Health resources utilization (31 - 40 of 100 items)
VA Health Care: Closing a Chicago Hospital Would Save Millions and Enhance Access to Services
HEHS-98-64: Published: Apr 16, 1998. Publicly Released: Apr 16, 1998.
Pursuant to a congressional request, GAO reviewed whether the Veterans Health Administration (VHA) could serve veterans in Chicago, Illinois, with three hospitals, focusing on: (1) the extent of the resources that could be redirected to improve patient care; and (2) the potential impact of one hospital closure on VHA's other missions.GAO noted that: (1) VHA can meet the health care needs of Chicag...
VA Health Care: Status of Efforts to Improve Efficiency and Access
HEHS-98-48: Published: Feb 6, 1998. Publicly Released: Feb 6, 1998.
GAO reviewed the Department of Veterans Affairs' (VA) efforts to improve and monitor veterans' access to health care.GAO noted that: (1) VA has taken important steps to improve the efficiency of its health care system and veterans' access to it; (2) VA medical centers have increased efficiency by expanding the use of outpatient care; (3) for example, VA has increased the percentage of surgical pro...
Health Financing and Systems Issue Area: Active Assignments
AA-97-15(3): Published: Sep 1, 1997. Publicly Released: Sep 1, 1997.
GAO provided information on its active assignments in the Health Financing and Systems issue area as of August 29, 1997...
Defense Health Care: TRICARE Resource Sharing Program Failing to Achieve Expected Savings
HEHS-97-130: Published: Aug 22, 1997. Publicly Released: Aug 22, 1997.
Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) use of support contracts to help deliver health care and to control costs, focusing on: (1) whether resource sharing savings are meeting DOD's projections and thus helping control TRICARE costs; (2) what problems DOD might be encountering in pursuing resource sharing; and (3) actions and alternatives pursued by DOD...
VA Health Care: Opportunities to Enhance Montgomery and Tuskegee Service Integration
T-HEHS-97-191: Published: Jul 28, 1997. Publicly Released: Jul 28, 1997.
GAO discussed its ongoing work on the integration of medical facilities operated by the Department of Veterans Affairs (VA) in Tuskegee and Montgomery, Alabama.GAO noted that: (1) on the basis of GAO's work to date, it appears that both Atlanta network and Montgomery and Tuskegee facility officials have made a lot of progress in planning for this integration, and benefits have already been realize...
VA Health Care: Lessons Learned From Medical Facility Integrations
T-HEHS-97-184: Published: Jul 24, 1997. Publicly Released: Jul 24, 1997.
GAO discussed the preliminary results of its ongoing work on the integration of medical facilities operated by the Department of Veterans Affairs (VA).GAO noted that: (1) facility integrations are a critical piece of VA's overall strategy to enhance the efficiency and effectiveness of health service delivery to veterans; (2) VA's strategy is similar to how the private sector health care industry i...
Medicaid Managed Care: Challenge of Holding Plans Accountable Requires Greater State Effort
HEHS-97-86: Published: May 16, 1997. Publicly Released: Jun 16, 1997.
Pursuant to a congressional request, GAO reviewed state efforts to hold managed care plans accountable for meeting Medicaid program goals and for providing beneficiaries enrolled in capitated managed care plans the care they need, focusing on state efforts to: (1) ensure Medicaid beneficiaries have access to appropriate providers; (2) assess the adequacy of medical care provided through contracted...
Comments on H.R. 4229: A Proposal for a Home Health Prospective Payment System
HEHS-97-144R: Published: May 28, 1997. Publicly Released: Jun 4, 1997.
Pursuant to a congressional request, GAO reviewed H.R. 4229, introduced in the 104th Congress, which would require the Health Care Financing Administration (HCFA) to establish, after congressional approval, a prospective payment system (PPS) for Medicare home health care 4 years after enactment that would pay fixed rates for episodes of care.GAO noted that: (1) home health agencies (HHA) would be...
Medicare: Home Health Agencies With High Visit Rates Skew Averages
HEHS-97-139R: Published: Jun 2, 1997. Publicly Released: Jun 2, 1997.
Pursuant to a congressional request, GAO reviewed Medicare's reimbursement of home health agencies (HHA), focusing on whether: (1) there are reasons why proprietary HHAs provide more visits than voluntary and governmental agencies; (2) there is any justification for the extra visits; and (3) the skewing effect of the high visit rates by proprietary agencies could be removed when calculating the nu...
Rural Health Clinics: Rising Program Expenditures Not Focused on Improving Care in Isolated Areas
T-HEHS-97-65: Published: Feb 13, 1997. Publicly Released: Feb 13, 1997.
GAO discussed its recent report on the Rural Health Clinic (RHC) program, one of the few federal programs that addresses underservice in small communities that do not have a traditional health care system in place.GAO noted that: (1) the RHC program needs to be refocused; (2) while some clinics clearly meet the program's initial focus of serving Medicare and Medicaid populations having difficulty...