Stronger Management Needed To Improve Employee Organization Health Plans' Payment Practices
HRD-79-87
Published: Sep 07, 1979. Publicly Released: Sep 17, 1979.
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Highlights
The Office of Personnel Management (OPM) has not done an effective job of guiding and overseeing the Employee Organization Plans participating in the Federal Employees Health Benefits program. OPM has allowed the plans to make claim payments without determining whether the claims represented sound comprehensive systems to determine the reasonableness of charges as the contracts require.
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Topics
Employee benefit plansEmployee medical benefitsFringe benefitsHealth care costsHealth care programsHealth insuranceHealth insurance cost controlMedical expense claimsAllowancesPatient care