Health Maintenance Organization Rate-Setting Issues
HRD-89-46: Published: Jan 31, 1989. Publicly Released: Jan 31, 1989.
- Full Report:
Pursuant to a legislative requirement, GAO provided an overview of the data and methodology for computing Medicare monthly capitation payments to risk-contract health maintenance organizations (HMO).
GAO planned to meet its statutory mandate by discussing selected issues relating to the implementation of the current rate-setting methodology, problems with various aspects of rate-setting, and possible alternative approaches to Medicare HMO rate-setting.