| Date |
Report No. |
Title |
| Date May 19, 1982 |
Report No. HRD-82-74 |
Title
UNITED STATES GENERAL ACCOUNTING OFFICE
WASHINGTON, D.C. 20548 RELEASED
The Honorable Bill Archer House of Representatives Dear Mr.. Archer: Subject: Delays in Processing Medicare in Texas (GAO/HRD-82-74) Beneficiary Claims On October 6, 1981, you requested that we make an indepth You exreview of the processing of Medicare claims in Texas. pressed concern about unusual and serious delays experienc... |
| Date Dec. 29, 1981 |
Report No. HRD-82-31 |
Title
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 10, 1981 |
Report No. HRD-81-62 |
Title
. . I BY THECOMPTROLLERGENERAL Report ToThe Congress
OF THEUNITEDSTATES Cost Cutting Measures Possible If Public Health Service Hospital System Is Continued
GAO had completed its review of ways Public Health Service medical care costs could be reduced before the President proposed legislative action to discontinue eligibility of seamen to receive free medical care and terminate the Service’s hos... |
| 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 Dec. 16, 1980 |
Report No. HRD-81-44 |
Title
.-‘- rJ r.” UNITED STATES GENERAL ACCOUNTINGOFFICE
WASHINGTON. D.C. 20548 December 16, 1980
HUMAN RISOURCES DIVISION B-200211 The Honorable Paul Simon House of Representatives Dear Mr. Simon: Review of L lleged Questionable Actions by EDSF to Reduce its Claims and Correspondence Backlogs Under its Medicare Contract in Illinois (HRD-81-44) Ii This is in response to your request for a report on ... |
| Date Dec. 16, 1980 |
Report No. HRD-81-45 |
Title
UNITED STATES GENERAL ACCOUNTINGOFFICE
WASHINGTON. D.C. 20548 December16, 1989
HUMAN RKSOURCEI DIVISION B-200211 The Honorable Charles Range1 Chairman, Subcommittee on Health Ways and Means Committee House of Representatives Dear Mr. Chairman: Ill II llllllllll
113991 .^- Review of Alleged Questionable Actions by EDSF to Reduce its Claims and Correspondence Backlogs Under its Medicare Contract in ... |
| Date Oct. 10, 1980 |
Report No. FGMSD-80-83 |
Title
.’ .# / BYTH~~~APT~L;R &NERAL i&port To The ,Congress
OF THEUNITEDSTATES ’ Cash Management Improvements W ill Save Federal Insurance And Benefits Programs M illions Annually
The Office of Personnel Management and the Department of the Treasury administer the Federal employee life insurance and health benefits programs. GAO found serious weaknesses in the cash management procedures the agencies... |
| Date Sept. 19, 1980 |
Report No. HRD-80-72 |
Title
BY THECOMPTROLLER GEiEl-iAL Report ToThe Congress
OF THEUNITED STATES Rising Hospital Costs Can Be Restrained By Regulating Payments And Improving Management
Cost-based retrospective payment for hospital services is inherently inflationary. Yet, because retrospective payment is the prevalent reimbursement method used by third-party payers, both government and private, most hospital payments today ... |
| Date June 17, 1980 |
Report No. 112607 |
Title
UNITED STATES GENERAL ACCOUNTING OFFICE 20548 . *Washington, D.C. FOR RELEASE ON DELIVERY Expected at 9:30 a.m. Tuesday, June 17, 1980 STATEMENT OF MICBAEL ZIMMERMAN, ASSCCIATE DIRECTOR HUMAN RESOURCES DIVISION EEFORE THE SUBCOM?lITTXE CN COMPENSATIOZ XXI E:I!PLOYEE EEXEFITS AND CIVIL SERVICE HOUSE CO>lMITTEE ON POST CFFICE ON THE ,"H-OFFICE c OF PERSOCJNEL MANAGEMENT'S -I PLANS NET>JORK EXPERIMEN... |
| Date May 30, 1980 |
Report No. HRD-80-89 |
Title
’ w COMF-I-ROLLER GENERAL
WASHINGTON. DP
D.C. THE
- UNITED STATES B-164031(5) The Honorable Gladys Subcommittee on Chairwoman, Compensation and Employee Benefits Committee on Post Office and Civil Service House of Representatives Dear Madam Subject: Chairwoman: Ir”“’ Spellman May 30, 1980 Office of Personnel Management's r Comprehensive Medical Plans Network Experiment (HRD-80-89) 7-Z At t... |
| 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 April 28, 1980 |
Report No. 112192 |
Title
UNITED STATES GENERAL ACCOUNTING WASHINGTON, D.C. 20548 OFFICE . FOR RELEASE ON DELIVERY Expected at 10:00 A.M. April 28, 1980 Monday, Illinois Chicago, STATEMENT OF MICHAEL ZIMMERMAN i~..,,ASSOCIATE DIRECTOZ, HUMAN RESOURCES DIVIS BEFORE THE SUBCOMMITTEE ON* HEALTH HOUSE GAYS AN3 MEANS COMMITTEE ON DATA SYSTEMS PEELPOXMANCE AS Illill II lllllll 1111
112192 Mr. pleased of Chairman to be here Data ... |
| 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 Dec. 6, 1979 |
Report No. HRD-80-27 |
Title
REPORTB’YTHE US #J General Accounting Office Need To Better Use The Professional Standards Review Orga~nization Post-Payment Monitoring Program
Professional Standards Review Organizations are designed to assure that health care services provided under Medicaid and Medicare are delivered as effectively, efficiently, and economically as possible. The Department of Health, Education, and Welfare’... |
| Date Oct. 15, 1979 |
Report No. HRD-80-3 |
Title
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 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 Sept. 6, 1979 |
Report No. HRD-79-111 |
Title
-* l z i REPORTBY THE OF THE UNITEDSTATES .! Comptroller General
RELEASED , GAO compared samples of physician charges and allowances at six Medicare carriers and found that physicians usually charge Medicare patients the same as other patients, but that Medicare usually allows less for physician’s services than do private health insurance plans. HEW headquarters officials said they do not know t... |
| 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 June 29, 1979 |
Report No. 117527 |
Title
* 7 , . @i * i c i . ) " * UNITED STATES GENERALACCOUN+lNGOI%CE
WASlyiINGTON; DC. 20548 HUMAN RESOURCES DlVISlON June 29, 1979 >r,: ,< 7.,. ‘i: :/ ” Y: ,-._ 117527 Mr. Leonard Shaeffer Administrator, Health Care Financing Administration Department of Health, Education and Welfare Washington, D.C. Dear Mr. Schaeffer: We recently completed a study of the Medicare and frledicaid billing systems c... |
| Date June 4, 1979 |
Report No. HRD-79-90 |
Title
,
COUNTING OFFICE R@lSE~
HUMAN RESOURCES DIVISION WASHINGTON, D.C. 20548 B-164031(2) June 4, 1979 The Honorable United States Dear Senator H. John Heinz III Senate Heinz: Askes-ues-ted in your November 30, 1978, letter, we are reviewing federally funded activities concerning the research and control of diabetes mellitus. In our work to date, we have focused primarily on the activities of the Natio... |
| Date May 31, 1979 |
Report No. HRD-79-81 |
Title
‘I . COMmRouR GENERAL W.~~HINGTON. OF 0.c. THE “N~-ED =A- 208.48 B-133142 MAY 31, 1979 The Honorable Warren G. Magnuson Chairman, Committee on Appropriations c/g /t/lx 3 is2 United States Senate The Honorable Jamie L. Whitten Chairman, Committee on Appropriations House of Representatives [*-(Jo:3 & \ In response to a requirement in the Conference report on the Department of Defense's fiscal ye... |
| Date Sept. 26, 1978 |
Report No. HRD-78-86 |
Title
|
| Date March 1, 1978 |
Report No. FPCD-78-9 |
Title
IZDOCUfMBUT BRSUU
05153 - [B0625529] Possible Savings in Department of Defense Personnel Coste in 1 pp. + appendix (9 Italy. FPCD-78-9; B-179343. larch 1, 19780 pp.). Report to Sen. Uarren G. lagnuson, Chairan, Senate Comsittee on Geaeral. Appropriations; by Bluer B. Staats, CoaFtrellerU Issue Area: Federal Personnel lanagemeat and Compensation: Pay Principles and Pay Determination Processes £300... |
| Date Jan. 23, 1978 |
Report No. HRD-77-106 |
Title
VwDOC UOEN T
04829 - [ 0O245110 ] RESUME 30 (i icted) in Procuring, Medicaid Insurance Coinicts--Problema (3). January Administerinq, and Mk.fri.ng. HRD-77-106; B-164C3{ 23, 1978. 92 pp. + 5 ... pndices (15 pp.). Report to Sen. Herman .rTaloadge, Chairman, Senate Co.aittee on Finance: health Subcomittee; by Elmer B. Staats, Comptroller
General ....... Issue Area: Hcalth P'o~ri' : Compliance ¥ith ... |
| Date Nov. 22, 1977 |
Report No. HRD-78-16 |
Title
DOCDMENT BESU~M
O4294 [B3334561] to/ Information on the Appeals Process for Disputed Claims under the Federal Employees Health Benefits Program. HRD-78-16; B-164562. November 22, 1977. 2 pp. + 2 appendices (11 pp. ). Report to Rep. General. John E. Moss; By Elmer B. Staats, Comptroller Issue Area: Health Programs (1200). Contact: Human Resources Div. Budget Function: Health: Health Care Services (... |
| Date Sept. 30, 1977 |
Report No. HRD-77-151 |
Title
DCCUMENT FESUE 03778 - [B27940241 t tett -/ -/
/ Reasons for Difference in Premium Rates of aiser Plans of Northern and Southern California fcr te Federal Employees Health Benefits Program. HRD-77-151; B-164562. September 30, 1977. eleased October 13, 1977. 2 pp. + 2 appendices (14 pp.). Report to Rep. Gladys Noon Speliman, Chairman, House Committee on Post Office and Civil Service: Ccmpensaticn a... |
| Date Sept. 13, 1977 |
Report No. HRD-77-132 |
Title
|
| Date June 8, 1977 |
Report No. HRD-77-93 |
Title
RELEASED Department
lY,de
c3st.s cau2 charged w~qcs other higher becauw claim of Defense V3rlaiiOnS exist in cld~ms processing under cosr~relmburuble contracts beof dif?crr?7ces tn admlnE.trative costs to ;he program, prvductwty and of claim processors, claim volumes, and factors. Claims procesc’ tg Costs are than for MedIcare and P.?edlcald partly of smaller claim volumes, a complex form, arti ... |
| Date May 25, 1977 |
Report No. 102229 |
Title
LEdPrE OC mENT
NoLF
V A L/3 L E NJI
(NJ United States General Accounting Office W4ashington, D.C. 20548
FOR RELEASE ON DELIVERY Exoected at 9:30 a.m. EDT Wednesday, May 25, 1977 r4 Statement of Gregory J. Ahart, Director Human Resources Division before the Subcommittee on Monopoly Select Committee on Small Business United States Senate on Procurement of Eyeglasses and Other Medicaid Supolies and S... |
| 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 April 28, 1977 |
Report No. HRD-76-163 |
Title
llllllillllllllllllllllllllllllllllllllllllll
LM101947 In Treating
National institute on Alcohol Abuse and Alcoholism Department of Health, Education, and Welfare
Problems noted in the planning procedures and coordination of the National Institute on Alcoirol Abuse and Aicaholism have kept available resources from being applied to areas of greatest need and have slowed the develupment of a concert... |
| Date Feb. 24, 1977 |
Report No. HRD-76-129 |
Title
DOCUMENT RESUME
00505 - [A0751400 Potential Effects of National Health Insurance Proposals on Medicare BeneficiaLies. HRD-76-129; B-164031(4). February 24,
1977. 59 pp. _ _ Report to the Congress; by Elmer b. Staats, Comptroller Generalim Issue Area: Health Programs: Reimbursement Policies and s Utilization Controls (1208); Health Programs: Impact of National Health Insurance (1209). Contact: Huma... |
| 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 Nov. 1, 1976 |
Report No. HRD-77-4 |
Title
Relationships Between Nonprofit Prepaiti Health Plans With Califurr?i;i Medicaid Contracts And For Profit Entities Affiliated with Them
This study outlines the relationship between, nonorofit, prepaid health plans and for profit entities affiliated with them. Affiliated entities are those connected with the plan by common directors, officers, and/or owners. The study also outlines the flow of fund... |
| Date May 5, 1976 |
Report No. MWD-76-123 |
Title
IMY 5 B-164562 c’: The Honorable James A. House of Representatives Mr. Baley: Haley 1976 oqoo Fo ‘. Dear ~ ! This is in response to your request that we investigate complaints about the performance of Blue Cross and Blue Shield of Florida under the Federal Employees Health Benefits Prowere related primarily to delayed paygram_, The complaints ment of claims, delayed and unresponsive replies to... |
| Date March 19, 1976 |
Report No. MWD-76-94 |
Title
Department of Health, Education, and Although the carrier processed 94 percent of claims within 60 days, thousands of Floridians encountered long delays in getting claims processed--237,000 claims took over 60 days to process and 104,000 of these took over 90 days. GAO believes that the fundamental reason for delays in processing has been a lack of attention by management to achieving satisfactory... |
| Date Jan. 26, 1976 |
Report No. MWD-76-83 |
Title
llBRARY s”sTE,z/r UNITED STATES *GENERAL, ACCOUNTING OFFICE ’ ‘. - IllllllllllllllllllllllllllIIIII
LM099970 Federal Employees Information For Selecting A Health
U.S. Civil Service Commission Need Better Plan The Federal Employees Health Benefits Act requires that the Civil Service Commission make available to Federal employees sufficient information to enable them to make informed choices a... |
| 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 Jan. 14, 1976 |
Report No. MWD-76-72 |
Title
Social Security A ministration Education, and elfare eparfmen% of Health, According to these allegations, the Social Security Administration has not adequately determined the eligibility of claimants awarded black lung benefits. Although most of the allegations could not be substantiated, Social Security has adopted disability criteria for determining eligibility which appear to be more liberal th... |
| Date Oct. 17, 1975 |
Report No. MWD-76-49 |
Title
y a@ ! x W · S a.d ts ~·
i S REPORT OF THE COMPTROLLER GENERAL OF THE UNITED STATES Conflicts Between State Health Insurance Requirements And Contracts Of The Federal Employees Health Benefits Carriers
U.S. Civil Service Commission
Many States have health insurance requirements that conflict with provisions of the contracts negotiated by the Civil Service Commission and the Federal Employees Hea... |
| Date Sept. 8, 1975 |
Report No. MWD-76-24 |
Title
I’ f ,’* d f
CBMPTROLLER rtGENERAL
WASHINGTON, / OF
D.C. THE UNITED STATES 205l8 B-164031(3) c The Honorable Herman E. Talmadge Chairman, Subcommittee on Health Committee on Finance United States Senate ; 4" Y- Dear Mr. Chairman: I Recently your office requested information pertaining to a proposal of July 1, 1975, by the Federation of American Hospitals for legislation authorizing the recogni... |
| Date April 4, 1975 |
Report No. TCD-75-4 |
Title
|
| Date Jan. 20, 1975 |
Report No. MW-75-56 |
Title
COMPTROLLER GENERAL
WASHINGTON. OF
D.C. THE UNITED STATES 20548 B-164031(4) c, The Honorable United States Dear Senator Walter Senate Mondale: F. Mondale At your request we have examined into the appropriateness and 1. ec4f equity of the methods of allocating costs between Holy Trinity 1 Hospital in Graceville, Minnesota, and its attached board and care ' facility for Medicare reimbursement purpos... |
| 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 Nov. 14, 1973 |
Report No. 090007 |
Title
Mr. James B . Ca rdwe 11 Commissioner of Social Security Department of Health, Education, Welfare Dear Mr. Cardwell: and We are performing a “survey of the manner in which independent laboratories are regulated and reimbursed under four federally funded hea lth programs --Ned icare, Medicaid, the Federal Employees Health and the Civilian Health and Medical Program of the Benefits Program, Unifor... |
| Date Oct. 5, 1973 |
Report No. 093956 |
Title
|
| Date Jan. 1, 1973 |
Report No. 090932 |
Title
|
| Date June 14, 1972 |
Report No. B-168106 |
Title
BY THE COMPTROLLER GENERAL OF THE UNZ-TED STATES . COMPTROLLER GENERAL
WASHINGTON. OF THE UNITED
20548 STATES D.C. lfi / To the Speaker President of the of the Senate and the House of Representatives Pm~r bRE merit’s -7 This is our report on our survey of the application~~~~~,~-“~..-~~~~~,*~~~~----,., pi&icy dv”,LA*self-insurance _,,._#2. 0~”..,^, _>,.* ._,a.. ._._,,,,=:....\--~ .,.. to th... |
| Date May 22, 1972 |
Report No. B-164562 |
Title
REPORT TO THE CONGRESS s-&’ - LXg-, -/” ,/’-c.si Aj % 3
12 Opportunities For Improving Administration Of Government-Wide Indemnity Benefit Plan Of Health Insurance For Federal Employees And Annuitants
B-164562 Civil Service Commission BY THE OF THE COMPTROLLER GENERAL UNITED STATES ~O~VIPTR~LLER GENERAL
WASHINGTON. 0~
D.C. THE UNITED STATES 205d8 B- 164562 I I To the Speaker President of the... |
| Date March 26, 1972 |
Report No. 089405 |
Title
-r&-3-in33-i n.e.4 al .-Is-r. -".a.. d2xn being ecci 3utonomous F3-kms, 3.9 not the I ,... -.oPr claircts . rl' ctfforts
-' the .- between
Bur .ems |
