO-21-49: Published: Nov 16, 2020. Publicly Released: Dec 16, 2020.
Dec 14, 2020
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Drug Pricing Program:
HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B RequirementsGAO-21-107: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020. -
Substance Use Disorder:
Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant ProgramGAO-21-58: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020.
Dec 10, 2020
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Indian Health Service:
Actions Needed to Improve Oversight of Provider Misconduct and Substandard PerformanceGAO-21-97: Published: Dec 10, 2020. Publicly Released: Dec 10, 2020. -
Clinical Labs:
Studies Suggest Biopsy Specimen Misidentification and Contamination Errors Are InfrequentGAO-21-59: Published: Nov 10, 2020. Publicly Released: Dec 10, 2020.
Dec 7, 2020
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Medicaid:
CMS Needs More Information on States' Financing and Payment Arrangements to Improve OversightGAO-21-98: Published: Dec 7, 2020. Publicly Released: Dec 7, 2020.
Dec 1, 2020
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Military Health Care:
Defense Health Agency Processes for Responding to Provider Quality and Safety ConcernsGAO-21-160R: Published: Dec 1, 2020. Publicly Released: Dec 1, 2020.
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