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GAO Reports by subject "Health maintenance organizations"

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Date Report No. Title
Date March 2, 1989 Report No. HRD-89-49 Title

U.S. Employees Health Benefits: Independent Agencies Offering Their Own Health Plans

G J .- United States General Accounting Office ,GiO March 1989 Report to the Chairman, Subcommittee onFederal Services, Post Office and Civil Service, Committee on Governmental Affairs, U.S. Senate U.S. EMPLOYEES HEALTH BENEFITS Independent Agencies Offering Their Own Health Plans GAO,‘HRD89-49 GAO united states General Accounting Offhe Washington, D.C. 20648 Human Resources Division B-231302 Ma...
Date Jan. 31, 1989 Report No. HRD-89-46 Title

Medicare: Health Maintenance Organization Rate-Setting Issues

United States General Accounting Office GAO January 1989 Report to Congressional Committees MEDICARE Health Maintenance Organization Rate-Setting Issues GAO/HRD-89-46 GAO United States General Accounting Office Washington, D.C. 20648 Human Resources Division B-217802 January 31,1989 The Honorable Lloyd Bentsen Chairman, Committee on Finance United State Senate The Honorable John D. Dingell Chairma...
Date Dec. 19, 1988 Report No. HRD-89-6 Title

U.S. Employees Health Benefits: Status of Contractor's Nonlegislative Recommendations to Reduce Costs

Report to the Chairman, Subcommittee on Federal Services, Post Office and Civil Service, Committee on Governmental Affairs, U.S. Senate December 1988 U.S. EMPLOYEES HEALTHBENEFITS Status of Contractor’s Nonlegislative Recommendations to Reduce Costs GAO/HRD-89-6 GAO United States General Accounting Washington, Human Resources Office D.C. 20648 Division B-231302 December 19, 1988 The Honorable Da...
Date Dec. 12, 1988 Report No. HRD-89-29 Title

Medicare: Physician Incentive Payments by Prepaid Health Plans Could Lower Quality of Care

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Date Aug. 17, 1988 Report No. HRD-88-73 Title

Medicare: Experience Shows Ways to Improve Oversight of Health Maintenance Organizations

United GAO ’ States General Accounting Office Report to the Chairman, Subcommittee tin Health, Committee on Ways and Means, House of Representatives August 1988 MEDICARE Experience Shows Ways to Improve Oversight of Health Maintenance Organizations . - 1 Human Resources Division B-217802 August 17, 1988 The Honorable Fortney H. (Pete) Stark Chairman, Subcommittee on Health Committee on Ways and ...
Date July 20, 1988 Report No. HRD-88-69 Title

Medicare: Issues Concerning the HealthChoice Demonstration Project

United States General Accounting Office GAO July 1988 Report to the Ranking Minority Member, Special Committee on Aging, U.S. Senate MEDICARE Issues Concerning the HealthChoice Demonstration Project RESTRICTED--Not to be released outside the Gene& Accounting Offke except on the basis of the specific approval by the Offke of CongressionalRelations. 5+mb\ GAO/HRIM&69 GAO United States General Accoun...
Date March 10, 1988 Report No. T-HRD-88-10 Title

Medicare: Management of the Risk-Based HMO Program

United States General Accounting OfIke Testimony For Release on Delivery Expected at IO:00 a.m. EST Thursday March IO, 1988 Medicare: Risk-Based Management HMO Program of the Statement of Michael Zimmermanr Senior Associ-ate Director Human Resources Division Before the Subcommittee on Health Committee on Ways and Means House of Representatives a-q5 i7/,.W5 GAO/T-HRD-88-10 SUMMARY There are some wi...
Date Dec. 15, 1987 Report No. T-OSI-88-1 Title

Health: Alleged Misconduct by International Medical Centers, Inc. Officials

For Release on, Delivery Ex@ectedat '9:JO a.m. EST De+ber 15, 1987 by International centers, Inc. officials--; _I Statement of David C. Williamsr Director Office of Special Investigations Before the Subcomnittee on Intergovernmental Relations and Human Resources Comnittee on GovernmentOperations Ll House of Representatives ' 134662 I GAb/fyO,SI-88-l 6 , M r. Chairman and Members of the Subcommitte...
Date Nov. 2, 1987 Report No. HRD-88-14 Title

Medicare: Uncertainties Surround Proposal To Expand Prepaid Health Plan Contracting

United States General Accounting Office GAO November 1987 Report to the Chtirman, Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE : Uncerttities Surround Proposalto Expand Prepaid. Health Plan Contracting . . GAO United States General Accounting Office Washington, DC 20548 Human Resources Division B-199414 November 2. 1987 The Honorable Fortney H. (Pete) Star...
Date March 6, 1987 Report No. HRD-87-14 Title

Medicaid: Lessons Learned From Arizona's Prepaid Program

United States General Accounting Office . GA!!0 March1987 Report to the Secretary of Health and Human Services MEDICAID LessonsLearned From Arizona’s Prepaid c GAO United States General Accounting Office Washington, D.C. 20648 Human Resources Division B-220864 March 6, 1987 The Honorable Otis R. Bowen, M.D. The Secretary of Health and Human Services Dear Mr. Secretary. This is our report on the ...
Date July 16, 1986 Report No. HRD-86-97 Title

Medicare: Issues Raised by Florida Health Maintenance Organization Demonstrations

, ISI, United States General kounting Office GAO J lllly 1YIJS Report to the Congress . m- MEDICARE Issues Raised by Florida Health Maintenance Organization Demonstrations !Illilllll Ill II% 1 130443 I GAO/HRD8697 . GAO General Aca~unting Office Washington, D.C. 20548 Comptroller General of the United States unmd stat.ee B217802 July 16, 1986 To the President of the Senateand the Speaker of the Ho...
Date Nov. 22, 1985 Report No. HRD-86-10 Title

Arizona Medicaid: Nondisclosure of Ownership Information by Health Plans

U&d States General Accounting Of’fice Report to the Ch&man, Subcommittee on * Health and the Environment, House Committee on Energy and Commerce t. November 1986 ARIZONA MEDICAID Nondi~sclosure of Ownership Information by Health Plan$ l _-.GAO/ERD-W-10 r57u . I . . . . About Our New Look This GAO report was produced using a new design and printing process to help you get the information you need...
Date April 24, 1985 Report No. 126757 Title

Health: South Florida HMO Demonstration Projects

United States .f I General Accounting D.C. Office Washington, FOR RELEASE ON DELIVERY 126757 STATEMENTOF MICHAEL ZIMMERMAN, ASSOCIATE DIRECTOR HUMANRESOURCES DIVISION BEFORETHE SUBCOMMITTEE HEALTH AND LONG-TERMCARE ON SELECT COMMITTEEON AGING UNITED STATES HOUSEOF REPRESENTATIVES ON THE SOUTH FLORIDA HMO DEMONSTRATION PROJECTS , Mr. Chairman and Members of the Subcommittee: We are pleased our ongo...
Date March 8, 1985 Report No. HRD-85-48 Title

Health: Problems in Administering Medicare's Health Maintenance Organization Demonstration Projects in Florida

BY THEU.S.GENERALACCOUNTING OFFICE Report To The Honorable Lawrence J. Smith House Of Representatives Problems l’h Administering Medicare’s Health Maintenance Organization Demonstration Projects)6 Florida ._._....~~ a-.-x~-aaa ~i-m .~- f In February 1985, the Department of Health and Human Services initiated a program to expand the use of health maintenance organirations(HMQs) by Medicare bene...
Date Sept. 24, 1982 Report No. HRD-82-92 Title

Health: A Primer on Competitive Strategies for Containing Health Care Costs

PREFACE --In an April 6, 1982, request from the Chairman, Subcommittee on Oversight, House Committee on Ways and Means, we were asked to provide an analysis of the procompetition strategies for health care cost containment focusing on a description of their major features, their underlying assumptions, and the bases upon which their impact on health care costs have been estimated. This study desc...
Date Dec. 29, 1981 Report No. HRD-82-31 Title

Health: How Health Maintenance Organizations Control Costs

UNITED STATES WASHINGTON, D.C. 20948 B-205827 The Honorable Richard S. Schweiker The Secretary of Health and Human Services Dear Mr. Secretary% Subjectt,' ' How Health Maintenance Organizations Control Costs{:(HRD-82-31) In evaluating how health maintenance organizations I(HMOs) have attempted to reduce health care costs, we have obtakned information from 12 HMOs which we believe would be useful t...
Date June 13, 1980 Report No. B-199182 Title

Health: Federal Employees' Health Benefit Program

Date May 6, 1980 Report No. PAD-80-17 Title

Health: Health Maintenance Organizations Can Help Control Health Care Costs

BY THECOMPTROLLERGEmRAL OF THEUNITEDSTATES Jr2291 ’ Report To The Congress Health Maintenance Organizations Can Help Control Health Care Costs GAO’s analysis of the economic performance of federally qualified group practice and staff model health maintenance organizations (HMOs) indicated that: --They were taking into consideration the relative costs of providing services when deciding whether...
Date Nov. 13, 1979 Report No. HRD-80-6 Title

Health: Health Costs Can Be Reduced by Millions of Dollars if Federal Agencies Fully Carry Out GAO Recommendations

-6iw++ j BY THECOMPTROLLERGiNERAL OF THEUNITEDSTATES I mw ; Report To The Congress Health Costs Can Be Reduced By Millions Of Dollars If Federal Agencies Fully Carry Out GAO Recommendations Because of the increasing costs of Government health programs--a subject of nationwide concern--GAO reviewed how agencies have implemented its recommendations to help control the costs of health programs. GAO f...
Date Oct. 15, 1979 Report No. HRD-80-3 Title

Health: Administration of Contract Between HEW and Group Health Cooperative of Puget Sound

UNKED STATES GENERALACCOUNTINGOFFICE WASHINGTON, D.C. 20548 HUMAN REBOCJRC%S DIVISION B-154031 Mr. Jay B. Constantine Chief, Health Professional Subcommittee on Health Committee on Finance United States Senate Dear Mr. Constantine: Subject: i/ Staff ~l~l~llllll ll i 10855 HEW's Contract With Group Health Cooperative of Puget Sound Covering Medical Care Provided to Medicare --Noncompliance With Ben...
Date May 1, 1979 Report No. HRD-79-72 Title

Health Maintenance Organizations: Federal Financing Is Adequate but HEW Must Continue Improving Program Management

Report To The Congress r-l OF THE IINITED STATES Health Maintenance Organizations: Federal Financing Is Adequate But HEWMust Continue Improving Program Management The 1978 amendments to the Health Maintenance Organization Act required GAO to determine whether Federal grants and loans are adequate to help develop new health maintenance organizations (HMOs) and expand existing ones, and to evaluate ...
Date Jan. 16, 1979 Report No. HRD-79-34 Title

Health: Observations and Findings on Ten Federally Qualified HMOs

Chairman and Ranking Minority Member Subcommittee on Health and Scientific Research L,j+ 0 6-/n@-? Committee on Human Resources United States Senate Chairman and Ranking Minority Member Subcommittee on Health and the Environment Committee on Interstate and Foreign Commerce House of Reprw= The enclosures summarize our observations on 10 of the aintenance grganizations (HMOs) ;;a;aw;t;;;A;;ed % e wi...
Date Sept. 26, 1978 Report No. HRD-78-86 Title

The Health Service Plan of Pennsylvania, Inc.: A Federally Qualified Health Maintenance Organization

Date July 20, 1978 Report No. HRD-78-61 Title

Health: Problems in Administration of Two Health Grant Projects in Region VIII

DOCUMENT IESUME 0o541 - f B2027058 i Protiems in Administration of Two Health Grant Projects in Reqion VIII. HRD-78-61; B-164031(5). July 20, 1978. 36 pp. appendices (4 pp,). + 2 Peport to Sen. Edward M. Kennedy, Chairman, Senate Committee on Human Resources: health and Scientific Research Subcommittee; by Elmer B. Staats, Comptroller General Issue Area; Health Programs: Health faint. Organizaticn...
Date June 30, 1978 Report No. HRD-78-125 Title

Health: Can Health Maintenance Organizations Be Successful? An Analysis of 14 Federally Qualified HMOs

Date June 30, 1978 Report No. 106275 Title

Government Operations: Implementation of the Health Maintenance Organization Act of 1973, as Amended

DOCUMENT iESURE 06275 - [ B18468701 I Iplementation of the Health Maintenance Crganizaticn Act of 1973, as Amended. June 30, 1978. 17 pp. Testimony before the Hcuse Committee on Interstate and Foreign Commerce: Health and the Envircument Subcommittee; by Gregory J. Ahart, Director, Human RBsources Div. Contact: Human Resources Div. Organization Concerned: Department of Health, Education, and e lfa...
Date April 25, 1978 Report No. HRD-77-141 Title

Health: The Community Health Care Center Plan, Inc., a Federally Qualified Health Maintenance Organization

Date March 6, 1978 Report No. HRD-78-62 Title

Health: Use of Grant Funds by the Sacramento Foundation

DOCUMENT RESUME 0117 - B06855991 R po-A HRD-78-62; 78 Use of Grant B-164031(3). Funds by the .Sacramento FoundatioL. March 6, 1978. 7 pp. Report to Sen. Henry M. Jackson, Chairman, Senate Committee on Governmental Affairs: Permanent Subcommittee on Investigations; by Elmer B. Staats, Comptroller General. Issue Area: Health Programs: Compliance ith Financing Laws -and Regulations (1207); Health Pro...
Date March 3, 1978 Report No. 105122 Title

Government Operations: Implementation of the Health Maintenance Organization Act of 1973, as Amended

DOCS iT RBSUSE 05122 B06655511 -188898. arch 3, Implementation of the Health 1973, as amended. aintenance Organization Act of 1978. on by 14 pp. uman fsources: Healt regorr J. hart, Testimony before tbh Senate Coaittei and Scientific Research Subcomaittee; Director, Hauan Resources Div. Contact: Human Resources Div. Organization Concerned: Deprrtsent of Health, Education, and e lfa re. Conqression...
Date Dec. 2, 1977 Report No. HRD-77-119 Title

The Sound Health Association: A Federally Qualified Health Maintenance Organization

DCCUMENT RESUME 04295 - fB3394623] (Restricted) The Sound Health Association: A Federally Qualified Health Maintenance Organization. HRD-77-119; B-164031(5). December 2, 1977. 26 pp. + 5 appendices (15 pp.). Report to Rep. Paul G. Rogers, Chairman, House Committee on Interstate and Foreign Commerce: Health and the Environment Subcommittee; Son. Edward M. Kennedy, Chairman, Senate Committee on Huma...
Date Sept. 2, 1977 Report No. HRD-77-140 Title

Health: Summary of the Status of the Department of Health, Education, and Welfare's Grants and Loans Made Under the Health Maintenance Organization Act as of June 30, 1977

COMPTROLLER GENERAL WASHINGTON. OF D.C. THE UNITED STATES __~ ~- - _~_. __-- CI 20548 B-164031(5) 61 bd The Honorable United States Lloyd Bentsen Senate Jr. / 4 LM103491 llllllllllllllllllllllllllllllllllllll The Honorable Harrison A. Williams, Chairman, Senate Committee on Human Resources The Honorable Harley 0. Staggers '4 Chairman, House Committee on $3' & P Interstate and Foreign Commerce The ...
Date May 16, 1977 Report No. ID-77-15 Title

International Affairs: U.S. Participation in the World Health Organization Still Needs Improvement

DOCUMENT 02242 - [A1452432] RESUME U.S. Participation in the World Healt'i Organization Still 977. 52 pp. Improvement. ID-77-15; B-164031(2). May 16, Needs Report to Sen. Abraham Ribicoff, Chairman, Senate Committee on Governmental Affairs; by Elmer B. Staats, Comptroller General. Issue Area: International Economic and Military Programs (600); Military Programs: U.S. International Economic a Devel...
Date May 5, 1977 Report No. HRD-77-58 Title

Health: Report to the Secretary of Health, Education, and Welfare on Fundamental Improvements Needed for Timely Promulgation of Health Program Regulations

DCCUOENT 01949 [A1252249] EISURE Report to the Secretary of Health, Education, and Welfare on Fundamental Improvements Needed for Timely Promulgation of Health Program Regulations. HRD-77-58; B-164031(5). ay 5, 1977. 83 pp. Report to Secretary, Department of Health, Education, and Welfare; by Gregory J. Ahart, Director, Human Resources and Development Div. Issue Area: Health Programs: Compliance W...
Date Jan. 14, 1977 Report No. HRD-76-174 Title

Health: More Civil Service Commission Supervision Needed To Control Health Insurance Costs for Federal Employees

DOCUMENT RESUSE 00502 - [A0590985] R Le 5 More Civil Service Commission Supervision n'eeded to Ccontrol Health Insurance Costs for Federal Eployecs. HD-76-174; B-164562. January 14, 1977. Released January 21, 1977. 49 pp. appendices (32 pp.). + Report to Rep. Richard C. White, Chairman, House Committee on Post Office and Civil Service: Retirement and Employee Subcommittee; by Elmer B. Staats, Comp...
Date Dec. 15, 1976 Report No. 100520 Title

Health: Relationships between Nonprofit Prepaid Health Plans with California Medicaid Contracts and For-Profit Entities Affiliated with Them

DOCCHET RESUlE 00520 A0593708] Relationships between Nonprofit Prepaid Health Plans with California Medicaid Contracts and For-Profit Entities Affiliated with Them. December 15, 1976. 9 pp. Testimony before the Senate Committee on Government Operations: Permanent Investigations Subcommittee; by Edward A. Dentmore, Jr., Associate Director, Human Resources Div. Issue Area: Health Programs (1200). Co...
Date Sept. 3, 1976 Report No. HRD-76-128 Title

Health: Factors that Impede Progress in Implementing the Health Maintenance Organization Act of 1973

REPORT TO THE CONGRESS BY THE COMPTROLLER GENERAL OF THE UNITED STATES Factors That Impede Progress In Implementing The Health Maintenance Organization Act Of 1973 Department of Health, Education, and Welfare c This report discusses factors which have : impeded, and continue to impede, the carrying out of the Federal Health Maintenance Organization program. Information is pro” vided on the need ...
Date Nov. 21, 1975 Report No. MWD-75-98 Title

Health: Effectiveness of Grant Programs Aimed at Developing Health Maintenance Organizations and Community Health Networks

Department of Health, Education, and Welfare Office of Economic Opportunity This report describes how effectively health maintenance organizations and community health networks, under programs initiated in 1971, had utilized their grants and suggests ways to improve such activities. MWD- 8% zs- NOV.21,1975 COMPTROLLER GENERAL WASHINOTON. OF D.C. THE UNITED STATES ZRS48 -I+164031( 4) i’ c , To th...
Date Oct. 21, 1975 Report No. MWD-76-41 Title

Health: Grants for Development of Health Maintenance Organizations in Region IV

Department of Mealth, and Welfare Education, This report furnishes information on the (1) organizational status of federally assisted health maintenance organizations, (2) HEW audits of health maintenance organizations, and (3) HEW’s monitoring and evaluation of the region’s health maintenance organizations. MWD 7641 I- . . ,..................” ,,,,,,,, COMPTROLCER GENERAL WASHINGTON, OF D.C...
Date June 5, 1974 Report No. 093169 Title

Health: Review of Effectiveness of Grant and Contract Programs Aimed at Developing Health Maintenance Organizations

REGIONAL ROOM 1403 JOHN F KENNEDY GOVERNMENT BosroPr, OFFiCE FEDERAL CEN7-ER lUlLDING 02203 MAsSACHUSET~~~ June 5, 1974 ww? Gertrude T. Hunter, _hi D , Regional Health Director Health Services and Mental Health Adminlstratlon Publrc Health Service Department of Health, Education, and Welfare John F. Kennedy Burldrng Boston, Massachusetts 02203 Dear Dr. Hunter. The U S General Accountrng Office 1s ...
Date March 22, 1974 Report No. 093541 Title

Health: Questionable Payments to the Kaiser Foundation Health Plan, Inc. Under Part B of the Medicare Program

UNITEDSTATES GENERAL ACCOUNTING OFFEE WASHINGl.ON, DC 20548 MANPOWER 1 AND DIVISION WELFARE March 22, 1974 I Mr. James B. Cardwell Commlssroner of Social Department of Health, and Welfare Dear Mr. Cardwell. Security Education, The General Accounting Offlce has revlewed the methods used to reimburse the Southern Callfornla region of the Kaiser Foundation Kaiser is Health Plan, Inc under part B of t...