Date |
Report No. |
Title |
Date Jan. 13, 2004 |
Report No. GAO-04-97 |
Title
United States General Accounting Office GAO
January 2004 Report to Congressional Committees MEDICARE Payment Changes Are Needed for Assistants-at-Surgery GAO-04-97 a January 2004 MEDICARE Payment Changes Are Needed for Assistants-at-Surgery Highlights of GAO-04-97, a report to congressional committees Medicare pays for assistant-atsurgery services under both the hospital inpatient prospective paym... |
Date Oct. 8, 2003 |
Report No. GAO-04-63 |
Title
United States General Accounting Office GAO
October 2003 Report to the Chairman, Committee on Finance, U.S. Senate DIALYSIS FACILITIES Problems Remain in Ensuring Compliance with Medicare Quality Standards GAO-04-63 October 2003 DIALYSIS FACILITIES Problems Remain in Ensuring Compliance with Medicare Quality Standards Highlights of GAO-04-63, a report to the Chairman, Committee on Finance, U.S. Se... |
Date Oct. 6, 2003 |
Report No. GAO-04-103R |
Title
United States General Accounting Office Washington, DC 20548 October 6, 2003 The Honorable Thomas A. Scully Administrator Centers for Medicare & Medicaid Services Subject: Medicare: Discrepancy in Hospital Outpatient Prospective Payment System Methodology Leads to Inaccurate Beneficiary Copayments and Medicare Payments
Dear Mr. Scully: Under the Medicare hospital outpatient prospective payment sys... |
Date Sept. 30, 2003 |
Report No. GAO-03-1056 |
Title
United States General Accounting Office GAO
September 2003 Report to Congressional Committees MEDICARE Modifying Payments for Certain Pathology Services Is Warranted GAO-03-1056 September 2003 MEDICARE Modifying Payments for Certain Pathology Services Is Warranted Highlights of GAO-03-1056, a report to congressional committees In 1999, the Health Care Financing Administration, now called the Cente... |
Date Sept. 29, 2003 |
Report No. GAO-03-841 |
Title
United States General Accounting Office GAO
September 2003 Report to the Committee on Energy and Commerce, House of Representatives MEDICARE APPEALS Disparity between Requirements and Responsible Agencies’ Capabilities GAO-03-841 September 2003 MEDICARE APPEALS
Highlights of GAO-03-841, a report to the Committee on Energy and Commerce, House of Representatives Disparity between Requirements and ... |
Date Sept. 19, 2003 |
Report No. GAO-03-986 |
Title
United States General Accounting Office GAO
September 2003 Report to Congressional Committees AMBULANCE SERVICES Medicare Payments Can Be Better Targeted to Trips in Less Densely Populated Rural Areas GAO-03-986 a September 2003 AMBULANCE SERVICES Medicare Payments Can Be Better Targeted to Trips in Less Densely Populated Rural Areas Highlights of GAO-03-986, a report to congressional committees T... |
Date Sept. 19, 2003 |
Report No. GAO-03-948 |
Title
United States General Accounting Office GAO
September 2003 Report to Congressional Committees MEDICARE Modest Eligibility Expansion for Critical Access Hospital Program Should Be Considered GAO-03-948 September 2003 MEDICARE Modest Eligibility Expansion for Critical Access Hospital Program Should Be Considered Highlights of GAO-03-948, a report to the Senate Committee on Finance, the House Committ... |
Date Sept. 8, 2003 |
Report No. GAO-03-958 |
Title
United States General Accounting Office GAO September 2003 Report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives MEDICARE Most Beneficiaries Receive Some but Not All Recommended Preventive Services GAO-03-958 September 2003 MEDICARE Most Beneficiaries Receive Some but Not All Recommended Preventive Services Highlights of GA... |
Date Aug. 15, 2003 |
Report No. GAO-03-878 |
Title
United States General Accounting Office GAO
August 2003 Report to Congressional Committees MEDICARE HOME HEALTH PAYMENT Nonroutine Medical Supply Data Needed to Assess Payment Adjustments GAO-03-878 a August 2003 MEDICARE HOME HEALTH PAYMENT Nonroutine Medical Supply Data Needed to Assess Payment Adjustments Highlights of GAO-03-878, a report to congressional committees Under Medicare’s prospect... |
Date April 11, 2003 |
Report No. GAO-03-175 |
Title
United States General Accounting Office GAO
April 2003 Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE Divided Authority for Policies on Coverage of Procedures and Devices Results in Inequities GAO-03-175 April 2003 MEDICARE
Highlights of GAO-03-175, a report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House o... |
Date April 10, 2003 |
Report No. GAO-03-577T |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 10:00 a.m. Thursday, April 10, 2003 Testimony Before the Joint Economic Committee MEDICARE Financial Challenges and Considerations for Reform
Statement of David M. Walker Comptroller General of the United States GAO-03-577T Mr. Chairman and Members of the Committee: I am pleased to be here today as you examine Medicare... |
Date April 9, 2003 |
Report No. GAO-03-650T |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 11:00 a.m. Wednesday, April 9, 2003 Testimony Before the Committee on Ways and Means, House of Representatives MEDICARE Observations on Program Sustainability and Strategies to Control Spending on Any Proposed Drug Benefit
Statement of David M. Walker Comptroller General of the United States GAO-03-650T April 9, 2003 M... |
Date March 17, 2003 |
Report No. GAO-03-185 |
Title
United States General Accounting Office GAO
March 2003 Report to Congressional Committees MEDICARE PROVIDER ENROLLMENT Opportunities to Enhance Program Integrity Efforts GAO-03-185 March 2003 MEDICARE PROVIDER ENROLLMENT Opportunities to Enhance Program Integrity Efforts Highlights of GAO-03-185, a report to the Senate Committee on Finance, the House Committee on Energy and Commerce, and the House... |
Date March 4, 2003 |
Report No. GAO-03-247R |
Title
United States General Accounting Office Washington, DC 20548 March 4, 2003 The Honorable Thomas A. Scully Administrator Centers for Medicare and Medicaid Services Subject: Medicare Trust Funds Actuarial Estimates: Efforts Have Been Made to Improve Internal Control over Projection Process but Some Weaknesses Remain Dear Mr. Scully: Medicare spending growth remains one of the most pressing and compl... |
Date Jan. 10, 2003 |
Report No. GAO-03-184 |
Title
United States General Accounting Office GAO
January 2003 Report to the Ranking Minority Member, Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE Payment for Blood Clotting Factor Exceeds Providers’ Acquisition Cost GAO-03-184 January 2003 MEDICARE Payment for Blood Clotting Factor Exceeds Providers’ Acquisition Cost Highlights of GAO-03-184, a report to Ra... |
Date Dec. 31, 2002 |
Report No. GAO-03-183 |
Title
United States General Accounting Office GAO
December 2002 Report to Congressional Committees SKILLED NURSING FACILITIES Medicare Payments Exceed Costs for Most but Not All Facilities GAO-03-183 Contents Letter
Results in Brief Background Medicare Payments Considerably Higher than Costs for Most Freestanding SNFs, Thereby Improving Their Overall Financial Performance Reported Medicare Costs of Hosp... |
Date Nov. 13, 2002 |
Report No. GAO-03-176 |
Title
GAO
November 2002 Report to Congressional Committees SKILLED NURSING FACILITIES Available Data Show Average Nursing Staff Time Changed Little after Medicare Payment Increase GAO-03-176 Contents Letter
Results in Brief Background SNF Staffing Changed Little after Payment Increase Took Effect Conclusions Matter for Congressional Consideration Agency Comments and Our Evaluation 1 3 5 9 15 15 15 Appen... |
Date Oct. 31, 2002 |
Report No. GAO-03-180 |
Title
United States General Accounting Office GAO
October 2002 Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE+CHOICE Selected Program Requirements and Other Entities’ Standards for HMOs GAO-03-180 a Contents Letter
Results in Brief Background Selected M+C Requirements for HMOs Selected FEHBP Requirements for HMOs Selected NAIC, JCAHO, and... |
Date Oct. 31, 2002 |
Report No. GAO-03-151R |
Title
A United States General Accounting Office Washington, D.C. 20548 October 31, 2002 The Honorable Stephen Horn Chairman, Subcommittee on Government Efficiency, Financial Management and Intergovernmental Relations Committee on Government Reform House of Representatives Subject: Medicare Financial Management: Significant Progress Made to Enhance Financial Accountability Dear Mr. Chairman: Medicare pro... |
Date Oct. 18, 2002 |
Report No. GAO-03-179 |
Title
United States General Accounting Office GAO
October 2002 Report to Congressional Committees MEDICARE PHYSICIAN PAYMENTS Medical Settings and Safety of Endoscopic Procedures GAO-03-179 Contents Letter
Results in Brief Background Level of Safety of Endoscopy Does Not Appear to Differ by Medical Setting Payment Differential Has Increased but Proportion of Office Procedures Has Not Increased If Office... |
Date Sept. 30, 2002 |
Report No. GAO-02-963 |
Title
United States General Accounting Office GAO
September 2002 Report to Congressional Committees MEDICARE HOSPITAL PAYMENTS Refinements Needed to Better Account for Geographic Differences in Wages GAO-02-963 Contents Letter
Results in Brief Background Medicare Labor Cost Adjustment Does Not Adequately Account for Wage Differences within Certain Areas Through Reclassification, Some Hospitals Receive a... |
Date Aug. 30, 2002 |
Report No. GAO-02-1061R |
Title
United States General Accounting Office Washington, DC 20548 August 30, 2002 The Honorable Carl Levin Chairman The Honorable John Warner Ranking Minority Member Committee on Armed Services United States Senate The Honorable Bob Stump Chairman The Honorable Ike Skelton Ranking Minority Member Committee on Armed Services House of Representatives The Honorable Donald H. Rumsfeld The Secretary of Defe... |
Date Aug. 23, 2002 |
Report No. GAO-02-841 |
Title
United States General Accounting Office GAO
August 2002 Report to Congressional Requesters SKILLED NURSING FACILITIES Providers Have Responded to Medicare Payment System By Changing Practices GAO-02-841 Contents Letter
Results in Brief Background Distribution of Patients Across Payment Categories Has Changed Since PPS, SNFs Provide Fewer Minutes of Therapy Concluding Observations Agency Comments 1... |
Date July 23, 2002 |
Report No. GAO-02-968T |
Title
United States General Accounting Office GAO Testimony
Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives For Release on Delivery Expected at 2:00 p.m. Tuesday, July 23, 2002 MEDICARE HOSPITAL AND PHYSICIAN PAYMENTS Geographic Cost Adjustments Important to Preserve Beneficiary Access to Services
Statement of William J. Scanlon Director, Health Care Issues GAO-0... |
Date July 19, 2002 |
Report No. GAO-02-382 |
Title
United States General Accounting Office GAO
July 2002 Report to Congressional Committees MEDICARE HOME HEALTH AGENCIES Weaknesses in Federal and State Oversight Mask Potential Quality Issues GAO-02-382 Contents Letter
Results in Brief Background Limited Number of Identified Deficiencies May Understate Prevalence of Serious Care Problems, Creating Uncertainty About Overall Quality Weaknesses in Sur... |
Date June 12, 2002 |
Report No. GAO-02-833T |
Title
United States General Accounting Office GAO Testimony
Before the Subcommittee on Labor, Health and Human Services, Education and Related Agencies, Committee on Appropriations, U.S. Senate For Release on Delivery Expected at 9:30 a.m. Wednesday, June 12, 2002 MEDICARE Challenges Remain in Setting Payments for Medical Equipment and Supplies and Covered Drugs
Statement of Leslie G. Aronovitz Director... |
Date June 3, 2002 |
Report No. GAO-02-731 |
Title
United States General Accounting Office GAO
June 2002 Report to Congressional Committees MEDICARE Health Care Fraud and Abuse Control Program for Fiscal Years 2000 and 2001 GAO-02-731 a Contents Letter
Results in Brief Background Objectives, Scope, and Methodology DOJ Made Errors in Reporting Collections; However, the Trust Fund Was Minimally Affected HIPAA Appropriations Were Properly Supported D... |
Date May 28, 2002 |
Report No. GAO-02-693 |
Title
United States General Accounting Office GAO
May 2002 Report to Congressional Committees MEDICARE Recent CMS Reforms Address Carrier Scrutiny of Physicians’ Claims for Payment GAO-02-693 Contents Letter
Results in Brief Background Few Physician Practices and Few Claims Per Practice Receive Medical Reviews New CMS Review Policy Has Reduced Physician Repayment Amounts Due and Increased Focus on Phy... |
Date May 28, 2002 |
Report No. GAO-02-778T |
Title
United States General Accounting Office GAO Testimony
Before the Committee on Finance, U.S. Senate For Release on Delivery Expected at 10:00 a.m. In Bozeman, Montana Tuesday, May 28, 2002 MEDICARE Using Education and Claims Scrutiny to Minimize Physician Billing Errors
Statement of Leslie G. Aronovitz Director, Health Care—Program Administration and Integrity Issues GAO-02-778T Mr. Chairman and ... |
Date May 23, 2002 |
Report No. GAO-02-777T |
Title
United States General Accounting Office GAO Testimony
Before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives For Release on Delivery Expected at 10:00 a.m. Thursday, May 23, 2002 MEDICARE Use of Preventive Services is Growing but Varies Widely
Statement of Janet Heinrich Director, Health Care—Public Health Issues GAO-02-777T Mr. Chairm... |
Date May 23, 2002 |
Report No. GAO-02-782R |
Title
United States General Accounting Office Washington, DC 20548 May 23, 2002 The Honorable Henry A. Waxman Ranking Minority Member Committee on Government Reform House of Representatives Subject: Medicare: Utilization of Home Health Care by State Dear Mr. Waxman: This letter responds to your request for information on the variation in Medicare home health use across states. Using home health claims f... |
Date May 22, 2002 |
Report No. GAO-02-330 |
Title
United States General Accounting Office GAO
May 2002 Report to Congressional Requesters MEDICARE Orthotics Ruling Has Implications for Beneficiary Access and Federal and State Costs GAO-02-330 Contents Letter
Results in Brief Background HCFA’s Ruling Issued to Clarify Medicare Policy for Orthotics and DME HCFA’s Ruling Affects Beneficiaries Who Reside in Nursing Homes Rescinding the Ruling Wou... |
Date May 6, 2002 |
Report No. GAO-02-663 |
Title
United States General Accounting Office GAO
May 2002 Report to Congressional Committees MEDICARE HOME HEALTH CARE Payments to Home Health Agencies Are Considerably Higher than Costs GAO-02-663 Contents Letter
Results in Brief Background Home Health PPS Episode Payments Are Considerably Higher than Estimated Costs of Care Provided Conclusions Matters for Congressional Consideration Agency Comments ... |
Date April 26, 2002 |
Report No. GAO-02-555R |
Title
United States General Accounting Office Washington, DC 20548 April 26, 2002 Congressional Committees Subject: Medicare Home Health: Clarifying the Homebound Definition Is Likely to Have Little Effect on Costs and Access About 2.5 million Medicare beneficiaries used home health services in 2000 at a cost of $8.7 billion—about 4 percent of Medicare expenditures that year. Medicare’s home health ... |
Date April 17, 2002 |
Report No. GAO-02-643T |
Title
United States General Accounting Office GAO Testimony
Before the Committee on Ways and Means, House of Representatives For Release on Delivery Expected at 10:30 a.m. Wednesday, April 17, 2002 MEDICARE Financial Outlook Poses Challenges for Sustaining Program and Adding Drug Coverage
Statement of David M. Walker Comptroller General of the United States GAO-02-643T Mr. Chairman and Members of the Co... |
Date April 10, 2002 |
Report No. GAO-02-422 |
Title
United States General Accounting Office GAO
April 2002 Report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives MEDICARE Beneficiary Use of Clinical Preventive Services GAO-02-422 Contents Letter
Results in Brief Background Use of Preventive Services Is Growing but Varies Widely Efforts Under Way to Increase Use of Some Preven... |
Date April 5, 2002 |
Report No. GAO-02-546 |
Title
United States General Accounting Office GAO
April 2002 Report to Congressional Committees MEDICARE FRAUD AND ABUSE DOJ Continues to Promote Compliance with False Claims Act Guidance GAO-02-546 Contents Letter
Results in Brief Background DOJ’s Oversight Aims to Foster Compliance with False Claims Act Guidance National Initiatives Are Being Conducted in Accordance with the Guidance Hospital Associ... |
Date March 14, 2002 |
Report No. GAO-02-531T |
Title
United States General Accounting Office GAO Testimony
Before the Subcommittee on Health, Committee on Finance, U.S. Senate For Release on Delivery Expected at 10:00 a.m. Thursday, March 14, 2002 MEDICARE OUTPATIENT DRUGS Program Payments Should Better Reflect Market Prices
Statement of Laura A. Dummit Director, Health Care—Medicare Payment Issues GAO-02-531T Mr. Chairman and Members of the Subco... |
Date Feb. 27, 2002 |
Report No. GAO-02-249 |
Title
United States General Accounting Office GAO
February 2002 Report to Congressional Requesters MEDICARE Communications With Physicians Can Be Improved GAO-02-249 Contents Letter
Results in Brief Background Carrier Communications Are Often Difficult to Use, Out of Date, Inaccurate, and Incomplete CMS’s Management and Oversight of Communications With Physicians Are Insufficient CMS is Making Efforts... |
Date Feb. 22, 2002 |
Report No. GAO-02-307 |
Title
United States General Accounting Office GAO February 2002 Report to the Chairman, Subcommittee on Government Efficiency, Financial Management and Intergovernmental Relations, Committee on Government Reform, House of Representatives DEBT COLLECTION IMPROVEMENT ACT OF 1996 HHS’s Centers for Medicare & Medicaid Services Faces Challenges to Fully Implement Certain Key Provisions GAO-02-307 a Content... |
Date Feb. 14, 2002 |
Report No. GAO-02-441T |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 8:30 a.m. Thursday, February 14, 2002 Testimony
Before the Subcommittee on Health, Committee on Energy and Commerce, House of Representatives MEDICARE PHYSICIAN PAYMENTS Spending Targets Encourage Fiscal Discipline, Modifications Could Stabilize Fees
Statement of William J. Scanlon Director, Health Care Issues GAO-02-4... |
Date Feb. 11, 2002 |
Report No. GAO-02-284 |
Title
United States General Accounting Office GAO
February 2002 Report to Congressional Committees MEDICARE SUBVENTION DEMONSTRATION Pilot Satisfies Enrollees, Raises Cost and Management Issues for DOD Health Care GAO-02-284 Contents Letter
Results in Brief Background Demonstration Illustrated Retirees’ Interest in Military Health Care, Had Positive Impact on Enrollees Demonstration Underscored Challe... |
Date Nov. 21, 2001 |
Report No. GAO-02-202 |
Title
United States General Accounting Office GAO
November 2001 Report to Congressional Requesters MEDICARE+CHOICE Recent Payment Increases Had Little Effect on Benefits or Plan Availability in 2001 GAO-02-202 Contents Letter
Results in Brief Background MCOs Used BIPA Payment Increase for Stabilizing Access More Frequently Than for Benefit Improvements BIPA Had Little Effect on Beneficiary Access to M+C... |
Date Nov. 15, 2001 |
Report No. GAO-02-244T |
Title
United States General Accounting Office GAO Testimony
Before the Committee on Governmental Affairs, U.S. Senate For Release on Delivery Expected at 9:15 a.m. Thursday, November 15, 2001 AMBULANCE SERVICES Changes Needed to Improve Medicare Payment Policies and Coverage Decisions
Statement of Laura A. Dummit Director, Health Care—Medicare Payment Issues GAO-02-244T Mr. Chairman and Members of the... |
Date Oct. 31, 2001 |
Report No. GAO-02-67 |
Title
United States General Accounting Office GAO
October 2001 Report to Congressional Committees MEDICARE SUBVENTION DEMONSTRATION DOD Costs and Medicare Spending GAO-02-67 Contents Letter
Results in Brief Background DOD’s Costs Per Person Outstripped Medicare’s Capitation Rate for Senior Prime The Capitated Rate Exceeded What Medicare Would Have Spent on Senior Prime Enrollees Without the Demonstr... |
Date Oct. 31, 2001 |
Report No. GAO-02-68 |
Title
United States General Accounting Office GAO
October 2001 Report to Congressional Committees MEDICARE SUBVENTION DEMONSTRATION Greater Access Improved Enrollee Satisfaction but Raised DOD Costs GAO-02-68 a Contents Letter
Results in Brief Background Senior Prime Enrollees Got More Care While Some Nonenrollees Were Crowded Out of MTFs Improved Enrollee Access Resulted In Higher Patient Satisfaction ... |
Date Oct. 31, 2001 |
Report No. GAO-02-53 |
Title
United States General Accounting Office GAO
October 2001 Report to Congressional Committees MEDICARE PHYSICIAN FEE SCHEDULE Practice Expense Payments to Oncologists Indicate Need For Overall Refinements
Headings for Appendix II and III corrected on 05/03/04. Printed copies of this report were correct. GAO-02-53 a Contents Letter
Results in Brief Background Oncology Fares As Well As the Average Spe... |
Date Oct. 9, 2001 |
Report No. GAO-02-33 |
Title
United States General Accounting Office GAO
October 2001 Report to Congressional Committees MEDICARE+CHOICE AUDITS Lack of Audit Follow-up Limits Usefulness GAO-02-33 a Contents Letter
Background Scope and Methodology Audit Process Addressed BBA Requirements and Financial Audit Standards Conclusions Recommendations for Executive Action Agency Comments and Our Evaluation 1 5 9 10 21 21 22 Appendixe... |
Date Sept. 28, 2001 |
Report No. GAO-01-1071 |
Title
United States General Accounting Office GAO
September 2001 Report to Congressional Committees MEDICARE Program Designed to Inform Beneficiaries and Promote Choice Faces Challenges GAO-01-1071 Contents Letter
Results in Brief Background Major NMEP Activities NMEP Expenditures and Funding Sources Beneficiary and Plan Reaction to NMEP Future Challenges for NMEP Conclusions Matters for Congressional C... |
Date Sept. 25, 2001 |
Report No. GAO-01-1141T |
Title
United States General Accounting Office GAO Testimony
Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives For Release on Delivery Expected at 10:00 a.m. Tuesday, September 25, 2001 MEDICARE Improvements Needed in Provider Communications and Contracting Procedures
Statement of Leslie G. Aronovitz Director, Health Care—Program Administration and Integrity Issue... |