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GAO Reports by subject "Medicare Fee-for-Service Program"

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Date Report No. Title
Date July 20, 2009 Report No. GAO-09-838R Title

Improper Payments: Responses to Posthearing Questions Related to Eliminating Waste and Fraud in Medicare and Medicaid

United States Government Accountability Office Washington, DC 20548 July 20, 2009 The Honorable Thomas R. Carper Chairman The Honorable John McCain Ranking Member Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security Committee on Homeland Security and Governmental Affairs United States Senate The Honorable Tom Coburn, M.D. United States ...
Date April 22, 2009 Report No. GAO-09-628T Title

Improper Payments: Progress Made but Challenges Remain in Estimating and Reducing Improper Payments

United States Government Accountability Office GAO For Release on Delivery Expected at 3:00 p.m. EDT Wednesday, April 22, 2009 Testimony before the Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security, Committee on Homeland Security and Governmental Affairs, U.S. Senate IMPROPER PAYMENTS Progress Made but Challenges Remain in Estimating...
Date Dec. 15, 2008 Report No. GAO-09-25 Title

Medicare Advantage: Characteristics, Financial Risks, and Disenrollment Rates of Beneficiaries in Private Fee-for-Service Plans

United States Government Accountability Office GAO December 2008 Report to Congressional Requesters MEDICARE ADVANTAGE Characteristics, Financial Risks, and Disenrollment Rates of Beneficiaries in Private Fee-forService Plans GAO-09-25 December 2008 MEDICARE ADVANTAGE Highlights Highlights of GAO-09-25, a report to congressional requesters Accountability Integrity Reliability Characteristics, Fina...
Date June 24, 2008 Report No. GAO-08-827R Title

Medicare Advantage Organizations: Actual Expenses and Profits Compared to Projections for 2005

United States Government Accountability Office Washington, DC 20548 June 24, 2008 The Honorable Pete Stark Chairman Subcommittee on Health Committee on Ways and Means House of Representatives Subject: Medicare Advantage Organizations: Actual Expenses and Profits Compared to Projections for 2005 Medicare Advantage (MA) organizations offer an alternative to the original Medicare fee-forservice (FFS)...
Date Feb. 28, 2008 Report No. GAO-08-522T Title

Medicare Advantage: Higher Spending Relative to Medicare Fee-for-Service May Not Ensure Lower Out-of-Pocket Costs for Beneficiaries

United States Government Accountability Office GAO For Release on Delivery Expected at 10:00 a.m. EST Thursday, February 28, 2008 Testimony Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE ADVANTAGE Higher Spending Relative to Medicare Fee-for-Service May Not Ensure Lower Out-of-Pocket Costs for Beneficiaries Statement of James Cosgrove, Acting Dire...
Date Feb. 22, 2008 Report No. GAO-08-359 Title

Medicare Advantage: Increased Spending Relative to Medicare Fee-for-Service May Not Always Reduce Beneficiary Out-of-Pocket Costs

United States Government Accountability Office GAO February 2008 Report to Congressional Requesters MEDICARE ADVANTAGE Increased Spending Relative to Medicare Fee-for-Service May Not Always Reduce Beneficiary Out-of-Pocket Costs GAO-08-359 February 2008 MEDICARE ADVANTAGE Highlights Highlights of GAO-08-359, a report to congressional requesters Accountability Integrity Reliability Increased Spendi...
Date July 21, 2006 Report No. GAO-06-704 Title

Medicare Physician Services: Use of Services Increasing Nationwide and Relatively Few Beneficiaries Report Major Access Problems

United States Government Accountability Office GAO July 2006 Report to Congressional Committees MEDICARE PHYSICIAN SERVICES Use of Services Increasing Nationwide and Relatively Few Beneficiaries Report Major Access Problems GAO-06-704 July 2006 MEDICARE PHYSICIAN SERVICES Highlights Highlights of GAO-06-704, a report to congressional committees Accountability Integrity Reliability Use of Services ...
Date Sept. 27, 2004 Report No. GAO-04-960 Title

Medicare Demonstration PPOs: Financial and Other Advantages for Plans, Few Advantages for Beneficiaries

United States Government Accountability Office GAO September 2004 Report to the Ranking Minority Member, Committee on Finance, U.S. Senate MEDICARE DEMONSTRATION PPOs Financial and Other Advantages for Plans, Few Advantages for Beneficiaries Correction made on 9/29/04 to p. 4, line 36 through p. 5, line 1, revised to read “About 9.9 million, or 98 percent, of the 10.1 million eligible beneficiar...
Date Nov. 21, 2001 Report No. GAO-02-202 Title

Medicare + Choice: Recent Payment Increases Had Little Effect on Benefits or Plan Availability in 2001

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 Oct. 1, 2001 Report No. GAO-02-69G Title

Strategies to Manage Improper Payments: Learning From Public and Private Sector Organizations

United States General Accounting Office GAO October 2001 Executive Guide STRATEGIES TO MANAGE IMPROPER PAYMENTS Learning From Public and Private Sector Organizations GAO-02-69G a Preface The federal government of the United States—the largest and most complex organization in the world—expended approximately $1.8 trillion dollars in fiscal year 2000. As the steward of taxpayer dollars, it is ac...
Date May 1, 2001 Report No. GAO-01-703G Title

Strategies to Manage Improper Payments: Learning From Public and Private Sector Organizations (Exposure Draft)

United States General Accounting Office Washington, DC 20548 May 2001 HEADS OF DEPARTMENTS AND AGENCIES Improper payments are a widespread and significant problem in the federal government and will continue to be of concern in the future. They include inadvertent errors, payments for unsupported or inadequately supported claims, payments for services not rendered, payments to ineligible beneficiar...
Date Oct. 27, 2000 Report No. GAO-01-44 Title

Financial Management: Billions in Improper Payments Continue to Require Attention

United States General Accounting Office GAO October 2000 Report to the Chairman, Committee on Governmental Affairs, U.S. Senate FINANCIAL MANAGEMENT Billions in Improper Payments Continue to Require Attention GAO-01-44 Contents Letter Appendixes Appendix I: Executive Departments and Agencies Covered by the CFO Act 5 52 Appendix II: Agencies and Programs With Reported Improper Payments Included in ...
Date Sept. 15, 2000 Report No. AIMD/OSI-00-281 Title

Medicare Improper Payments: While Enhancements Hold Promise for Measuring Potential Fraud and Abuse, Challenges Remain

United States General Accounting Office GAO September 2000 Report to Congressional Requesters MEDICARE IMPROPER PAYMENTS While Enhancements Hold Promise for Measuring Potential Fraud and Abuse, Challenges Remain GAO/AIMD/OSI-00-281 Contents Letter Appendixes Appendix I: Objectives, Scope, and Methodology 3 38 40 43 50 Appendix II: Definitions and Examples of Common Types of Potential Fraud and Abu...
Date Aug. 23, 2000 Report No. HEHS-00-161 Title

Medicare+Choice: Payments Exceed Cost of Fee-for-Service Benefits, Adding Billions to Spending

United States General Accounting Office GAO August 2000 Report to Congressional Requesters MEDICARE+CHOICE Payments Exceed Cost of Fee-for-Service Benefits, Adding Billions to Spending GAO/HEHS-00-161 Contents Letter Appendixes Appendix I: Methodology 3 22 34 Appendix II: Comments From the Health Care Financing Administration Tables Table 1: Self-Reported Health Status of 1996 Medicare Beneficiari...
Date July 12, 2000 Report No. T-AIMD/OSI-00-251 Title

Medicare Improper Payments: Challenges for Measuring Potential Fraud and Abuse Remain Despite Planned Enhancements

United States General Accounting Office GAO For Release on Delivery Expected at 10 a.m. Wednesday, July 12, 2000 Testimony Before the Task Force on Health, Committee on the Budget, House of Representatives MEDICARE IMPROPER PAYMENTS Challenges for Measuring Potential Fraud and Abuse Remain Despite Planned Enhancements Statement of Gloria L. Jarmon Director, Health, Education, and Human Services Ac...
Date May 11, 2000 Report No. T-HEHS-00-112 Title

Prescription Drugs: Adapting Private Sector Management Methods for a Medicare Benefit

United States General Accounting Office GAO For Release on Delivery Expected at 9:30 a.m. Thursday, May 11, 2000 Testimony Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives PRESCRIPTION DRUGS Adapting Private Sector Management Methods for a Medicare Benefit Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health, Education, ...
Date March 22, 2000 Report No. T-HEHS-00-84 Title

Prescription Drug Benefits: Applying Private Sector Management Methods to Medicare

United States General Accounting Office GAO For Release on Delivery Expected at 10:00 a.m. Wednesday, March 22, 2000 Testimony Before the Committee on Finance, U.S. Senate PRESCRIPTION DRUG BENEFITS Applying Private Sector Management Methods to Medicare Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health, Education, and Human Services Division GAO/T-HEHS-00-8...
Date Feb. 17, 2000 Report No. T-AIMD-00-96 Title

Congressional Oversight: Opportunities to Address Risks, Reduce Costs, and Improve Performance

United States General Accounting Office GAO For Release on Delivery Expected at 10 a.m. Thursday, February 17, 2000 Testimony Before the Committee on the Budget, House of Representatives CONGRESSIONAL OVERSIGHT Opportunities to Address Risks, Reduce Costs, and Improve Performance Statement of David M. Walker Comptroller General of the United States GAO/T-AIMD-00-96 I appreciate the opportunity to ...
Date Feb. 4, 2000 Report No. AIMD-00-69R Title

Medicare: Methodology to Identify and Measure Improper Payments in the Medicare Program Does Not Include All Fraud

United States General Accounting Washington, DC 20548 Office Accounting and Information Management Division B-284484 February 4,200O The Honorable John R. Kasich Chairman Committee on the Budget House of Representatives Subject: Medicare: Methodologv to Identify and Measure Imnroner Pavments in the Medicare Program Does Not Include All Fraud Dear Mr. Chairman: This letter responds to your request ...
Date Oct. 29, 1999 Report No. AIMD-00-10 Title

Financial Management: Increased Attention Needed to Prevent Billions in Improper Payments

United States General Accounting Office GAO October 1999 Report to the Chairman of the Committee on Governmental Affairs, U.S. Senate FINANCIAL MANAGEMENT Increased Attention Needed to Prevent Billions in Improper Payments GAO/AIMD-00-10 Contents Letter Appendixes Appendix I: Executive Departments and Agencies Covered by the CFO Act Appendix II: Agencies/Programs/Activities With Reported Improper ...
Date Oct. 1, 1999 Report No. T-HEHS-00-14 Title

Medicare: Better Information Can Help Ensure That Refinements to BBA Reforms Lead to Appropriate Payments

United States General Accounting Office -GAO Testimony Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives For Release on Delivery Friday, October 1, 1999 Better Information Can Help Ensure That Refinements to BBA Reforms Lead to Appropriate Payments Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health, Education, and Human...
Date Sept. 30, 1999 Report No. HEHS-99-178 Title

Physician Performance: Report Cards Under Development but Challenges Remain

United States General Accounting Office GAO September 1999 Report to Congressional Requesters PHYSICIAN PERFORMANCE Report Cards Under Development but Challenges Remain GAO/HEHS-99-178 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-281938 September 30, 1999 The Honorable James M. Jeffords Chairman Committee on Health, Education, ...
Date Sept. 22, 1999 Report No. T-HEHS/AIMD-99-294 Title

Medicare Reform: Ensuring Fiscal Sustainability While Modernizing the Program Will be Challenging

United States General Accounting Office GAO For Release on Delivery Expected at 2:00 p.m. Wednesday, September 22, 1999 Testimony Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE REFORM Ensuring Fiscal Sustainability While Modernizing the Program Will Be Challenging Statement of David M. Walker Comptroller General of the United States GAO/T-HEHS/AIM...
Date Sept. 15, 1999 Report No. T-HEHS-99-192 Title

Medicare Post-Acute Care: Better Information Needed Before Modifying BBA Reforms

United States General Accounting Office GAO For Release on Delivery Expected at 10:00 a.m. Wednesday, September 15, 1999 Testimony Before the Subcommittee on Health and Environment, Committee on Commerce, House of Representatives MEDICARE POST-ACUTE CARE Better Information Needed Before Modifying BBA Reforms Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health...
Date Sept. 9, 1999 Report No. T-HEHS/OSI-99-174 Title

Medicare: HCFA Oversight Allows Contractor Improprieties to Continue Undetected

United States General Accounting Office GAO For Release on Delivery Expected at 10:00 a.m. Thursday, September 9, 1999 Testimony Before the Subcommittee on Oversight and Investigations, Committee on Commerce, House of Representatives MEDICARE HCFA Oversight Allows Contractor Improprieties to Continue Undetected Statement of Leslie G. Aronovitz, Associate Director, Health Financing and Public Healt...
Date July 14, 1999 Report No. HEHS-99-115 Title

Medicare Contractors: Despite Its Efforts, HCFA Cannot Ensure Their Effectiveness or Integrity

United States General Accounting Office GAO July 1999 Report to the Chairman, Permanent Subcommittee on Investigations, Committee on Governmental Affairs, U.S. Senate MEDICARE CONTRACTORS Despite Its Efforts, HCFA Cannot Ensure Their Effectiveness or Integrity GAO/HEHS-99-115 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-280248 ...
Date July 14, 1999 Report No. T-HEHS/OSI-99-167 Title

Medicare: HCFA Should Exercise Greater Oversight of Claims Administration Contractors

United States General Accounting Office GAO For Release on Delivery Expected at 10:00 a.m. Wednesday, July 14, 1999 Testimony Before the Subcommittee on Oversight and Investigations, Committee on Commerce, House of Representatives MEDICARE HCFA Should Exercise Greater Oversight of Claims Administration Contractors Statement of Leslie G. Aronovitz, Associate Director, Health Financing and Public He...
Date June 18, 1999 Report No. HEHS-99-144 Title

Medicare+Choice: Reforms Have Reduced, but Likely Not Eliminated, Excess Plan Payments

United States General Accounting Office GAO June 1999 Report to Congressional Requesters MEDICARE+CHOICE Reforms Have Reduced, but Likely Not Eliminated, Excess Plan Payments GAO/HEHS-99-144 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-282937 June 18, 1999 The Honorable Daniel Patrick Moynihan Ranking Minority Member Committee ...
Date June 10, 1999 Report No. T-HEHS-99-139 Title

Balanced Budget Act: Any Proposed Fee-for-Service Payment Modifications Need Thorough Evaluation

United States General Accounting Office GAO For Release on Delivery Expected at 10:00 a.m. Thursday, June 10, 1999 Testimony Before the Committee on Finance, U.S. Senate BALANCED BUDGET ACT Any Proposed Fee-for-Service Payment Modifications Need Thorough Evaluation Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health, Education, and Human Services Division GAO...
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 May 26, 1999 Report No. T-HEHS-99-130 Title

Medicare: Options for Reform

United States General Accounting Office GAO For Release on Delivery Expected at 10:00 a.m. Wednesday, May 26, 1999 Testimony Before the Committee on Finance, U.S. Senate MEDICARE Options for Reform Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health, Education, and Human Services Division GAO/T-HEHS-99-130 Medicare: Options for Reform Mr. Chairman and Members...
Date April 27, 1999 Report No. HEHS-99-91 Title

Medicare Managed Care Plans: Many Factors Contribute to Recent Withdrawals; Plan Interest Continues

United States General Accounting Office GAO April 1999 Report to Congressional Requesters MEDICARE MANAGED CARE PLANS Many Factors Contribute to Recent Withdrawals; Plan Interest Continues GAO/HEHS-99-91 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-282017 April 27, 1999 Congressional Requesters In 1998, nearly 7 million Medicar...
Date March 17, 1999 Report No. T-HEHS-99-87 Title

Medicare: Progress to Date in Implementing Certain Major Balanced Budget Act Reforms

United States General Accounting Office GAO For Release on Delivery Expected at 10:00 a.m. Wednesday, March 17, 1999 Testimony Before the Committee on Finance, U.S. Senate MEDICARE Progress to Date in Implementing Certain Major Balanced Budget Act Reforms Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health, Education, and Human Services Division GAO/T-HEHS-99...