Physicians (71 - 80 of 174 items)
Veterans' Affairs and Military Health Care Issue Area: Active Assignments
AA-97-12(2): Published: Apr 15, 1997. Publicly Released: Apr 15, 1997.
GAO provided information on its active assignments in the Veterans' Affairs and Military Health Care issue area as of April 15, 1997...
Health, Education, Employment, Social Security, Welfare, and Veterans Reports
HEHS-97-56W: Published: Jan 1, 1997. Publicly Released: Jan 1, 1997.
GAO published a listing and selected summaries of reports and testimonies issued in December 1996 and a listing of reports issued between September 1996 and December 1996 relating to such issues as: (1) health; (2) education; (3) employment; (4) social security, disability, and welfare benefits; and (5) veterans affairs and military health care...
Managed Care Initiatives
HEHS-96-153R: Published: Sep 25, 1996. Publicly Released: Oct 28, 1996.
Pursuant to a congressional request, GAO provided information on: (1) tools that managed care plans use to control costs; and (2) state initiatives that address concerns associated with managed care. GAO noted that managed care plans use a variety of tools to control costs, including: (1) shifting some financial risk to providers; (2) requiring plan permission to refer a patient to a specialist; a...
Fraud and Abuse Provisions in H.R. 3063
HEHS-96-111R: Published: Mar 18, 1996. Publicly Released: Mar 18, 1996.
Pursuant to a congressional request, GAO reviewed the proposed Health Coverage Availability and Affordability Act's fraud and abuse provisions. GAO noted that: (1) unlike a previous bill, the proposed legislation does not make it more difficult to prove criminal liability for making kickbacks for service referrals, but it does continue to propose significant enforcement curtailment under certain M...
Fraud and Abuse Provisions in H.R. 2425
HEHS-96-37R: Published: Oct 7, 1995. Publicly Released: Oct 7, 1995.
Pursuant to a congressional request, GAO reviewed the fraud and abuse provisions in H.R. 2425, focusing on proposed changes to Medicare anti-kickback and civil monetary penalty laws. GAO noted that the proposed changes to the: (1) Medicare anti-kickback law would make it more difficult to prove liability and easier to disguise the intent behind kickback arrangements, and avoid prosecution; and (2)...
Health Care Shortage Areas: Designations Not a Useful Tool for Directing Resources to the Underserved
HEHS-95-200: Published: Sep 8, 1995. Publicly Released: Sep 8, 1995.
GAO reviewed the Department of Health and Human Services' (HHS) systems for identifying geographical areas where access to medical care is limited, focusing on: (1) how well the systems identify areas with primary care shortages; (2) how well the systems target federal funding to the underserved; and (3) whether the HHS proposal to combine the systems would lead to improvements.GAO found that: (1)...
Patient Self-Determination Act: Providers Offer Information on Advance Directives but Effectiveness Uncertain
HEHS-95-135: Published: Aug 28, 1995. Publicly Released: Aug 28, 1995.
Pursuant to a congressional request, GAO provided information on the implementation of the Patient Self-Determination Act (PSDA), and the effectiveness of advance directives in ensuring a patient's desired care.GAO found that: (1) health care institutions and the Department of Health and Human Services (HHS) are generally complying with most PSDA requirements; (2) most health care providers inform...
Practice Guidelines: Overview of Agency for Health Care Policy and Research Efforts
T-HEHS-95-221: Published: Jul 25, 1995. Publicly Released: Jul 25, 1995.
GAO discussed the effectiveness of the Agency for Health Care Policy and Research's (AHCPR) clinical practice guideline efforts. GAO noted that: (1) during its first 5 years, AHCPR performance has received mixed reviews from potential users of clinical practice guidelines; (2) while AHCPR has demonstrated strengths in the difficult process of guideline development and has received praise for its m...
Defense Health Care: Problems with Medical Care Overseas Are Being Addressed
HEHS-95-156: Published: Jul 12, 1995. Publicly Released: Jul 12, 1995.
Pursuant to a congressional request, GAO reviewed beneficiary access to military health care in Europe, focusing on the: (1) availability of health care in military facilities; (2) obstacles in providing military health care; (3) experiences of beneficiaries that have used host nation providers instead of military health care providers; and (4) Department of Defense's (DOD) handling of service del...
Medicaid Managed Care: More Competition and Oversight Would Improve California's Expansion Plan
HEHS-95-87: Published: Apr 28, 1995. Publicly Released: May 15, 1995.
Pursuant to a congressional request, GAO reviewed California's Medicaid managed care program, focusing on: (1) state oversight of managed care contractors; (2) state plans for expansion; and (3) key issues in implementing the expanded program.GAO found that: (1) California plans a major expansion of its Medi-Cal managed care program in selected counties; (2) by the end of 1996, the number of enrol...