Beneficiaries (51 - 60 of 64 items)
Medicare: Comparison of Two Methods of Computing Home Health Care Cost Limits
HRD-90-167: Published: Sep 28, 1990. Publicly Released: Sep 28, 1990.
Pursuant to a legislative requirement, GAO provided information on the potential effect on Medicare costs and beneficiaries of limiting home health care costs by type of visit.GAO found that: (1) Medicare home health costs would have been about $36.9 million lower from July 1, 1987, through June 30, 1988, if the cost limits had been applied by type of visit rather than in the aggregate; (2) from J...
Medicare: Impact of State Mandatory Assignment Programs on Beneficiaries
HRD-89-128: Published: Sep 19, 1989. Publicly Released: Oct 20, 1989.
Pursuant to a congressional request, GAO assessed the impact of four states' mandatory assignment laws, which required physicians to accept Medicare's approved amount as full payment for certain health care services, on: (1) Medicare beneficiaries' and non-beneficiaries' out-of-pocket costs; (2) physician services volume and intensity; and (3) Medicare beneficiaries' access to health care.GAO foun...
U.S. Employees Health Benefits: Rebate for Duplicate Medicare Coverage
HRD-89-58: Published: Mar 23, 1989. Publicly Released: Apr 25, 1989.
In response to a congressional request, GAO provided information on the: (1) duplication of benefits provided under the Federal Employees Health Benefits Program (FEHBP) and the Medicare Catastrophic Coverage Act of 1988; and (2) appropriateness of the 1989 FEHBP rebate amount for duplicate coverage.GAO found that: (1) the act extended catastrophic insurance protection to about 33 million elderly...
Medicare and Medicaid: Updated Effects of Recent Legislation on Program and Beneficiary Costs
HRD-88-85: Published: Jul 26, 1988. Publicly Released: Aug 2, 1988.
Pursuant to a congressional request, GAO discussed the effects of legislation since 1980 on Medicare and Medicaid program costs and on beneficiary out-of-pocket costs.GAO did not attempt to quantify Medicare cost changes attributable to the major legislative changes because of the numerous interrelated factors affecting Medicare costs. GAO estimated that, if prior cost growth trends had continued,...
VA/DOD Health Care: Further Opportunities To Increase the Sharing of Medical Resources
HRD-88-51: Published: Mar 1, 1988. Publicly Released: Mar 1, 1988.
In response to a congressional request, GAO reviewed the Veterans Administration's (VA) and the Department of Defense's (DOD) implementation of legislation to promote their sharing of health care resources, to determine: (1) whether the two agencies took full advantage of opportunities to share their resources; (2) the adequacy of current incentives to share resources; (3) whether there were any b...
Medicare: Comparison of Catastrophic Health Insurance Proposals--An Update
HRD-88-19BR: Published: Oct 16, 1987. Publicly Released: Oct 23, 1987.
GAO updated its report on proposed legislation to relieve elderly Medicare beneficiaries from out-of-pocket catastrophic health care expenses.GAO found that two newly proposed bills would: (1) place an upper limit on beneficiary liability for certain Medicare deductibles and coinsurance; (2) cap physician services, hospital care, and skilled nursing facility coinsurance during the first 150 days,...
Medicare: Comparison of Catastrophic Health Insurance Proposals
HRD-87-92BR: Published: Jun 19, 1987. Publicly Released: Jul 6, 1987.
In response to a congressional request, GAO reviewed 14 legislative proposals that would provide coverage of catastrophic health care costs to determine the potential effects on Medicare beneficiaries.GAO found that: (1) the bills would either place a limit on beneficiary liability for Medicare deductibles and coinsurance or attempt to provide for some of the costs not currently covered under Medi...
The Congress Should Consider Amending the Medicare Secondary Payer Provisions To Include Disability Beneficiaries
HRD-85-102: Published: Sep 30, 1985. Publicly Released: Sep 30, 1985.
Over the past several years, Congress has amended the Social Security Act to require that, when beneficiaries between the ages of 65 and 70 and those with end stage renal disease are covered under employer-sponsored group health insurance, private insurance pays for medical services before Medicare. Because of congressional actions to make Medicare the secondary payer for other beneficiaries cover...
Reasonable Charge Reductions Under Part B of Medicare
HRD-81-12: Published: Oct 22, 1980. Publicly Released: Oct 22, 1980.
GAO examined whether Medicare beneficiaries are being properly reimbursed for doctors' bills under the Medicare program. Part B of the Medicare Program, which primarily covers the cost of physician services, is paying an increasingly smaller portion of the elderly's total cost for physician services. On the average, the charges submitted by doctors are reduced by about 20 percent by the program, b...
Perceptual and Visual Training as a Potential CHAMPUS Benefit
HRD-79-81: Published: May 31, 1979. Publicly Released: May 31, 1979.
The Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) provides financial assistance for medical care provided by civilian sources to dependents of deceased members, active duty members, and retirees of the uniformed services. Perceptual and visual training was provided as part of the CHAMPUS benefits until 1975. GAO reviewed various Department of Health, Education, and Welfar...