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Health Care (131 - 140 of 4,924 items)
Medicaid: Improving Transparency and Accountability of Supplemental Payments and State Financing Methods
GAO-16-195T: Published: Nov 3, 2015. Publicly Released: Nov 3, 2015.
GAO has found that complete and reliable data are lacking on the tens of billions in Medicaid supplemental payments states often make, hindering transparency and oversight. In a November 2012 report, GAO found that Congress and the Centers for Medicare & Medicaid Services (CMS) have acted to improve transparency and accountability for one type of Medicaid supplemental payment known as disproportio...
VA Health Care: Oversight Improvements Needed for Nurse Recruitment and Retention Initiatives
GAO-15-794: Published: Sep 30, 2015. Publicly Released: Oct 30, 2015.
The Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) has multiple system-wide initiatives to recruit and retain its nurse workforce, but three of the four VA medical centers in GAO's review faced challenges offering them. VHA identified a number of key initiatives it offers to help medical centers recruit and retain nurses, which focus primarily on providing (1) education...
Workers' Compensation: Health Benefit Programs for Returned Peace Corps Volunteers and for Employees of U.S. Agency for International Development Contractors
GAO-16-28R: Published: Oct 30, 2015. Publicly Released: Oct 30, 2015.
Peace Corps and the U.S. Agency for International Development (USAID) both provide health benefits through workers' compensation programs. Peace Corps provides benefits to returned Peace Corps volunteers who sustain illnesses or injuries connected to their Peace Corps service under the Federal Employees' Compensation Act (FECA) program administered by the Department of Labor (DOL). USAID provides...
Medical Devices: FDA Ordered Postmarket Studies to Better Understand Safety Issues, and Many Studies Are Ongoing
GAO-15-815: Published: Sep 30, 2015. Publicly Released: Oct 29, 2015.
Fifty-six percent of the 313 medical device postapproval studies—studies that are ordered at the time of device approval—the Food and Drug Administration (FDA) ordered from January 1, 2007, through February 23, 2015, were for cardiovascular devices and most were making adequate progress. Postapproval studies are ordered to obtain additional information not available before devices are marketed...
VA Mental Health: Action Needed to Improve Access Policies and Wait-Time Data
GAO-16-170T: Published: Oct 28, 2015. Publicly Released: Oct 28, 2015.
The way in which the Department of Veterans Affairs’ (VA) Veterans Health Administration (VHA) calculates veteran mental health wait times may not always reflect the overall amount of time a veteran waits for care. VHA uses a veteran’s preferred date (determined when an appointment is scheduled) to calculate the wait time for that patient’s full mental health evaluation, the primary entry po...
VA Mental Health: Clearer Guidance on Access Policies and Wait-Time Data Needed
GAO-16-24: Published: Oct 28, 2015. Publicly Released: Oct 28, 2015.
The way in which the Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) calculates veteran mental health wait times may not always reflect the overall amount of time a veteran waits for care. VHA uses a veteran's preferred date (determined when an appointment is scheduled) to calculate the wait time for that patient's full mental health evaluation, the primary entry point fo...
Electronic Health Records: VA and DOD Need to Establish Goals and Metrics for Their Interoperability Efforts
GAO-16-184T: Published: Oct 27, 2015. Publicly Released: Oct 27, 2015.
As GAO reported in August 2015, the Departments of Veterans Affairs (VA) and Defense (DOD), with guidance from the Interagency Program Office (IPO) tasked with facilitating the departments' efforts to share health information, have taken actions to increase interoperability between their existing electronic health record systems. These actions have included work on near-term objectives such as sta...
Medicaid: Additional Efforts Needed to Ensure that State Spending is Appropriately Matched with Federal Funds
GAO-16-53: Published: Oct 16, 2015. Publicly Released: Oct 23, 2015.
PPACA-expansion and state-expansion enrollees—individuals who were not eligible under historic Medicaid eligibility rules but are eligible under (1) a state option to expand Medicaid under the Patient Protection and Affordable Care Act (PPACA), or (2) a state's qualifying expansion of coverage prior to PPACA's enactment—comprised about 14 percent of Medicaid enrollees and about 10 percent of M...
Medicaid and Insurance Exchanges: Additional Federal Controls Needed to Minimize Potential for Gaps and Duplication in Coverage
GAO-16-73: Published: Oct 9, 2015. Publicly Released: Oct 23, 2015.
CMS's policies and procedures do not sufficiently minimize the potential for coverage gaps and duplicate coverage in federal exchange states. GAO found that individuals transitioning from Medicaid to exchange coverage—that is, private health insurance purchased through the exchanges created under the Patient Protection and Affordable Care Act (PPACA)—may experience coverage gaps, for example,...
National Institutes of Health: Better Oversight Needed to Help Ensure Continued Progress Including Women in Health Research
GAO-16-13: Published: Oct 22, 2015. Publicly Released: Oct 23, 2015.
Data from the National Institutes of Health (NIH) show that more women than men were enrolled in NIH-funded clinical research for fiscal years 2005-2014, but NIH does not make certain enrollment data readily available to interested parties or examine other detailed data to identify potential challenges to enrolling women in specific research and disease or condition areas. In fiscal year 2014, for...