Health care costs (61 - 70 of 167 items)
Medicaid: Projected Cost of Expanding Coverage for Children
HEHS-97-170R: Published: Jul 18, 1997. Publicly Released: Jul 18, 1997.
Pursuant to a congressional request, GAO provided information on the number of additional children who would be covered under an expanded Medicaid program and Medicaid spending per child on a state-by-state basis.GAO noted that: (1) there are 32.3 million children under age 18 living in families with incomes below 300 percent of the federal poverty level and currently not enrolled in Medicaid; (2)...
Medicaid: Disproportionate Share Hospital Payments to Institutions for Mental Diseases
HEHS-97-181R: Published: Jul 15, 1997. Publicly Released: Jul 15, 1997.
GAO provided information on disproportionate share hospital (DSH) programs that provide funds to institutions for mental diseases in selected states.GAO noted that: (1) its work to date indicates that the 1993-1995 growth in mental health DSH payments pre dates full implementation of the hospital-specific caps mandated by the Omnibus Budget Reconciliation Act (OBRA) of 1993; (2) in 1996, both tota...
Medicare HMOs: HCFA Can Promptly Eliminate Hundreds of Millions in Excess Payments
HEHS-97-16: Published: Apr 25, 1997. Publicly Released: May 13, 1997.
Pursuant to a congressional request, GAO provided information on Medicare's rate-setting method for paying risk contract health maintenance organizations (HMO), focusing on: (1) the conditions under which Medicare's method can yield payment rates that are too high; and (2) a practical improvement to Medicare's method directed at the problems fostering excess payments.GAO noted that: (1) contrary t...
VA Aid and Attendance Benefits: Effects of Revised HCFA Policy on Veterans' Use of Benefits
HEHS-97-72R: Published: Mar 3, 1997. Publicly Released: Mar 3, 1997.
Pursuant to a congressional request, GAO provided information on the: (1) historical purpose of the Department of Veterans Affairs' (VA) aid and attendance (A&A) benefits and the policies affecting the use of these benefits; (2) medical, demographic, and economic characteristics of veterans who receive these benefits; and (3) impact of the Health Care Financing Administration's (HCFA) 1994 A&A pol...
VA Health Care: Better Data Needed to Effectively Use Limited Nursing Home Resources
HEHS-97-27: Published: Dec 20, 1996. Publicly Released: Dec 20, 1996.
Pursuant to a congressional request, GAO provided information on the Department of Veterans Affairs' (VA) nursing home programs, focusing on: (1) the distribution of veterans in VA, community, and state veterans nursing homes; (2) the costs to VA for VA, community, and state veterans nursing homes; (3) the factors affecting VA's use of community and state veterans nursing homes; and (4) whether VA...
Reports and Testimony: October 1995
OPA-96-1: Published: Oct 31, 1995. Publicly Released: Oct 31, 1995.
This is a compilation of the Reports and Testimony released in October, 1995. Highlights include: (1) Arizona Medicaid--Arizona, which, in 1982, became the first state to mandate managed care for Medicaid beneficiaries, has succeeded in containing health care costs while delivering a sound, accessible system of health care. Its success offers insights for the growing number of states implementing...
Medicaid: Local Contributions
HEHS-95-215R: Published: Jul 28, 1995. Publicly Released: Jul 28, 1995.
Pursuant to a congressional request, GAO identified which states' local governments contribute to the nonfederal share of Medicaid service and administrative costs. GAO noted that: (1) 20 states require localities to contribute; (2) 16 states receive local contributions for Medicaid service costs, and 3 states require localities to contribute more than 25 percent of service costs; and (3) 13 state...
Vaccines for Children: Barriers to Immunization
T-PEMD-95-21: Published: May 4, 1995. Publicly Released: May 4, 1995.
Pursuant to a congressional request, GAO discussed the Center for Disease Control's (CDC) Vaccine for Children program, focusing on barriers to immunization. GAO noted that: (1) although CDC began providing free vaccines in order to remove vaccine cost as a barrier to childhood immunization, there has been no sufficient evidence to conclude that vaccine cost has been a major barrier to immunizatio...
Medicaid: Changes in Best Price for Outpatient Drugs Purchased by HMOs and Hospitals
HEHS-94-194FS: Published: Aug 5, 1994. Publicly Released: Aug 5, 1994.
Pursuant to a congressional request, GAO reviewed the best prices for the drugs purchased by health maintenance organizations (HMO) and group purchasing organizations (GPO), focusing on the difference between the drugs' best prices and their best price discount.GAO found that: (1) in the 2 years since the Omnibus Budget Reconciliation Act (OBRA) was enacted, the average best price for outpatient d...
Health Care Reform: Potential Difficulties in Determining Eligibility for Low-Income People
HEHS-94-176: Published: Jul 11, 1994. Publicly Released: Aug 1, 1994.
Pursuant to a congressional request, GAO provided information on the problems applicants face in enrolling in the Medicaid program, focusing on the: (1) reasons why eligible applicants are not being enrolled; (2) incentives hospitals have to facilitate patient enrollment; and (3) potential impact of health care reform on Medicaid eligibility determinations.GAO found that: (1) many people who are p...