Medicaid:
States Turn to Managed Care to Improve Access and Control Costs
T-HRD-93-10: Published: Mar 17, 1993. Publicly Released: Mar 17, 1993.
Additional Materials:
- Full Report:
Contact:
GAO discussed the role of managed care in state Medicaid programs. GAO noted that: (1) although prepaid health care plans are still the most common, states are finding it easier to recruit providers to primary care case management programs; (2) states choosing managed care programs face issues that include planning implementation, moving to mandatory enrollment, and establishing beneficiary education programs; (3) Medicaid managed care programs have had mixed results in improving access to care, ensuring the quality of services, and saving money; (4) states choosing managed care are under pressure to monitor access and quality of services provided to Medicaid beneficiaries to ensure that providers' medical decisions are not compromised by financial incentives; and (5) states are working to improve their quality assurance and financial monitoring systems, and are looking to the Health Care Financing Administration for help in developing better ways to measure quality and provider solvency.
Mar 3, 2021
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Drug Safety:
FDA's Future Inspection Plans Need to Address Issues Presented by COVID-19 BacklogGAO-21-409T: Published: Mar 4, 2021. Publicly Released: Mar 3, 2021.
Mar 1, 2021
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Medicare Part B:
Payments and Use for Selected New, High-Cost DrugsGAO-21-252: Published: Mar 1, 2021. Publicly Released: Mar 1, 2021.
Feb 24, 2021
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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.
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