Health care costs (81 - 90 of 167 items)
Medicaid: Outpatient Drug Costs and Reimbursements for Selected Pharmacies in Illinois and Maryland
HRD-93-55FS: Published: Mar 18, 1993. Publicly Released: Mar 18, 1993.
Pursuant to a legislative requirement, GAO reviewed drug purchasing costs and Medicaid reimbursements in Illinois and Maryland, focusing on whether state pharmacies reimbursed Medicaid programs for the discounts on outpatient drugs they received from drug manufacturers.GAO found that: (1) Medicaid reimbursed the state pharmacies about 19 percent more than they paid for outpatient drugs; (2) hospit...
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...
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...
Removal of Breast Implants
HRD-93-5R: Published: Dec 7, 1992. Publicly Released: Dec 7, 1992.
Pursuant to a congressional request, GAO reviewed government and private insurers' payment practices related to the removal of breast implants, focusing on: (1) the number of surgical procedures that involved the removal of breast implants and other complications of breast implants; and (2) physician charges and Medicaid and Medicare payments for such procedures. GAO noted that: (1) most governmen...
Health and Human Services Issues
OCG-93-20TR: Published: Dec 1, 1992. Publicly Released: Dec 1, 1992.
Pursuant to a congressional request, GAO summarized information on federal health and human services issues facing Congress and the new administration.GAO noted that: (1) social security, Medicare, and Medicaid accounted for 87 percent of the Department of Health and Human Service's (HHS) budget; (2) challenges facing HHS include ensuring health care access, controlling escalating costs, and curbi...
Health Care Reform
OCG-93-8TR: Published: Dec 1, 1992. Publicly Released: Dec 1, 1992.
Pursuant to a congressional request, GAO summarized federal policy and management issues relating to health care reform.GAO noted that: (1) the new administration faces the challenge of finding a better way to manage and finance the U.S. health care system while preserving high-quality innovative medical care; (2) the United States has the highest health care system costs in the industrialized wor...
HRD-93-38: Published: Nov 1, 1992. Publicly Released: Nov 1, 1992.
GAO presented summaries of reports and testimonies on selected health issues published from June through October 1992. GAO also presented a list of additional products published between October 1990 and October 1992 relating to such health issues as: (1) health and financing access; (2) Medicare and Medicaid; (3) public health and education; (4) health quality and practice standards; (5) long-term...
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...