Beneficiaries (31 - 40 of 64 items)
Health Coverage Tax Credit: Simplified and More Timely Enrollment Process Could Increase Participation
GAO-04-1029: Published: Sep 30, 2004. Publicly Released: Oct 4, 2004.
Congress enacted the health coverage tax credit (HCTC) in 2002 for certain displaced workers receiving income support through the Trade Adjustment Assistance (TAA) program and for certain retirees receiving pensions from the Pension Benefit Guaranty Corporation (PBGC). The HCTC equals 65 percent of the cost of qualified health coverage, which individuals can receive in advance--the Internal Revenu...
Medicare Dialysis Facilities: Beneficiary Access Stable and Problems in Payment System Being Addressed
GAO-04-450: Published: Jun 25, 2004. Publicly Released: Jun 25, 2004.
Medicare covers about 90 percent of patients with end-stage renal disease (ESRD), the permanent loss of kidney function. Most ESRD patients receive regular hemodialysis treatments, a process that removes toxins from the blood, at a dialysis facility. A small percentage dialyzes-at home. From 1991 through 2001, the ESRD patient population more than doubled, from about 201,000 to 406,000. As the nee...
Medicare: Discrepancy in Hospital Outpatient Prospective Payment System Methodology Leads to Inaccurate Beneficiary Copayments and Medicate Payments
GAO-04-103R: Published: Oct 6, 2003. Publicly Released: Oct 6, 2003.
Under the Medicare hospital outpatient prospective payment system (OPPS), beneficiaries can be responsible for paying 50 percent or more of the total payment for outpatient services they receive in hospitals. The Balanced Budget Act of 1997 (BBA) introduced a mechanism to gradually decrease beneficiary cost sharing to 20 percent of the payment rate for each hospital outpatient service. The Centers...
Prescription Drug Discount Cards: Savings Depend on Pharmacy and Type of Card Used
GAO-03-912: Published: Sep 3, 2003. Publicly Released: Sep 8, 2003.
While prescription drugs have become an increasingly important part of health care for the elderly, more than one-quarter of all Medicare beneficiaries have no prescription drug coverage. Over the past decade, private companies and not-for-profit organizations have sponsored prescription drug discount cards that offer discounts from the prices the elderly would otherwise have to pay for their pres...
Long-Term Care: Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened
GAO-03-576: Published: Jun 20, 2003. Publicly Released: Jul 7, 2003.
Home and community-based settings have become a growing part of states' Medicaid long-term care programs, serving as an alternative to care in institutional settings, such as nursing homes. To cover such services, however, states often obtain waivers from certain federal statutory requirements. GAO was asked to review (1) trends in states' use of Medicaid home and community-based service (HCBS) wa...
Retired Coal Miners' Health Benefit Funds: Financial Challenges Continue
GAO-02-243: Published: Apr 18, 2002. Publicly Released: May 20, 2002.
More than 100,000 retired coal miners and their spouses and dependents in 1992 faced a potential decrease in their employment-related health insurance coverage or loss of such coverage altogether. Some former employers had stopped mining coal or gone out of business and were no longer contributing to the United Mine Workers of America (UMWA) retiree benefit funds. To ensure that these individuals...
Medicare Subvention Demonstration: Pilot Satisfies Enrollees, Raises Cost and Management Issues for DOD Health Care
GAO-02-284: Published: Feb 11, 2002. Publicly Released: Feb 11, 2002.
The Department of Defense's (DOD) Medicare subvention demonstration tested alternate approaches to health care coverage for military retirees. Retirees could enroll in new DOD-run Medicare managed care plans, known as TRICARE Senior Prime, at six sites. The demonstration plan offered enrollees the full range of Medicare-covered services as well as additional TRICARE services, with minimal copaymen...
Medicare: Fewer and Lower Cost Beneficiaries With Chronic Conditions Enroll in HMOs
HEHS-97-160: Published: Aug 18, 1997. Publicly Released: Sep 15, 1997.
Pursuant to a congressional request, GAO examined a mature managed care market to determine: (1) the extent to which Medicare beneficiaries with chronic conditions enroll in health maintenance organizations (HMO); (2) whether beneficiaries with chronic conditions who enroll in HMOs are as costly as those remaining in fee-for-service (FFS) Medicare; and (3) whether beneficiaries with chronic condit...
Medicare Managed Care: HCFA Missing Opportunities to Provide Consumer Information
T-HEHS-97-109: Published: Apr 10, 1997. Publicly Released: Apr 10, 1997.
GAO discussed: (1) Medicare beneficiaries' need for comparative information on health maintenance organizations (HMO); and (2) steps the Health Care Financing Administration (HCFA) could take to meet that need promptly.GAO noted that: (1) HCFA does not distribute to beneficiaries comparative consumer guides such as those the federal government and many employer-based health insurance programs rout...
Defense Health Care: TRICARE Progressing, but Some Cost and Performance Issues Remain
T-HEHS-96-100: Published: Mar 7, 1996. Publicly Released: Mar 7, 1996.
GAO discussed the Department of Defense's (DOD) implementation of TRICARE, its nationwide managed health care program. GAO noted that: (1) although early TRICARE implementation is basically proceeding as planned, there was some initial beneficiary confusion due to a shortage of adequately trained staff and uncoordinated education and marketing efforts; (2) DOD needs to gather demographic and other...