Medicare (71 - 80 of 108 items)
Organ Transplants: Increased Effort Needed to Boost Supply and Ensure Equitable Distribution of Organs
HRD-93-56: Published: Apr 22, 1993. Publicly Released: Apr 22, 1993.
Pursuant to a legislative requirement, GAO provided information on the effectiveness of the organ procurement and allocation system, focusing on whether: (1) organs are equitably distributed; (2) organ procurement organizations (OPO) obtain an adequate number of donors; and (3) the Department of Health and Human Services (HHS) effectively monitors organ procurement and allocation efforts.GAO found...
Home Health Care: HCFA Properly Evaluated JCAHO's Ability to Survey Home Health Agencies
HRD-93-33: Published: Oct 26, 1992. Publicly Released: Nov 19, 1992.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) evaluation of the Joint Commission on Accreditation of Healthcare Organizations' ability to ensure that home health agencies meet Medicare conditions of participation.GAO found that: (1) HCFA performed its evaluation of the commission's capability to ensure that home health agencies meet Medicare pa...
Medicare: Further Changes Needed to Reduce Program and Beneficiary Costs
HRD-91-67: Published: May 15, 1991. Publicly Released: Jun 14, 1991.
Pursuant to a congressional request, GAO provided information on Medicare's efforts to reduce its program and beneficiary costs.GAO found that: (1) the growth in Medicare hospital payments averaged 15.7 percent annually in the 3 years before it established the prospective payment system (PPS), resulting in 6.3-percent annual growth rate since 1983; (2) additional Medicare PPS payments would not ne...
Medicare: PRO Review Does Not Assure Quality of Care Provided by Risk HMOs
T-HRD-91-12: Published: Mar 13, 1991. Publicly Released: Mar 13, 1991.
GAO discussed peer review organizations' (PRO) effectiveness in assessing the quality of care Medicare beneficiaries received at health maintenance organizations (HMO). GAO noted that: (1) the Health Care Financing Administration's (HCFA) PRO review program did not ensure that Medicare beneficiaries received adequate care; (2) HCFA did not ensure that internal quality assurance programs effectivel...
Medicare: Contractor Services to Beneficiaries and Providers
HRD-88-76BR: Published: Mar 16, 1988. Publicly Released: Apr 19, 1988.
GAO assessed the level of beneficiary and provider satisfaction with the Health Care Financing Administration's (HCFA) Medicare services program, specifically: (1) claims processing timeliness and accuracy; (2) responsiveness to beneficiary and provider inquiries; and (3) the processes available to beneficiaries and providers to dispute decisions about reimbursement and program coverage.GAO found...
Post-Hospital Care: Efforts To Evaluate Medicare Prospective Payment Effects Are Insufficient
PEMD-86-10: Published: Jun 2, 1986. Publicly Released: Jun 2, 1986.
In response to a congressional request, GAO: (1) examined the Health Care Financing Administration's (HCFA) methods for evaluating the Medicare Prospective Payment System's (PPS) effect on post-hospital services; and (2) developed a plan to determine these effects.GAO found that: (1) the studies the Department of Health and Human Services (HHS) is conducting on PPS will produce limited information...
Evaluating the Effects of Medicare Prospective Payment on Post-Hospital Care
128404: Nov 12, 1985
GAO discussed the effects of implementing a prospective payment system (PPS) for post-hospital care in the Medicare program, focusing on: (1) patients' condition when they are discharged from hospitals; (2) use of, expenditures for, and access to post-hospital care services; (3) the quality of care delivered by post-hospital services; and (4) the Health Care Financing Administration's (HCFA) use o...
Evaluation of Poverty Indicators - Methodological Issues
128281: Oct 31, 1985
Pursuant to a congressional request, GAO discussed on the development of a methodology for evaluating proposed changes to poverty indicators and thresholds. GAO found that: (1) the valuation method for medical benefits assigned an average benefit level to all program participants, and the extensive and expensive services provided to those who were in the terminal period of their lives were credite...
Simulations of a Medicare Prospective Payment System for Home Health Care
HRD-85-110: Published: Sep 30, 1985. Publicly Released: Sep 30, 1985.
Pursuant to a congressional request, GAO simulated the probable prospective payment rates for home health care under the Medicaid program.The system GAO modeled specified that: (1) rates should be nationwide, and no distinction should be made between the rates for freestanding and facility-based providers; (2) rates should be set at the 75th percentile instead of the 60th percentile; (3) costs sho...