Medicaid:
Interstate Variations in Benefits and Expenditures
HRD-87-67BR: Published: May 4, 1987. Publicly Released: Jun 5, 1987.
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In response to a congressional request, GAO reported on interstate variations in Medicaid benefits and expenditures and compared states': (1) eligibility criteria; (2) scope of services; and (3) reimbursement to providers.
GAO found that: (1) the trend in Medicaid spending changed from one of rapid growth for the acute care of the disabled and for lower-income adults and children to long-term care for elderly and chronically ill people; (2) variations in states' eligibility criteria resulted in horizontal inequity, where people in similar circumstances but in different states received unequal treatment in terms of eligibility and benefits; (3) states imposed a variety of restrictions on the scope of services they offered by reducing coverage to optional groups such as the medically needy; and (4) most states attempt to pay providers less than market rates. GAO also found that availability of states' financial resources, as well as social and political factors, caused the varying eligibility standards, benefits, and reimbursement methods.
Jan 14, 2021
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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