Hospital care services (31 - 40 of 60 items)
Medicaid: The Texas Disproportionate Share Program Favors Public Hospitals
HRD-93-86: Published: Mar 30, 1993. Publicly Released: Mar 30, 1993.
Pursuant to a congressional request, GAO reviewed how the Medicaid disproportionate share hospital program affects hospitals in Texas, focusing on: (1) the formula Texas uses in its Dispro I program and its effect on qualifying hospitals; and (2) other states' measurement of low-income patient care and their collection and validation of hospital data.GAO found that: (1) Texas' Dispro I formula fav...
VA Health Care: Selection of a Planned Medical Center in East Central Florida
HRD-93-77: Published: Mar 1, 1993. Publicly Released: Mar 2, 1993.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) decision to build a medical center in Orange County, Florida, rather than pursue a joint venture with one of the services.GAO found that: (1) VA did not adequately support its site selection process; (2) the Orange County site would increase the government's overall construction and operating costs; (3) the...
District of Columbia: Barriers to Medicaid Enrollment Contribute to Hospital Uncompensated Care
HRD-93-28: Published: Dec 29, 1992. Publicly Released: Jan 28, 1993.
Pursuant to a congressional request, GAO reviewed the District of Columbia's (DC) Medicaid program and uncompensated hospital care in DC, focusing on the: (1) extent of DC hospitals' problems with uncompensated care; (2) Medicaid enrollment process and its relationship to Medicaid reimbursement and uncompensated care; and (3) potential barriers to enrollment in the DC Medicaid enrollment process.G...
Medicaid: Disproportionate Share Policy
HRD-93-3R: Published: Dec 22, 1992. Publicly Released: Jan 22, 1993.
Pursuant to a congressional request, GAO reviewed the Medicaid disproportionate share program, focusing on: (1) how states designate disproportionate share hospitals and formula used to reimburse the hospitals; (2) the impact of charity care on state disproportionate share formula; and (3) Texas' experience with the program. GAO found that: (1) states have a significant amount of control over whic...
Emergency Departments: Unevenly Affected by Growth and Change in Patient Use
HRD-93-4: Published: Jan 4, 1993. Publicly Released: Jan 14, 1993.
Pursuant to a congressional request, GAO provided information about conditions that affected access to and use of hospital emergency departments (ED), focusing on: (1) changes in patients' use of ED; (2) the different sources of payments for ED services; and (3) ED timeliness in providing patient care.GAO found that: (1) ED visits have increased nationwide by more than 19 percent between 1985 and...
Hospital Costs: Adoption of Technologies Drives Cost Growth
HRD-92-120: Published: Sep 9, 1992. Publicly Released: Oct 14, 1992.
Pursuant to a congressional request, GAO provided information on hospital costs and Medicare's ability to provide adequate payments under the prospective payment system (PPS), focusing on: (1) the impact of PPS on growth of hospital operating costs; and (2) factors which have caused persistent increases in hospital costs, including acquired immune deficiency syndrome (AIDS), malpractice insurance,...
Medicare: Reimbursement Policies Can Influence the Setting and Cost of Chemotherapy
PEMD-92-28: Published: Jul 17, 1992. Publicly Released: Aug 17, 1992.
Pursuant to a congressional request, GAO examined factors that influence where oncologists treat Medicare patients and the potential cost to the federal government of treatment in different settings.GAO found that: (1) some oncologists have treated cancer patients in hospital inpatient and outpatient settings when, by clinical standards, these patients could have received treatment in the office;...
Medicare: Rationale for Higher Payment for Hospital-Based Home Health Agencies
HRD-92-24: Published: Jan 31, 1992. Publicly Released: Mar 4, 1992.
Pursuant to a congressional request, GAO reviewed Medicare's policy of paying hospital-based home health agencies (HHA) more than it pays freestanding HHA.GAO found that: (1) Medicare's HHA policy, which allows hospitals additional reimbursement for home health services, is consistent with Medicare payment principles and federal legislation; and (2) although Medicare designed the add-on to pay hos...
Canadian Health Insurance
HRD-92-20R: Published: Feb 20, 1992. Publicly Released: Feb 20, 1992.
In response to a congressional request, GAO responded to a January 1992 briefing paper that criticized an earlier GAO report on Canadian health insurance claiming that GAO overstated administrative savings and understated the additional costs of adopting a Canadian-style health insurance system. GAO noted that: (1) estimates in its report and the briefing paper were not comparable because of the d...
Health Care Spending Control: The Experience of France, Germany, and Japan
T-HRD-92-12: Published: Nov 19, 1991. Publicly Released: Nov 19, 1991.
GAO discussed the health care systems in France, Germany, and Japan. GAO noted that: (1) France, Germany, and Japan provide universal access to health insurance while spending less on health care than the United States; (2) under the U.S. and the three countries' health care systems, multiple payers provide health insurance, people typically get health insurance for themselves and their dependents...