Health services administration (31 - 40 of 102 items)
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...
Health Services Quality and Public Health Issue Area Plan--Fiscal Years 1998 and 1999
IAP-97-14: Published: May 1, 1997. Publicly Released: May 1, 1997.
GAO provided information on its Health Services Quality and Public Health issue area plan for fiscal years 1998 and 1999.GAO plans to assess: (1) whether the public health service agencies are ensuring the public's health and safety efficiently and effectively; (2) opportunities for improving the quality of health care under fee-for-service and managed care payment arrangements; (3) opportunities...
VA Health Care: Assessment of VA's Fiscal Year 1998 Budget Proposal
T-HEHS-97-121: Published: May 1, 1997. Publicly Released: May 1, 1997.
GAO discussed the President's 1998 budget request for the Department of Veterans Affairs (VA) health care system.GAO noted that: (1) while VA's budget goals may be attainable, they carry implications such as limited deficit reduction contributions and potential risks to low-income uninsured veterans; (2) achieving increased efficiency is not contingent on either increases in patients served or res...
Telemedicine: Federal Strategy Is Needed to Guide Investments
NSIAD/HEHS-97-67: Published: Feb 14, 1997. Publicly Released: Feb 14, 1997.
Pursuant to a congressional request, GAO reviewed the steps that the federal government needs to take to realize the full potential of telemedicine and achieve cooperation with the private sector, focusing on: (1) the scope of public and private telemedicine investments; (2) telemedicine strategies among the Department of Defense (DOD), other federal agencies, and the private sector; (3) potential...
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...
Managed Care Initiatives
HEHS-96-153R: Published: Sep 25, 1996. Publicly Released: Oct 28, 1996.
Pursuant to a congressional request, GAO provided information on: (1) tools that managed care plans use to control costs; and (2) state initiatives that address concerns associated with managed care. GAO noted that managed care plans use a variety of tools to control costs, including: (1) shifting some financial risk to providers; (2) requiring plan permission to refer a patient to a specialist; a...
VA Health Care: Improving Veterans' Access Poses Financial and Mission-Related Challenges
HEHS-97-7: Published: Oct 25, 1996. Publicly Released: Oct 25, 1996.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) efforts to establish health care access points to provide outpatient care for veterans who are geographically distant from VA hospitals.GAO found that: (1) the new access points represent a proactive effort to transition from a direct delivery system to an integrated network of VA-operated hospitals and VA a...