Medicare:
Physician-Sponsored Organizations Receive Priority for Peer Review Contracts
HRD-88-43: Published: Jan 21, 1988. Publicly Released: Jan 21, 1988.
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In response to a congressional request, GAO determined whether the Health Care Financing Administration (HCFA) complied with a requirement to give physician-sponsored organizations preference in the award of contracts for peer review organizations (PRO).
GAO found that: (1) in 1986, HCFA awarded PRO contracts to physician-sponsored organizations in 75 percent of the cases where they were competing with physician-access organizations; (2) 44 PRO are physician-sponsored, while 10 percent are physician-access organizations; (3) HCFA opened 31 of the 54 contracts for competitive bidding, but 15 had only one bidder; (4) 12 of the 16 cases with two or more bidders had competition from both physician-sponsored and physician-access organizations; and (5) 3 of the 10 physician-access organizations obtained contracts in competition with physician-sponsored organizations, 4 performed well enough to obtain a noncompetitive contract renewal, 2 were the only bidders, and in the remaining case, all the bidders were physician-access organizations.
Feb 24, 2021
Covid-19:
Key Insights from GAO's Oversight of the Federal Public Health ResponseGAO-21-396T: Published: Feb 24, 2021. Publicly Released: Feb 24, 2021.
Feb 17, 2021
Feb 11, 2021
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Operation Warp Speed:
Accelerated COVID-19 Vaccine Development Status and Efforts to Address Manufacturing ChallengesGAO-21-319: Published: Feb 11, 2021. Publicly Released: Feb 11, 2021.
Feb 5, 2021
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DOD Health Care:
DOD Should Monitor Implementation of Its Clinical Practice GuidelinesGAO-21-237: Published: Feb 5, 2021. Publicly Released: Feb 5, 2021. -
Medicaid:
CMS Needs to Implement Risk-Based Oversight of Puerto Rico's Procurement ProcessGAO-21-229: Published: Feb 5, 2021. Publicly Released: Feb 5, 2021. -
VA Health Care:
Community Living Centers Were Commonly Cited for Infection Control Deficiencies Prior to the COVID-19 PandemicGAO-21-195R: Published: Jan 6, 2021. Publicly Released: Feb 5, 2021.
Jan 28, 2021
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COVID-19:
Critical Vaccine Distribution, Supply Chain, Program Integrity, and Other Challenges Require Focused Federal AttentionGAO-21-265: Published: Jan 28, 2021. Publicly Released: Jan 28, 2021.
Jan 21, 2021
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Rural Hospital Closures:
Affected Residents Had Reduced Access to Health Care ServicesGAO-21-93: Published: Dec 22, 2020. Publicly Released: Jan 21, 2021. -
Health Care Funding:
Federal Obligations to and Funds Received by Certain Organizations Involved in Health-Related Services, 2016 through 2018GAO-21-188R: Published: Dec 21, 2020. Publicly Released: Jan 21, 2021.
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.
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