Medicare (81 - 90 of 321 items)
Medicare Home Health Benefit: Impact of Interim Payment System and Agency Closures on Access to Services
HEHS-98-238: Published: Sep 9, 1998. Publicly Released: Sep 9, 1998.
Pursuant to a congressional request, GAO reviewed: (1) the potential impact of the Medicare home health services interim payment system on home health agencies; (2) the number, distribution, and effect of recent home health agency closures; and (3) whether the interim payment system could be affecting beneficiaries' access to services, particularly for beneficiaries who are expensive to serve.GAO...
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...
Medicare: Interim Payment System for Home Health Agencies
T-HEHS-98-234: Published: Aug 6, 1998. Publicly Released: Aug 6, 1998.
GAO discussed: (1) the rise in Medicare spending for home health services and the reasons for this growth; (2) the objectives of the home health interim payment system enacted by the Balanced Budget Act of 1997; and (3) concerns about the level and distribution of home health payments.GAO noted that: (1) a well-designed prospective payment system will provide the Medicare program with the best mea...
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...
Health Care Quality: Implications of Purchasers' Experiences for HCFA
HEHS-98-69: Published: Jun 18, 1998. Publicly Released: Jul 20, 1998.
Pursuant to a congressional request, GAO determined how large purchasers use quality-related data to seek or promote better quality of care and lessons that can be learned from their experiences for the Health Care Financing Administration (HCFA).GAO noted that: (1) after collecting and making use of quality-related data, the purchasers GAO studied reported that in addition to cost savings, they s...
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...
Defense Health Care: Fully Integrated Pharmacy System Would Improve Service and Cost-Effectiveness
HEHS-98-176: Published: Jun 12, 1998. Publicly Released: Jun 12, 1998.
Pursuant to a legislative requirement, GAO reviewed the Department of Defense's (DOD) pharmacy programs, focusing on the: (1) adequacy of the information that DOD and its contractors have to manage the pharmacy benefit; (2) merits and feasibility of DOD and its contractors applying commercial best practices, including a uniform formulary, in managing its pharmacy programs; (3) merits and limitatio...
VA Health Care: Medicare Reimbursement for Services to Veterans
HEHS-98-145R: Published: Apr 28, 1998. Publicly Released: May 14, 1998.
Pursuant to a congressional request, GAO provided information on proposals that would give the Department of Veterans Affairs (VA) authority to collect Medicare reimbursement for care given to eligible veterans, focusing on the: (1) benefits VA's use of a Medicare health maintenance organization (HMO) demonstration may provide for veterans; (2) risks such a demonstration may pose for veterans; (3)...
Defense Health Care: Operational Difficulties and System Uncertainties Pose Continuing Challenges for TRICARE
T-HEHS-98-100: Published: Feb 26, 1998. Publicly Released: Feb 26, 1998.
GAO discussed the status of the Department of Defense's (DOD) implementation of its managed health care program, TRICARE, focusing on: (1) DOD's progress in implementing TRICARE; (2) whether DOD is adequately assessing TRICARE'S effects on military health care access, quality, and cost; and (3) the implications of ongoing and proposed changes in the military health care system itself for TRICARE's...
Defense Health Care: Reimbursement Rates Appropriately Set; Other Problems Concern Physicians
HEHS-98-80: Published: Feb 26, 1998. Publicly Released: Feb 26, 1998.
Pursuant to a legislative requirement, GAO examined: (1) whether the Department of Defense's (DOD) methodology for setting the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) maximum allowable charge (CMAC) rates complies with statutory requirements and how current CMAC rates compare with Medicare rates for similar services; (2) the basis for physicians' concerns about CMAC...