Health care programs (71 - 80 of 104 items)
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...
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...
Federal Health Care Delivery Issue Area: Active Assignments
AA-95-16(3): Published: Jul 1, 1995. Publicly Released: Jul 1, 1995.
GAO provided information on its active assignments in the Federal Health Care issue area as of July 6, 1995...
Indian Health Service: Improvements Needed in Credentialing Temporary Physicians
HEHS-95-46: Published: Apr 21, 1995. Publicly Released: May 1, 1995.
Pursuant to a congressional request, GAO provided information on American Indians' access to quality health care services, focusing on the: (1) Indian Health Service's (IHS) efforts to ensure that temporary physicians working in IHS facilities are qualified and competent to perform assigned duties; and (2) extent that medical services are delayed under the IHS Contract Health Services Program.GAO...
Veterans' Health Care: Efforts to Make VA Competitive May Create Significant Risks
T-HEHS-94-197: Published: Jun 29, 1994. Publicly Released: Jun 29, 1994.
GAO discussed the potential effects of health reforms on veterans' health care, focusing on the: (1) legal and structural barriers that could limit the Department of Veterans Affairs' (VA) ability to restructure its health care facilities into managed care plans and compete with private-sector health plans; (2) extent to which the Health Security Act would overcome those barriers; and (3) potentia...
Medical Malpractice: Maine's Use of Practice Guidelines to Reduce Costs
HRD-94-8: Published: Oct 25, 1993. Publicly Released: Oct 25, 1993.
Pursuant to a congressional request, GAO reviewed Maine's medical malpractice demonstration project, focusing on the: (1) factors that led to its establishment; and (2) development of practice guidelines that define care standards and reduce health care costs.GAO found that: (1) in an attempt to reduce health care costs and improve health care services, Maine has initiated a malpractice reform dem...
Health Care Access: Innovative Programs Using Nonphysicians
HRD-93-128: Published: Aug 27, 1993. Publicly Released: Sep 14, 1993.
Pursuant to a congressional request, GAO provided information on innovative programs that use nonphysician providers to increase public access to health care, focusing on: (1) the method used by the Indian Health Service (IHS) to deliver emergency and primary care to remote areas; and (2) Florida's integration of the program into a medically underserved urban setting.GAO found that: (1) the Alaska...
Medicare Physician Payment: Geographic Adjusters Appropriate But Could Be Improved With New Data
HRD-93-93: Published: Jul 20, 1993. Publicly Released: Jul 20, 1993.
Pursuant to a congressional request, GAO assessed whether the Health Care Financing Administration (HCFA) used the best available data when setting the geographic adjusters for the Medicare program.GAO found that: (1) time constraints limited HCFA ability to develop data sources for use in establishing geographic adjusters; (2) HCFA contracted with several research organizations to develop recomme...
Medicaid: HealthPASS: An Evaluation of a Managed Care Program for Certain Philadelphia Recipients
HRD-93-67: Published: May 7, 1993. Publicly Released: Jun 8, 1993.
Pursuant to a congressional request, GAO reviewed the Philadelphia Accessible Services System's (HealthPASS) medical services, focusing on whether HealthPASS members receive: (1) timely and appropriate pregnancy-related services; (2) early and periodic screening, diagnostic, and treatment (EPSDT) services; and (3) Special Supplemental Food Program for Women, Infants, and Children (WIC) benefits. G...
Medicaid Prescription Drug Diversion: A Major Problem, but State Approaches Offer Some Promise
T-HRD-92-48: Published: Jul 29, 1992. Publicly Released: Jul 29, 1992.
GAO discussed Medicaid prescription drug diversion, focusing on: (1) the extent of the problem; and (2) New York's initiatives against drug diversion. GAO noted that: (1) prescription drug diversion is a prevalent type of Medicaid fraud; (2) providers and recipients of diverted drugs can be identified, but Medicaid losses are seldom recovered, and punishing offenders is difficult; (3) provider enr...