Medicare (31 - 40 of 63 items)
Medicare/Medicaid: Data Bank Unlikely to Increase Collections From Other Insurers
T-HEHS-94-162: Published: May 6, 1994. Publicly Released: May 6, 1994.
GAO discussed the Health Care Financing Administration's (HCFA) efforts to develop the Medicare and Medicaid data bank. GAO noted that: (1) although Medicare and Medicaid programs could realize substantial savings if they had more complete information on their participants' group health insurance coverage, the data bank may not significantly strengthen existing information gathering operations; (2...
Long-Term Care: The Need for Geriatric Assessment in Publicly Funded Home and Community-Based Programs
T-PEMD-94-20: Published: Apr 14, 1994. Publicly Released: Apr 14, 1994.
Pursuant to a congressional request, GAO discussed geriatric assessments for federally-funded home and community-based long-term care, focusing on: (1) its definition; (2) the extent of its use in public programs; (3) the qualification requirements for geriatric assessment administrators; and (4) the benefits of standardizing the evaluation process. GAO noted that: (1) geriatric assessment is the...
Long-Term Care: Status of Quality Assurance and Measurement in Home and Community-Based Services
PEMD-94-19: Published: Mar 31, 1994. Publicly Released: Mar 31, 1994.
Pursuant to a congressional request, GAO reviewed the methods for: (1) measuring the quality of home and community-based long-term care services; and (2) assuring quality long-term care services for disabled persons.GAO found that: (1) the complex financing structure that supports home and community-based care services has resulted in different quality assurance requirements for similar services;...
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...
Social Security: Reporting and Processing of Death Information Should Be Improved
HRD-92-88: Published: Sep 4, 1992. Publicly Released: Sep 4, 1992.
Pursuant to a congressional request, GAO provided information on the Social Security Administration's (SSA) process for obtaining information on deceased beneficiaries and terminating benefits payments, focusing on: (1) how long family members, states, and others take to report deaths to SSA; (2) the amount of time SSA takes to terminate payments once a death is reported; (3) whether delays in rep...
Access to Health Care: States Respond to Growing Crisis
HRD-92-70: Published: Jun 16, 1992. Publicly Released: Jul 13, 1992.
Pursuant to a congressional request, GAO provided information on state initiatives concerning health care access and affordability, and federal barriers which limit states' progress toward achieving universal health care.GAO found that: (1) states have moved decisively to devise plans to expand access to health insurance and control increases in health costs, but have been hindered by the restrict...
Health Care: Actions to Terminate Problem Hospitals From Medicare Are Inadequate
HRD-91-54: Published: Sep 5, 1991. Publicly Released: Sep 5, 1991.
GAO provided information on the Health Care Financing Administration's (HCFA) lack of compliance with regulations governing the termination of acute care hospitals from the Medicare program when deficiencies are not corrected within required time frames, focusing on: (1) specific areas that need improvement; and (2) alternative enforcement options that can be used against problem hospitals to supp...
HCFA Needs Better Assurance That Hospitals Meet Medicare Conditions of Participation
T-HRD-90-44: Published: Jun 21, 1990. Publicly Released: Jun 21, 1990.
GAO discussed how the Health Care Financing Administration (HCFA) relies on the Joint Commission on Accreditation of Healthcare Organizations' system of ensuring that hospitals are capable of providing quality care to Medicare patients. GAO found that: (1) the roles of HCFA and the Joint Commission should be clarified; (2) HCFA does not know the extent to which it can direct the Joint Commission t...
Health Care: Criteria Used to Evaluate Hospital Accreditation Process Need Reevaluation
HRD-90-89: Published: Jun 11, 1990. Publicly Released: Jun 11, 1990.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) survey process, focusing on HCFA problems in comparing its survey results with those of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).GAO found that: (1) since HCFA did not have an accurate basis to compare its findings with JCAHO, HCFA could not effectively determine whe...
Medigap Insurance: Proposals for Regulatory Changes and 1988 Loss Ratio Data
T-HRD-90-35: Published: Jun 7, 1990. Publicly Released: Jun 7, 1990.
GAO discussed the marketing and performance of Medicare supplemental (Medigap) insurance. GAO noted that: (1) in 1980, Congress established federal criteria for state insurance regulatory programs that retained the states' role as primary insurance regulators if they adopted requirements at least as stringent as those adopted by the National Association of Insurance Commissioners; (2) reports of a...