Health care costs (71 - 80 of 126 items)
1993 German Health Reforms: New Cost Control Initiatives
HRD-93-103: Published: Jul 7, 1993. Publicly Released: Aug 10, 1993.
Pursuant to a congressional request, GAO examined recent German health care reforms, focusing on: (1) the reasons for the German reforms; (2) the nature of the reforms; (3) the initial reaction to and expected effects of the reforms; and (4) implications for U.S. health care reforms.GAO found that: (1) large increases in mandated health care premiums and variations in contribution rates between he...
Medicaid: Outpatient Drug Costs and Reimbursements for Selected Pharmacies in Illinois and Maryland
HRD-93-55FS: Published: Mar 18, 1993. Publicly Released: Mar 18, 1993.
Pursuant to a legislative requirement, GAO reviewed drug purchasing costs and Medicaid reimbursements in Illinois and Maryland, focusing on whether state pharmacies reimbursed Medicaid programs for the discounts on outpatient drugs they received from drug manufacturers.GAO found that: (1) Medicaid reimbursed the state pharmacies about 19 percent more than they paid for outpatient drugs; (2) hospit...
Health Care: Rochester's Community Approach Yields Better Access, Lower Costs
HRD-93-44: Published: Jan 29, 1993. Publicly Released: Mar 5, 1993.
Pursuant to a congressional request, GAO reviewed the health care system in Rochester, New York, which has lower health care costs per capita and provides health insurance to a larger proportion of its residents than the nation as a whole.GAO found that: (1) in 1991, health insurance costs per employee in Rochester were 33 percent lower than national health care costs; (2) Rochester's hospital cos...
VA Health Care: Selection of a Planned Medical Center in East Central Florida
HRD-93-77: Published: Mar 1, 1993. Publicly Released: Mar 2, 1993.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) decision to build a medical center in Orange County, Florida, rather than pursue a joint venture with one of the services.GAO found that: (1) VA did not adequately support its site selection process; (2) the Orange County site would increase the government's overall construction and operating costs; (3) the...
Medicaid: Changes in Drug Prices Paid by HMOs and Hospitals Since Enactment of Rebate Provisions
HRD-93-43: Published: Jan 15, 1993. Publicly Released: Jan 15, 1993.
GAO reported on changes in drug prices charged to health maintenance organizations (HMO) and hospital group purchasing organizations (GPO) under rebate provisions of the Omnibus Budget Reconciliation Act of 1990, which required that drug manufacturers give state Medicaid programs rebates for outpatient drugs.GAO found that: (1) prices for HMO outpatient drugs increased significantly the year after...
Health and Human Services Issues
OCG-93-20TR: Published: Dec 1, 1992. Publicly Released: Dec 1, 1992.
Pursuant to a congressional request, GAO summarized information on federal health and human services issues facing Congress and the new administration.GAO noted that: (1) social security, Medicare, and Medicaid accounted for 87 percent of the Department of Health and Human Service's (HHS) budget; (2) challenges facing HHS include ensuring health care access, controlling escalating costs, and curbi...
Employer-Based Health Insurance: High Costs, Wide Variation Threaten System
HRD-92-125: Published: Sep 22, 1992. Publicly Released: Oct 28, 1992.
Pursuant to a congressional request, GAO provided information on business health insurance cost burdens and employers that are particularly vulnerable to the escalation of health insurance costs, focusing on: (1) various employers' health benefits costs; and (2) factors contributing to the cost differences among employers.GAO found that: (1) from 1987 to 1990, business health spending has grown at...
Hospital Costs: Adoption of Technologies Drives Cost Growth
HRD-92-120: Published: Sep 9, 1992. Publicly Released: Oct 14, 1992.
Pursuant to a congressional request, GAO provided information on hospital costs and Medicare's ability to provide adequate payments under the prospective payment system (PPS), focusing on: (1) the impact of PPS on growth of hospital operating costs; and (2) factors which have caused persistent increases in hospital costs, including acquired immune deficiency syndrome (AIDS), malpractice insurance,...
Health Care: Problems and Potential Lessons for Reform
T-HRD-92-23: Published: Mar 27, 1992. Publicly Released: Mar 27, 1992.
GAO discussed the U.S. health care system's problems and potential for reform. GAO noted that: (1) there is a growing consensus that the health care system needs change, particularly to address rapidly growing health care costs and access to care problems; (2) between 1980 and 1990, health care costs rose from 9.1 to 12.2 percent of the gross national product, and is projected to increase to over...
Medicare: Rationale for Higher Payment for Hospital-Based Home Health Agencies
HRD-92-24: Published: Jan 31, 1992. Publicly Released: Mar 4, 1992.
Pursuant to a congressional request, GAO reviewed Medicare's policy of paying hospital-based home health agencies (HHA) more than it pays freestanding HHA.GAO found that: (1) Medicare's HHA policy, which allows hospitals additional reimbursement for home health services, is consistent with Medicare payment principles and federal legislation; and (2) although Medicare designed the add-on to pay hos...