Hospitals (41 - 50 of 82 items)
Medicaid: Changes in Drug Prices Paid by HMOs and Hospitals Since Enactment of Rebate Provisions
HRD-93-43: Published: Jan 15, 1993. Publicly Released: Jan 15, 1993.
GAO reported on changes in drug prices charged to health maintenance organizations (HMO) and hospital group purchasing organizations (GPO) under rebate provisions of the Omnibus Budget Reconciliation Act of 1990, which required that drug manufacturers give state Medicaid programs rebates for outpatient drugs.GAO found that: (1) prices for HMO outpatient drugs increased significantly the year after...
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...
Trauma Care Reimbursement: Poor Understanding of Losses and Coverage for Undocumented Aliens
PEMD-93-1: Published: Oct 15, 1992. Publicly Released: Oct 15, 1992.
Pursuant to a congressional request, GAO provided information on the Medicaid compensation of four southwestern trauma centers for treatment they provided to undocumented aliens.GAO found that: (1) direct approaches to identifying undocumented aliens are expensive and inaccurate, because of the need to collect data apart from normal hospital procedures and undocumented aliens' presumed preference...
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: 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...
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...
Medicare: Millions of Dollars in Mistaken Payments Not Recovered
HRD-92-26: Published: Oct 21, 1991. Publicly Released: Oct 21, 1991.
Pursuant to a congressional request, GAO reviewed Medicare contractors' claims-processing activities, to identify: (1) Medicare payments mistakenly made to hospitals for inpatient services that resulted in credit balances due Medicare; (2) the reasons for such payments; (3) hospital efforts to refund credit balances; and (4) Medicare contractor actions to recover amounts owed to the program.GAO fo...
Nonprofit Hospitals: Better Standards Needed for Tax Exemption
T-HRD-91-43: Published: Jul 10, 1991. Publicly Released: Jul 10, 1991.
GAO discussed nonprofit hospitals' provision of charitable services to the indigent population of their communities. GAO found that: (1) the link between nonprofit hospitals' tax-exempt status and their provision of charitable activities for the poor or underserved is weak; (2) poor people without public or private health insurance gain access to nonemergency hospital services only if the hospital...
Medicare: Flawed Data Add Millions to Teaching Hospital Payments
IMTEC-91-31: Published: Jun 4, 1991. Publicly Released: Jun 4, 1991.
GAO discussed the: (1) accuracy of resident and bed count data that teaching hospitals submitted to the Health Care Financing Administration (HCFA); (2) effect of inaccurate data on Medicare payments to those hospitals; and (3) adequacy of HCFA internal controls over such data.GAO found that: (1) teaching hospitals overreported the number of residents by claiming residents who were actually at Dep...
Medicare: Comparative Analyses of Payments for Selected Hospital Services
HRD-90-108: Published: Jul 6, 1990. Publicly Released: Jul 6, 1990.
Pursuant to a congressional request, GAO reviewed hospital costs and revenues in order to: (1) compare Medicare and Medicaid payments for similar inpatient hospital services in California, New York, and Ohio; and (2) analyze differences in Medicare payments and costs for similar inpatient hospital services in those states.GAO found that: (1) in 1987, Medicare paid about $48 billion to approximatel...