Beneficiaries (81 - 90 of 107 items)
Medicare: Comparison of Two Methods of Computing Home Health Care Cost Limits
HRD-90-167: Published: Sep 28, 1990. Publicly Released: Sep 28, 1990.
Pursuant to a legislative requirement, GAO provided information on the potential effect on Medicare costs and beneficiaries of limiting home health care costs by type of visit.GAO found that: (1) Medicare home health costs would have been about $36.9 million lower from July 1, 1987, through June 30, 1988, if the cost limits had been applied by type of visit rather than in the aggregate; (2) from J...
Medicare: HCFA Can Reduce Paperwork Burden for Physicians and Their Patients
HRD-90-86: Published: Jun 20, 1990. Publicly Released: Jun 20, 1990.
Pursuant to a congressional request, GAO reviewed the claims process for Medicare physician services to determine whether: (1) opportunities exist to help providers submit more complete claims; (2) notices to beneficiaries explain claims decisions clearly; and (3) electronic services, such as electronic mail, could reduce paperwork.GAO found that: (1) in 1989, providers and beneficiaries filed 45...
Medicare: GAO Views on Medicare Payments to Health Maintenance Organizations
T-HRD-90-27: Published: May 8, 1990. Publicly Released: May 8, 1990.
GAO discussed Medicare payments to health maintenance organizations (HMO) and the administration's proposal to increase the medicare HMO payment rate. GAO found that: (1) HMO agree to provide all covered health care services to enrolled Medicare beneficiaries in return for a fixed payment; (2) the payment was set at 95 percent of Medicare's estimate of the average cost of fee-for-service health ca...
Medicare: Impact of State Mandatory Assignment Programs on Beneficiaries
HRD-89-128: Published: Sep 19, 1989. Publicly Released: Oct 20, 1989.
Pursuant to a congressional request, GAO assessed the impact of four states' mandatory assignment laws, which required physicians to accept Medicare's approved amount as full payment for certain health care services, on: (1) Medicare beneficiaries' and non-beneficiaries' out-of-pocket costs; (2) physician services volume and intensity; and (3) Medicare beneficiaries' access to health care.GAO foun...
Defense Health Care: Workload Reductions at Military Hospitals Have Increased CHAMPUS Costs
HRD-89-47: Published: Jul 10, 1989. Publicly Released: Jul 10, 1989.
Pursuant to a congressional request, GAO examined the reduced access of beneficiaries to military medical facilities, focusing on: (1) the extent to which military facilities referred beneficiaries to the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); (2) whether the reduced access occurred in inpatient or outpatient services; (3) whether reductions occurred in facilities...
Medicare and Medicaid: Updated Effects of Recent Legislation on Program and Beneficiary Costs
HRD-88-85: Published: Jul 26, 1988. Publicly Released: Aug 2, 1988.
Pursuant to a congressional request, GAO discussed the effects of legislation since 1980 on Medicare and Medicaid program costs and on beneficiary out-of-pocket costs.GAO did not attempt to quantify Medicare cost changes attributable to the major legislative changes because of the numerous interrelated factors affecting Medicare costs. GAO estimated that, if prior cost growth trends had continued,...
Defense Health Care: Cost of Care at Selected Uniformed Services Treatment Facilities
HRD-88-67: Published: Mar 22, 1988. Publicly Released: Mar 22, 1988.
In response to a congressional request, GAO examined 10 Uniformed Services Treatment Facilities' (USTF) medical care costs for beneficiaries to determine the: (1) reasonableness and validity of private contractors' studies of cost comparisons between USTF, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), and private hospitals in the same geographic area; (2) Seattle, Wa...
Medicare: Management of the Risk-Based HMO Program
T-HRD-88-10: Published: Mar 10, 1988. Publicly Released: Mar 10, 1988.
GAO discussed the Health Care Financing Administration's (HCFA) management of the Medicare Health Maintenance Organizations (HMO) Program. GAO found that: (1) HCFA has not effectively ensured that if payment rates overcompensate HMO, the Medicare program and its beneficiaries would gain either through rate reductions or additional services; (2) HCFA has limited data for centrally monitoring HMO qu...
VA/DOD Health Care: Further Opportunities To Increase the Sharing of Medical Resources
HRD-88-51: Published: Mar 1, 1988. Publicly Released: Mar 1, 1988.
In response to a congressional request, GAO reviewed the Veterans Administration's (VA) and the Department of Defense's (DOD) implementation of legislation to promote their sharing of health care resources, to determine: (1) whether the two agencies took full advantage of opportunities to share their resources; (2) the adequacy of current incentives to share resources; (3) whether there were any b...
CHAMPUS Reform Initiative: Unresolved Issues
T-HRD-87-5: Published: Mar 18, 1987. Publicly Released: Mar 18, 1987.
GAO testified on the Department of Defense's (DOD) plans to change the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). The DOD CHAMPUS Reform Initiative objectives are to: (1) contain CHAMPUS costs for the government and beneficiaries; (2) increase beneficiary access to health care; (3) improve coordination between CHAMPUS and military treatment facilities; (4) ensure qual...