Uber Das Imzaumhalten Der Ausgaben Fur Das Gesundheitswesen:
Erfahrungen in Frankreich, Deutschland, und Japan
HRD-92-9ES-G: Published: Nov 15, 1991. Publicly Released: Nov 15, 1991.
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Pursuant to a congressional request, GAO reviewed aspects of the health care systems of France, Germany, and Japan, focusing on: (1) their methods of providing universal coverage through their health insurance and financing system; (2) their policies for controlling increases in health care spending; and (3) the effectiveness of those policies.
GAO found that: (1) in France, Germany, Japan and the United States, medical care is provided by private physicians and by both private and public hospitals, patients have free choice of a physician, most people receive health insurance coverage through their work place, and health insurance is provided by multiple third-party insurers; (2) France, Germany, and Japan require insurers to provide minimum coverage that includes a wide range of health care benefits; (3) in the three countries reviewed, insurance enrollment is compulsory for all residents and work-place-based insurance is financed not by premiums that reflect each individual group's expected costs of care, but by employer and employee payroll contributions that reflect the average cost of a larger cross section of the population; (4) all three countries standardize reimbursement rates for almost all physicians and hospitals and set price controls on those rates; (5) although budget controls that augment price controls by setting limits on overall spending for hospital care or for physician services can moderate spending growth, those controls do not ensure high quality care or efficient delivery of services; (6) each of the three countries set limits on overall health spending, but only France and Germany enforced policies to ensure compliance with the limits; (7) between 1984 and 1987, French budget controls reduced real hospital spending by as much as 9 percent, compared with what would have been spent if it had only used price controls; and (8) there was no evidence in the three countries of a decline in broad measurers of health status during the relatively brief period that budget controls were in effect.
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.
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.
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