| Date |
Report No. |
Title |
| Date July 22, 1987 |
Report No. T-HRD-87-18 |
Title
(05 United States I;;eneraj. Accountin OffIce For Release
on Delivery Expected at 9:30 a.m. EDT Wednesday, July 22, 1987 Medigap Under the Insurance: Baucus Update Amendment on Regulation Statement of Michael Zimmermanr Senior Associate Director Human Resources Division Before the Subcommittee On'Commerce, Consumer Protection, and Competitiveness Committee on Energy and Commerce House of Represent... |
| Date July 20, 1987 |
Report No. HRD-87-114BR |
Title
United States General Accounting Office / 3X56.?
1 GAO<
.-- ’
--- Briefing Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House bf Representatives July 1987 MEDICARE Payments to Radiologists, Anesthesiologists, and Pathologists Illlllllllll~ II
133563 !‘ I RELEASED
GAO,‘ HRD-87-114BR 535=+-e%% r,. GAO United States GenthI Accounting Office Washington, D.C. 20548... |
| Date July 16, 1987 |
Report No. PEMD-87-20 |
Title
eL United States General Accounting Office Report to the Chairman, Special Com m ittee on Aging, U.S. Senate July 1987 M E D ICARE Prescription Drug Issues 1, IIIllllll Ill1 III
133702 GAO/PEMD-87-20 1 . ,$ ,. . GAO United States General Accounting Office Washington, D.C. 20648 Program Evaluation and Methodology Division B-227664 July 16, 1987 The Honorable John Melcher Chairman, Special Committee... |
| Date July 15, 1987 |
Report No. AFMD-87-29BR |
Title
GA!!!!
July 1987 hited ?3h$esGeneral Accounijng Of&e Briefing Report to the H&orable Wham V. Roth, Jr., U.S.Senate HEALTH CARE FRAUD Characteristics, Sanctions, and 1 Prevention GAO/AFMD-87-29BR 539533 . c I GAS3 United States General Accounting Office Washington, D.C. 20548 Accounting and Financial Management Division B-224759 July 15, 1987 William Senate Roth: V. Roth, Jr. The Honorable United S... |
| Date July 9, 1987 |
Report No. HRD-87-91 |
Title
. United States General kccounting GAO
July 1987 i Report to th&.Administrator, Health Care’ . Financing Administration, Department of ’ Health and Human Services
Office, 1. - MEDICARE 1.. Rehabilitation Service Claims Paid W ithout Adequate Information llllllllH IIIIU
133390 03q3GL
GAO/HRD-87-91 . . B-227482 July 9, 1987 William Roper, M.D. Administrator, Health Care Financing Administration ... |
| Date June 19, 1987 |
Report No. HRD-87-92BR |
Title
. . ‘ GAO
June 1987 United States General Accounting Office ) I I Briefing Report to the Chairman, I Select Committee on Aging, House of Representatives ”’ MEDICARE Comparison of Catastrophic Health Insurance Proposals Not to be retessed outrl(le the Oaneru MSlRlCTED Accounting Office except on the basis 01 specific 8pprovd lsy the office of Congreseion8l Rdation~- RELEASED GAO/HI&D-87-92BR ... |
| Date April 8, 1987 |
Report No. HRD-87-53 |
Title
1 1 United States General Accounting Office GAO 7
AJwuas7 Report to l;he Chairman, SelectConurnittee~ ’ o:nAg3g, Howe of IRepresentatives 7R1- MEDICARE AND MEDICAID Effects of Recent Legislation on Program md Beneficiary Costs 132733 GAO/ HRD-87453 United States General Accounting Office Washington, D.C. 20548 Human Resources Division Is-226390 April 8,1987 The Honorable Edward R. Roybal Chairma... |
| Date March 18, 1987 |
Report No. T-HRD-87-5 |
Title
United Slates General Accounting
--- Office /3w32 l GAO Testimony For Release on Delivery Expected ,at 9:30 a.m. EST |
| Date March 12, 1987 |
Report No. T-HRD-87-4 |
Title
United States General Accounting Office GAO
FOK Release on Delivery Expected at 2:00 p.m. EST Thursday March 12, 1987 Testimony CRAMPUS Reform Initiative: Unresolved Issues Statement of David P. Baine, Human Resources Associate Division D iKeCtOr Before the Subcommittee on Military Personnel and Compensation Committee on Armed Services House of Representatives i GAO/T-HRD-87-4 Madam Chairman and M... |
| Date March 10, 1987 |
Report No. T-HRD-87-3 |
Title
I. b” ’ , United States General Accounting O ffice GAO Testimony . For Release on Delivery Expected at Tuesday March to,
10:00 a.m. 1987 Loss Ratios On Medigap Insurance Statement of Michael Zimmerman, Senior Associate Director Human Resources Division on Health Committee on Ways and Means House of Representatives
Subcommittee Before the c33&2lcc
GAO/T-HRD-87-3 Mr. Chairman and Members of the ... |
| Date Jan. 29, 1987 |
Report No. HRD-87-43 |
Title
January 1987 MEDICARE 1 More Hospital Costs Should Be Paid by Other Insurers .k. w .- I . 1 , GAO United States General Accounting Office Washington, D.C. 20548 Human Resources Division B-2 19892 January 29,1987 The Honorable Bob Packwood Ranking Mmonty Member Committee on Finance United States Senate Dear Senator Packwood: Smce 1980, the Congress has amended the Social Security Act several times ... |
| Date Oct. 17, 1986 |
Report No. HRD-87-8 |
Title
l * I) United States Geqeral Accounting Office “GAO
October 1986 Report to the Subcommittee on Health Committee on Ways and Means House of Representatives It173 ‘( MEDIGAP INSUMNCE Law Has Increased Protection Against Substandard and Overpriced Policies 11111111 IIII
131472 GAO/HRD-8743 0373a3 GAO United States General Accounting Office Washington, D.C. 20548 Human Resources Division B-223317 ... |
| Date Sept. 15, 1986 |
Report No. HRD-86-139 |
Title
“-- _-_-- I United GAO
Reptebber 1986 ’ Financing AdministrakiLon MEDICARE --Report to the Administrator,
States General Accounting I * Office 1.3 \ I”7 Health Care Reviews of Quality of Care at Participating Hospitals O%~Qb
GAO/HRD-86-139 - --I-- ----- -- --__- ----- GAO United States Generd Accounting Office WashlIIgton, D.C. 20548 Human Resources Division szo(158E1 September 15, 1986 Will... |
| Date Aug. 25, 1986 |
Report No. HRD-86-115 |
Title
United States General Accounting Office I36$?5
- GAO - Report to the Assistant Secretary of Defense (Health Affairs) August 1986 DEFENSE HEALTH PROGRAMS Savings Available by Using Two Medicare Cost-Containment Techniques 130875 GAO/HRD-86-116 03L 56 Q - 1 _----~--- GAO _---l__l_ United States General Accounting Office Washington, D.C. 20548 Human Resources
B-223831 --- Division August 25, 1986 The... |
| Date June 4, 1986 |
Report No. GGD-86-78FS |
Title
United St;Elt~sGencmtl Accounting ,,lll---_l”_--- .,_.___ Offke l3OOY .._ -.. ..” -..-..- -._--” __-l---_-“_l_-~----_-__--_-------_---__- 13 * l*“l_“l --_... 1”““” GAO
““1.11. .I 11*11 .I”-1.-1. 111-1.. ..- E’act Sheet for the Chairman, Subcommittee on Civil Service, Post Office and General Services, Committee on Government,al Affzairs, United States Senat,e
--.. ...--.... |
| Date April 28, 1986 |
Report No. 129726 |
Title
UNITED STATES GENERALACCOUNTING OFFICE WASHINGTON,D.C. 20548 FOR RELEASE ON DELIVERY Expected about 9:00 a.m. 28, 1986 Monday, April STATEMENTOF JOHNNY C. FINCH, SENIOR ASSOCIATE DIRECTOR GENERALGOVERNMENT DIVISION BEFORETHE SUBCOMMITTEE OVERSIGHT ON COMMITTEEON WAYS AND MEANS HOUSEOF REPRESENTATIVES ON
,” /PROFITABILITY $F THE PROPERTY/CASUALTY ,.I. INSURANCEINDUSTRY 129726 . Mr. Chairman and M... |
| Date Sept. 30, 1985 |
Report No. HRD-85-102 |
Title
REPORTBY THE Comptroller General
OF THE UNITEDSTATES
The Congress Should Consider Amending The Medicare Secondary Payer Provisions To Include Disability Beneficiaries
The Congress has amended the Social Security Act three times to make Medicare the secondary payer to employer-sponsored group health insurance. As a result, when Medicare beneficiaries between the ages of 65 and 70 and those with end... |
| Date May 10, 1985 |
Report No. 126897 |
Title
i . * United States General Accounting D.C. Office Washington, FOR RELEASE ON DELIVERY Expected at 9:30 AM. EDT Friday, May 10, 1985 STATEMENT OF MICHAEL ZIMMERMAN, ASSOCiATE DIRECTOR HUMAN RESOURCES DIVISION BEFORE THE SPECIAL COMMITTEEON AGING UNITED STATES SENATE
ON MEDICARE PAYMENT RATES FOR PACEMAKER SURGERIES Mr. Chairman We are prepared Prospective Review ing for the about for an4 members o... |
| Date Feb. 26, 1985 |
Report No. HRD-85-39 |
Title
I hs.. A-..~ p] ?.. . + .. . _d _ 953’ ‘ .f BY THE COMPTROLLER GENERAL
Report To The Chairman Special Committee On Aging United States Senate OF THE UNiTED STATES
Medicare’s Policies And Prospective Payment Rates For Cardiac Pacemaker Surgeries Need Review And Revision
In fiscal year 1983, the Department of Health and Human Services (HHS) implemented a Medicare prospective payment system (us... |
| Date Sept. 27, 1984 |
Report No. HRD-84-94 |
Title
ACCOUNTING UNITED STATESGENERAL OFFICE
WASHINGTON, D.C. 20548 HUMAN RL5OlJRCLS OlVl5lON September 2 7, 198 4 Carolyne K. Davis, Ph.D., Administrator Health Care Financing Administration Dear Dr. Davis: Subject: Reimbursing Physicians Under Medicare on the Basis of Their Specialty (GAO/HRD-84-94) Medicare regulations permit differences in prevailing rates for physician services if Medicare carriers... |
| Date Sept. 26, 1984 |
Report No. HRD-84-54 |
Title
Report To The Chairman, Subcommittee On Commerce, Transportation And Tourism Committee On Energy And Commerce House Of Representatives Use Of A Separate Carrier To Process Medicare Claims For Railroad Retirement Beneficiaries +x936 GAOIHRD-84-54 SEPTEMBER 26.1984 Request for copies of GAO reports should be sent to: U.S. General Accounting Office Document Handling and Information Services Facility ... |
| Date Sept. 8, 1983 |
Report No. HRD-83-89 |
Title
UNITED STATES GENERAL ACCOUNTING
WASHINGTON, D.C. 20548 __-------_-_1_1..-.---Hr. Pnratrmagh _--_____-____-___-...---- HUMAN RUOURCLl DIVI8ION September 8, 19 Mr. Theodore D. Wood Director Office of Civilian Health and Medical Program of the Uniformed Services Dear Mr. Wood: Subject: Interim Report on CHAMPUS Payment Practices (GAO/HRD-83-89) 1111 II
124428 As you are aware, the U.S. General Accou... |
| Date Feb. 28, 1983 |
Report No. HRD-83-21 |
Title
REPORTB’Y’ U.S THE General Accounting Office .
Financial And Other Problems Facing The Federal Employees Health Insurance Program
Recognizing that the cost of the Federal employee health program was escalating faster than anticipated, the Office of Personnel Management tried to avert a budget shortfall for fiscal year 1982, primarily by reducing health benefits. The final 1982 rates, determine... |
| Date Oct. 22, 1981 |
Report No. HRD-82-7 |
Title
fESFTRCTED -acade ^I ½,!ci~ / .Oc . . Y~ E- 0 .: 0... BY. THE COKf ~~BY.. ~ -~THE COlar no1r>;t:E: :E: Vc-Q.. :F:A N fp- CUEUFAL RELEASED V Report To The Honorable Alan Cranston United States Senate
OF THE UNITED STATES State Veterans' Homes: Opportunities To Reduce VA And State Costs And Improve Program Management
State homes provide hospital, nursing home,and domiciliary care to needy, disabled... |
| Date Dec. 31, 1980 |
Report No. HRD-81-31 |
Title
Comptroller General
OF THE UNITEDSTATES RELEAS Public Representation On Boards And Blue Shield Allowances: Important Relationship Not Found
G s here an artainable differance in costcontainment efkts between Blue Shield plans with boards of dfqctors apparently controlled by public reprkentativw versus those wi majority of health care provider members 3 A though influance or control is difficult to ... |
| Date July 29, 1980 |
Report No. HRD-80-79 |
Title
Comptroller General
OF THE UNITEDSTATES OPM Should Promote Medical Necessity Programs For Federal Employees’ Health Insurance
This is GAO’s third report calling for the Office of Personnel Management to pay more attention to the medical necessity provisions of its Federal Employees Health Benefits program contracts. OPM has been slow to encour. age health insurance plans to use medical ne. ces... |
| Date May 15, 1980 |
Report No. 112393 |
Title
UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 FOR RELEASE ON DELIVERY EXPECTED AT 9:30 A.M. EST May 15, 1980 STATEMENT OF WILBUR D. CAMPBELL DEPUTY DIRECTOR, FINANCIAL AND GENERAL MANAGEMENT STUDIES DIVISION BEFORE THE SUBCOMMITTEE ON COMPENSATION AND EMPLOYEE BENEFITS COMMITTEE ON POST OFFICE AND CIVIL SERVICE UNITED STATES HOUSE OF REPRESENTATIVES ON 4FEDERAL EMPLOYEES'
Madam Ch... |
| Date Dec. 6, 1979 |
Report No. FGMSD-80-8 |
Title
1 _I ‘\ / D;iscrepancies in en rol Iment data between Federal agencies’ and health insurance carrien’ reobrds cause erron&ws premium and benefits payments, and uMmately increase health insurance e;Osts for both the Government and its emplayees. The outdated manual system for exchanging information between agencies and carriers resuilts in most of the errors. Exchange of data in cumputer-read... |
| Date Nov. 30, 1979 |
Report No. FPCD-80-26 |
Title
BY THE COMPTROLLER GENERAL Report To The Congress
OF THE UNITED STATES Minimum Benefit Provision Of The Civil Service Disability Retirement Program Should Be Changed
The minimum disability benefit provisions of the civil service retirement system were adopted to provide a reasonable income to employees who become disabled after short periods of Federal service. However, minimum benefits are being ... |
| Date Sept. 7, 1979 |
Report No. HRD-79-87 |
Title
OF THE UNITEDSTATES Stronger Management Needed To Improve Employee Organization Health Plans’ Payment Practices
/ /The Office of Personnel Management has not done an effective job of guiding and overseeing the Employee Organization Plans participating in the Federal Employees Health Benefits program. The Office has allowed the plans to make claim payments without determining whether the claims r... |
| Date June 29, 1979 |
Report No. HRD-79-76 |
Title
/mPgo _ B)’ THE CO M PTROL ER GENERA L l~~l~~~~~~l~~~~ L r 1 Report To The Congress
OF THEUNITEDSTATES - More Can Be Done To Achieve Greater Efficiency In Contracting Medicare Claims Processing
This is a comprehensive study of the claims processing system under Medicare. GAO found many opportunities for HEW to improve its administration and is recommending that the Congress and HEW take a number... |
| Date May 15, 1979 |
Report No. HRD-79-17 |
Title
BY THECOMPTROLLERGENERAL llllllllllllllllllllIllllllllll ’
LM109398 t e ngress OF THEUNITEDSTATES Home Health Care Sewicesr Fiscal Controls Needed The cost of home health care services under Medicare has spiraled in recent years--$786 million is projected for fiscal year 1979. The Department of Health, Education, and Welfare has long been aware of the need to contain these costs through limits o... |
| Date May 1, 1979 |
Report No. HRD-79-72 |
Title
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 April 3, 1979 |
Report No. 120174 |
Title
- ~EDSTATES GENERAL ACCOUNTING OFFICE
DC. 20.548 \ WASHINGTON, HUMAN RESOURCES DIVISION April 3, 1979 Mr. Leonard Schaeffer, Health Care Financing Department of Health, Welfare Dear Mr. Schaeffer: Administrator Administration Education, Ne have recently completed a survey of the implementation of reimbursement procedures for outpatient dialysis treatments under the end stage renal disease program/... |
| Date March 9, 1979 |
Report No. 120152 |
Title
*
* UWED STATES GENERALACCOUNTIKG
REGIONAL
221 COU~TIIAND OFFICE OFFICE
srt?z~-r. r-v& ATLANTA, GEORGIA 30303 . E5i. krginia VI. Sqyth ' ' Regional !KMnistrator HeaNn Care Znaxing &?ministration Depwtxent of H&Lth, Education, md Iklfare 101 &'arietta TMer Atlanta, Georgia 30303 Dear Es. sx!yth: >?ergcently ~._- .comleted a survey of"%edicaze Clinics" in ___. _ As you box, thz clinics have a htgh ~... |
| Date Feb. 26, 1979 |
Report No. HRD-78-172 |
Title
B’Y’ THE COMPTROLLER GENERAL Report To The Congress
OF THE UNITED STATES Actions Needed To Stop Excess Medicare Payments For Blood And Blood Products
Billing and replacement practices of blood banks and hospitals have caused substantial Medicare overpayments for blood and blood products. Blood banks have prevented the use of blood replacement credits to reduce blood fees whenever Medicare woul... |
| Date Jan. 11, 1978 |
Report No. 104772 |
Title
UNITED STATESGENERAL Acc0u~~iffG
WASHINGTON. D.C. 20348 QFFICE . . - . -_.__.- - _ _ _ _ _______ Wi; RdXrf~XT Diriun; Health Care FiaancinK Department of Health,
Welfare Admini 5tfi3 tof Administration Education, and - - -- -- -----.--. . .- .____._ -___ -- -- -- ______ _._ Dari Mr. Dcrtonr ICe hsve rectntly completet a survey of Medicare &rriers’ use of prepayment computer edits to prevent dupl... |
| Date May 2, 1977 |
Report No. HRD-77-73 |
Title
DCCUHENT BESUME
01948 A1252235] Problems in Carrying Out Medicaid ecovery Prcgrams from Third Parties. HRD-77-73; E-164031(3). May 2, 1977. 26 pp. Report to Secretary, Department of Health, Education, and Welfare; by Morton E. Henig (fcr Gregory J. Ahart, Director. Human Resources and Development Div.). I:sue Area: Health Programs: Compliance With Financing Laws and Regulations (1207); ealth Progr... |
| Date March 15, 1977 |
Report No. 100687 |
Title
DOCUMENT RESUME 00687 - [A1051694] (The Need for More Civil Service Commission Supervi.ion To Control Health Insurance Costs for Federal Employees]. March 15, 1977. 15 pp. Testimony before the House Commaaittee on Post Office and Civil service: Compennatior and Employee Benefits Subccmsittee; by Gregory J. Ahart, Di-.ector, Human Resources Div. 7ssue Area: Person'el Management .nd Compensation (30... |
| Date Jan. 14, 1977 |
Report No. HRD-76-174 |
Title
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 July 1, 1976 |
Report No. HRD-76-139 |
Title
lllllllilllllllllllllllllllllllllllll
LM099326 Department of Health, Education, and Welfare North Carolina’s approach to controlling increasing Medicaid costs by negotiating an insurance agreement with a private contractor could be improved by encouraging maximum competition and by more meaningfully evaluating proposed contract prices. This project has been the subject of premature and overstate... |
| Date June 29, 1976 |
Report No. HRD-76-142 |
Title
UNITED STATES GENERA!, ACCWNTING OFFICE
WASHINGTGN. D.C. 213548 lllllllllllllllll Ill1 1111111111 lllllllllllllll Ill1
LM098127 HUMAN RESOURCES DiVISlO?4 B-164031(3)
The Honorable The Secretary and Welfare Dear Mr. JW! ;! g ?97fj I i of Health, Sducation, Secretary: During iri4 and 1975, we reviewed the Medicaid systems in Colorado, Maryland, and Massachusetts to identify and repdrt the reasons fo... |
| Date Jan. 26, 1976 |
Report No. MWD-76-89 |
Title
January 26, 1976 Chairman, Subcommittee and lnvesticjations Committee on IEntcrstate Foreign Commerce House of kpresentatives Dear fdr, Chairman: on Qversigttil; and r,,~ 2, ";9/) f::' , This is ii ,I (,,/I,/~" .\ a$so to confirm ber 18, 1975, Social Security fkpartment of to your letter dated October 31 Y 7975, and iniort!!ation presented orally to hour staff on Decemregardin:! the implerrzntstio... |
| Date Oct. 8, 1975 |
Report No. 088698 |
Title
/°(/ /7 I- 7 ad zeh'abilitation ;ervice, noe5.ior, IT oI-.eare of Iealth, Fducatio.n -nd; v-25 Federal Plaza ' yorlk, .'ew 'or'k 109')7
'o'cial t31D T~i3,).1 7;-tnnt P)ear Tfr. . -th On Au.Lst 1, 1975, we net with "essrs. 4lli:m .'09b and Icmanley oF. your staff to discuss I"edicaid overbil b'7s th -Ie Ye; 'fork7 rity :;ealth rnd " osnitals Corporation Gi'iC) for outatien..-t 6e,;partme-at cz.iz.... |
| Date Oct. 8, 1975 |
Report No. 089385 |
Title
m.
1 Elmer I:!. Smith, Regional Commissioner Social and Rehabilitation Service, Region II Depatiment of IHealth, Education and !:!elfare 2h- Federal Plaza
York, Mew York. I.0007 17-?$ ?kiJ Dear Xr. Smith: On August 1, 1975, we met with Messrs. William Toby and Stanley Allen of your staff to discuss Medicaid ovesbillings by the New York Ci”Ly iIealth and Hospitals Corporation (HHC) for outpatient... |
| Date July 4, 1975 |
Report No. 089092 |
Title
|
| Date Oct. 21, 1974 |
Report No. 093097 |
Title
UNITED STATES GENERAL ACCOUNTING OFFICE
WASHINGTON, D.C. 20548 MANPOWER AND DIVISION WEIZARE OCT 2 i 197$ Mr. James B. Cardwell Commissioner of Social Department of Health, and Welfare Dear Mr. Cardwell: Security Education, Our review of the manner in which independent laboratories are regulated and reimbursed under federally funded health programs disclosed a situation in Arizona involving Medica... |
| Date June 1, 1973 |
Report No. B-166866 |
Title
CQMF’TROLLER GENERAL
WASHINGTON. QF
D.C. THE UNITED
2OS4B STA-fES Y B-166866 The Honorable Wm. Jennings Bryan Committee on Veterans’ House of Representatives Dear Mr. Chairman: Dorn Affairs uo Id f4 Your letter of September 7, 1972, requested us to as certain the arn~~~~,s,,,~n”d~~n.~“~~~,~..,..g,~y~~~nlc.~ .t o 7 Q Ve f er ans 1 ~~~.i.n.i,s,,t,r~ation... .@A) ~~~~,,.ic,lang,““~.y~ Fl... |
| Date March 18, 1971 |
Report No. 089307 |
Title
s Mr. Douglass M, Richard Regional Representative I Bureau of Health Insurance Social Security Administration Department of Health, Education, and Welfare 50 Seventh Street, N,E,, Room 404 jpx>’ cbg-6 Atlanta, Georgia 30323 Dear Mr. Richard: [ jj Herewith is a report on our review of Nedicare cost reimbursements to hospitals by the Georgia Hospital Service Association, Inc. The purpose of our re... |
