Health services administration (11 - 20 of 102 items)
Prescription Drug Benefits: Implications for Beneficiaries of Medicare HMO Use of Formularies
HEHS-99-166: Published: Jul 20, 1999. Publicly Released: Jul 20, 1999.
Pursuant to a congressional request, GAO studied how Medicare health maintenance organizations (HMO) manage drug formularies to control drug expenditures and what the implications are for beneficiaries of these formulary management activities.GAO noted that: (1) evaluating the prescription drug benefits Medicare HMOs offer is an important but challenging undertaking for prospective enrollees; (2)...
VA Health Care: Progress and Challenges in Providing Care to Veterans
T-HEHS-99-158: Published: Jul 15, 1999. Publicly Released: Jul 15, 1999.
Pursuant to a congressional request, GAO discussed the Department of Veterans Affairs' (VA) new system for enrolling veterans for health care.GAO noted that: (1) since implementing its enrollment system at the beginning of fiscal year (FY) 1999, VA has enrolled about 4 million veterans and its health care expenditures for these enrollees are on track with VA's projections; (2) however, each of the...
Veterans' Affairs: Observations on Selected Features of the Proposed Veterans' Millennium Health Care Act
T-HEHS-99-125: Published: May 19, 1999. Publicly Released: May 19, 1999.
Pursuant to a congressional request, GAO discussed the proposed Veterans' Millennium Health Care Act, which would modify policies and practices of the health care system operated by the Department of Veterans Affairs (VA).GAO noted that: (1) the draft bill's facility service realignment, long-term care, and cost-sharing provisions should help facilitate VA's continuing transformation of its health...
Veterans' Affairs: Progress and Challenges in Transforming Health Care
T-HEHS-99-109: Published: Apr 15, 1999. Publicly Released: Apr 15, 1999.
Pursuant to a congressional request, GAO discussed the challenges facing the Department of Veterans Affairs (VA) in transforming health care, focusing on: (1) VA's transformation progress to date; (2) challenges that remain to be confronted; and (3) the implications for VA's fiscal year (FY) 2000 budget.GAO noted that: (1) VA's transformation continues to make significant progress; (2) over the la...
Medicare HMO Institutional Payments: Improved HCFA Oversight, More Recent Cost Data Could Reduce Overpayments
HEHS-98-153: Published: Sep 9, 1998. Publicly Released: Oct 13, 1998.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) oversight of Medicare payments to health maintenance organizations (HMO) for institutionalized beneficiaries, focusing on: (1) the criteria HCFA uses to determine a beneficiary's institutional status; (2) the methods HCFA employs to ensure that HMOs properly classify beneficiaries as institutionaliz...
VA Health Care: VA's Plan for the Integration of Medical Services in Central Alabama
HEHS-98-245R: Published: Sep 23, 1998. Publicly Released: Oct 1, 1998.
Pursuant to a legislative requirement, GAO provided information on the Department of Veterans Affairs' (VA) plans to integrate services at the medical facilities located in Tuskegee and Montgomery, Alabama, focusing on: (1) whether VA's plan provides the information that stakeholders need to understand the proposed integration of services at these two facilities; and (2) assessing stakeholder unde...
VA Health Care: More Veterans Are Being Served, but Better Oversight Is Needed
HEHS-98-226: Published: Aug 28, 1998. Publicly Released: Aug 28, 1998.
Pursuant to a legislative requirement, GAO reviewed the: (1) changes in overall access to care, changes in access to certain specialized services, and a comparison of changes in Veterans Integrated Service Network (VISN) 3 (Bronx) and VISN 4 (Pittsburgh) with Department of Veterans Affairs (VA) national data from fiscal years (FY) 1995 to 1997; (2) extent to which VA headquarters and VISNs are wor...
Federal Health Programs: Comparison of Medicare, the Federal Employees Health Benefits Program, Medicaid, Veterans' Health Services, Department of Defense Health Services, and Indian Health Services
HEHS-98-231R: Published: Aug 7, 1998. Publicly Released: Aug 7, 1998.
GAO compared the Medicare program with five other federal health programs: the Federal Employees Health Benefits Program (FEHBP); the Medicaid and Department of Veterans' Affairs (VA) health programs; the Department of Defense's (DOD) TRICARE health program; and the Indian Health Service (IHS). GAO also compared key features of these programs, including: (1) administrative structures, including th...
Health Services Quality and Public Health Issue Area Plan: Fiscal Years 1999-2000
IAP-98-14: Published: Aug 1, 1998. Publicly Released: Aug 1, 1998.
GAO provided information on its Health Services Quality and Public Health issue area plan for fiscal years 1999 and 2000.GAO plans to: (1) determine whether the public health service agencies are ensuring the public's health and safety efficiently and effectively; (2) identify opportunities for improving the quality of health care under fee-for-service and managed care payment arrangements; (3) id...
Medicare: Impact of Changing Transportation Policy for Portable Equipment Is Uncertain
HEHS-98-82: Published: May 18, 1998. Publicly Released: Jun 22, 1998.
Pursuant to a congressional request, GAO reviewed how the Health Care Financing Administration's (HCFA) revised payment policies would affect Medicare beneficiaries and program costs, focusing on the: (1) Medicare recipients, places of service, and providers who might be affected most; (2) number of services that would be affected by the changed policy; and (3) effect on Medicare's program costs.G...