Health services administration (1 - 10 of 102 items)
Veterans' Health Care Budget: Improvements Made, but Additional Actions Needed to Address Problems Related to Estimates Supporting President's Request
GAO-13-715: Published: Aug 8, 2013. Publicly Released: Aug 8, 2013.
The Department of Veterans Affairs (VA) expanded the use of the Enrollee Health Care Projection Model (EHCPM) in developing the agencys health care budget estimate that supported the Presidents fiscal year 2014 budget request. VA expanded the use of the EHCPM by using, for the first time, the models estimate for the amount of care providedworkloadto develop estimates...
Defense Health Care: Most Reservists Have Civilian Health Coverage but More Assistance Is Needed When TRICARE Is Used
GAO-02-829: Published: Sep 6, 2002. Publicly Released: Sep 6, 2002.
To expand the capabilities of the nation's active duty forces, the Department of Defense (DOD) relies on the 1.2 million men and women of the Reserve and National Guard. Currently, reserve components constitute nearly half of the total armed forces. Although DOD requires reservists to use TRICARE DOD's health care system for their own health care, using TRICARE is an option for their dependents. N...
Nursing Homes: Aggregate Medicare Payments Are Adequate Despite Bankruptcies
T-HEHS-00-192: Published: Sep 5, 2000. Publicly Released: Sep 5, 2000.
Pursuant to a congressional request, GAO discussed the causes of the bankruptcies of large corporations owning nursing homes and the implications for nursing home residents, focusing on: (1) the adequacy of Medicare's payment rates for skilled nursing services furnished in nursing homes; (2) the relationship between the changes wrought by the Balanced Budget Act and recent nursing home bankruptcie...
Federal Prisons: Responses to Questions Related to Containing Health Care Costs for an Increasing Inmate Population
GGD-00-160R: Published: Jun 14, 2000. Publicly Released: Jul 14, 2000.
Pursuant to a congressional request, GAO responded to congressional questions on its April 6, 2000, testimony on the Bureau of Prisons (BOP) efforts to contain the costs of providing health care to inmates, focusing on whether: (1) requiring a copayment would reduce the number of prisoners seeking medical care in order to get out of work or other duties; (2) recent BOP initiatives have helped redu...
Defense Health Care: Opportunities to Reduce TRICARE Claims Processing and Other Costs
T-HEHS-00-138: Published: Jun 22, 2000. Publicly Released: Jun 22, 2000.
Pursuant to a congressional request, GAO discussed opportunities to reduce claims processing and other costs of the Department of Defense's (DOD) managed health care program--TRICARE, focusing on: (1) the cost of processing TRICARE claims; (2) opportunities that potentially can reduce costs and improve service to beneficiaries, namely increased anti-fraud efforts and more joint procurement of phar...
Federal Prisons: Containing Health Care Costs for an Increasing Inmate Population
T-GGD-00-112: Published: Apr 6, 2000. Publicly Released: Apr 6, 2000.
Pursuant to a congressional request, GAO discussed health care costs at the federal Bureau of Prisons (BOP), focusing on: (1) trends in BOP health care costs from fiscal year (FY) 1990 through FY 1999; (2) BOP initiatives to contain rising medical costs; and (3) legislative and administrative options for helping to contain health care costs.GAO noted that: (1) in conjunction with a rising federal...
Defense Health Care: Observations on Proposed Benefit Expansion and Overcoming TRICARE Obstacles
T-HEHS/NSIAD-00-129: Published: Mar 15, 2000. Publicly Released: Mar 15, 2000.
Pursuant to a congressional request, GAO discussed proposed changes and improvements to the military health system (MHS), focusing on: (1) the various proposals to expand the military health care benefit, especially those for older retirees, including describing the nature of the enhancement, the present or potential challenges in implementing these proposals, and overall cost implications; (2) th...
VA Health Care: VA's Management of Drugs on Its National Formulary
HEHS-00-34: Published: Dec 14, 1999. Publicly Released: Dec 14, 1999.
Pursuant to a congressional request, GAO reviewed how the Department of Veterans' Affairs' (VA) manages its national formulary and how drugs other than those on the formulary are made available to veterans.GAO noted that: (1) VA's national formulary is administered by the Pharmacy Benefits Management Strategic Healthcare Group (PBM), a strategy modeled after one commonly used in private health car...
Medicaid Managed Care: Four States' Experiences With Mental Health Carveout Programs
HEHS-99-118: Published: Sep 17, 1999. Publicly Released: Sep 17, 1999.
Pursuant to a congressional request, GAO provided information on how states design and monitor Medicaid mental health programs, and how, at the federal level, the Health Care Financing Administration (HCFA) exercises its oversight of the Medicaid program, focusing on: (1) the extent of beneficiary choice in capitated mental health carveouts, the range of covered mental health services, and access...
Prescription Drug Benefits: Impact of Medicare HMOs' Use of Formularies on Beneficiaries
T-HEHS-99-171: Published: Jul 20, 1999. Publicly Released: Jul 20, 1999.
Pursuant to a congressional request, GAO discussed the prescription drug benefits provided by health maintenance organizations (HMO) that participate in the Medicare Choice program.GAO noted that: (1) evaluating the prescription drug benefits Medicare HMOs offer is an important but challenging undertaking for prospective enrollees; (2) to determine which plan best meets their needs, beneficiaries...