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GAO Reports by subject "Medicaid Managed Care Program"

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Date Report No. Title
Date Dec. 8, 2004 Report No. GAO-05-44R Title

Medicaid Managed Care: Access and Quality Requirements Specific to Low-Income and Other Special Needs Enrollees

United States Government Accountability Office Washington, DC 20548 December 8, 2004 The Honorable Charles E. Grassley Chairman The Honorable Max Baucus Ranking Minority Member Committee on Finance United States Senate The Honorable Joe Barton Chairman The Honorable John D. Dingell Ranking Minority Member Committee on Energy and Commerce House of Representatives Subject: Medicaid Managed Care: Acc...
Date June 2, 1999 Report No. HEHS-99-127R Title

Medicare: Identifying Third-Party Billing Companies Submitting Claims

United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-282763 June 2,1999 The Honorable John Dingell Ranking Minority Member Committee on Commerce House of Representatives Subject: Medicare: Identifvin g Third-P artv Billing Companies Submitting Claims Dear Mr. Dingell: With annual costs of about $193 billion and responsibility for financing...
Date Aug. 1, 1998 Report No. AA-98-15(3) Title

Health Financing and Systems Issue Area: Active Assignments

United States Gene% Aqcounting Office GAO August 1998 Health, Education and Human Services Division Health F’inaneing and Systems Issue Area Active Assignments . LiAOfAA-98-X(3) s . - Foreword This report was prepared primarily to inform Congressional members and key staff of ongoing assignments in the General Accounting Office’s Health F’inancing and Systems issue area. This report contains...
Date May 1, 1998 Report No. AA-98-15(2) Title

Health Financing and Systems Issue Area: Active Assignments

r United States General Accounting Office GAO May 1998 Health, ‘Education and Human Services Division Health Financing and Systems Issue Area Active Assignments GAO/AA-98-15(2) / IdNYa. . .~ Foreword This report was prepared primarily to inform Congressional members and key staff of ongoing assignments in the General Accounting Office’s Health F’inancing and Systemsissue area. This report co...
Date Jan. 28, 1998 Report No. HEHS-98-73R Title

Medicaid: Managed Care and Individual Hospital Limits for Disproportionate Share Hospital Payments

GAO United States General Aeconnting Office Washin@.on, D.C. 20648 Health, Edncation and Human Serviw Didsion B-278942 January 28, 1998 The Honorable John R. Kasich Chairman, Committee on the Budget House of Representatives The Honorable David L. Hobson House of Representatives Subject: Medicaid: Managed Care and Individual Hosnital Limits for Diironortionate Share Hosnital Pavments The Balanced B...
Date June 27, 1997 Report No. HEHS-97-128 Title

Medicaid: Sustainability of Low 1996 Spending Growth Is Uncertain

United States General Accounting Office GAO June 1997 Report to the Chairman, Committee on the Budget, U.S. Senate, and to the Chairman, Committee on the Budget, House of Representatives MEDICAID Sustainability of Low 1996 Spending Growth Is Uncertain GAO/HEHS-97-128 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-276963 June 27, ...
Date June 26, 1997 Report No. T-HEHS-97-165 Title

Medicare: Control Over Fraud and Abuse Remains Elusive

United States General Accounting Office GAO For Release on Delivery Expected at 9:00 a.m. Thursday, June 26, 1997 Testimony Before the Permanent Subcommittee on Investigations, Committee on Governmental Affairs, U.S. Senate MEDICARE Control Over Fraud and Abuse Remains Elusive Statement of Leslie G. Aronovitz, Associate Director Health Financing and Systems Issues Health, Education, and Human Serv...
Date May 16, 1997 Report No. HEHS-97-86 Title

Medicaid Managed Care: Challenge of Holding Plans Accountable Requires Greater State Effort

United States General Accounting Office GAO May 1997 Report to Ranking Minority Member, Committee on Commerce, House of Representatives MEDICAID MANAGED CARE Challenge of Holding Plans Accountable Requires Greater State Effort GAO/HEHS-97-86 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-270335 May 16, 1997 The Honorable John D. ...
Date Feb. 1, 1996 Report No. HEHS-96-89W Title

Special Publications: Health, Education, Employment, Social Security, Welfare, and Veterans Reports

GAO February 1996 United States General Accounting Office Health, Education, and Human Services Division Reports Health Education Employment Social Security Welfare Veterans GAO/HEHS-96-89W Preface The General Accounting Office (GAO), an arm of the Congress, was established to independently audit government agencies. GAO'S Health, Education, and Human Services (HEHS) Division reviews the governmen...
Date Jan. 18, 1996 Report No. T-HEHS-96-75 Title

Medicaid: Spending Pressures Spur States Toward Program Restructuring

United States General Accounting Office Testimony Before the Human Resources IntergovernmentalRelations and Subcommittee, Committeeon GovernmentReform and Oversight,Houseof Representatives For Release Delivery on Expected IO:00am. at Thursday, January18,1996 MEDICAID SpendingPressuresSpur StatesToward Program Restructuring Statement William J. Scanlon,Director of Health SystemsIssues Health, Educa...
Date Nov. 8, 1995 Report No. HEHS-96-21 Title

Medicare Managed Care: Growing Enrollment Adds Urgency to Fixing HMO Payment Problem

United States General Accounting Office GAO November 1995 Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE MANAGED CARE Growing Enrollment Adds Urgency to Fixing HMO Payment Problem GAO/HEHS-96-21 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-265995 November 8, 1995 T...
Date Nov. 1, 1995 Report No. HEHS-96-58W Title

Special Publications: Health, Education, Employment, Social Security, Welfare, and Veterans Reports

United States General Accounting Office Health, Education, and Human Services Division Reports November 1995 Health ’ Education Employment Social Security Welfare Veterans GAO/HJZHS-96-58W Preface The General Accounting Office (GAO), an arm of the Congress, was established to independently audit government agencies. GAO'S Health, Education, and Human Services (HEHS) Division reviews the governme...
Date Oct. 1, 1995 Report No. AA-95-15(4) Title

Medicare and Medicaid Issue Area: Active Assignments

United States General Accounting Office GAO October 1995 Health, Education and Human Services Division Medicare and Medicaid Issue Area Active Assignments GAO/AA-95-15(4) 0653SR/ At; q F3 Medicare and Medicaid M PAYMENT METHODS E TITLE MEDICARE COSTS UNDER THE RBRVS SYSTEM (101329) BACKGROUND: In 1992, Medicare stopped paying doctors based on "usual and customary rates." Medicare's new fee schedul...
Date July 12, 1995 Report No. T-HEHS-95-206 Title

Medicaid: State Flexibility in Implementing Managed Care Programs Requires Appropriate Oversight

United States General Accounting Office GAO For Releaseon Delivery Expected at 9:30 am.. EDT Wednesday,July 12, 1995 Testimony Before the SenateCommittee on Finance MEDICAID StateFlexibility in Implementing Managed Care ProgramsRequires Appropriate Oversight Statementof William J. Scanlon, Associate Director Health Financing Issues Health, Education, and Human ServicesDivision GAO/T-HEM-95-206 t M...
Date May 4, 1995 Report No. HEHS-95-138 Title

Community Health Centers: Challenges in Transitioning to Prepaid Managed Care

United States General Accounting Office GAO May 1995 Report to the Chairman, Committee on Labor and Human Resources, U.S. Senate COMMUNITY HEALTH CENTERS Challenges in Transitioning to Prepaid Managed Care GAO/HEHS-95-138 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-260900 May 4, 1995 The Honorable Nancy L. Kassebaum Chairman, ...
Date June 29, 1992 Report No. T-HRD-92-43 Title

Medicaid: Factors to Consider in Managed Care Programs

r United States General Accounting Office GAO For Rchsc (III Ddivcry Eqxcw.l at Testimony Before the Subcommittee on Health and the Environment Committee on Energy and Commerce House of Representatives /Y7&0 3M) pm. MEDICAID Factors to Consider in Managed Care Programs Statementof Janet L. Shikles, Director Health Financing and Policy Issues Human ResourcesDivision r (;AfVt--tltWY2-43 s SUMMARY Me...
Date June 19, 1992 Report No. HRD-92-89 Title

Medicaid: Oregon's Managed Care Program and Implications for Expansions

Ilrritd States Genord Accounting Office Report to the Chairman, Subcommittee‘ ’ on Health and the Environment7 Committee on Energy and Commerce, House of Representatives ----__--__---_____._._ ___. -._---- . ...- MEDICAID Oregon’ Managed s Care Program and Implications for Expansions :I 146894 _,_. _ .-. . . . ._.. .___ _.._...... ._I___ _.___ __I -_..-_.. ... ..._...-I.-~~- ____ GAWIIRD-92-...