| Date |
Report No. |
Title |
| Date Aug. 15, 2003 |
Report No. GAO-03-878 |
Title
United States General Accounting Office GAO
August 2003 Report to Congressional Committees MEDICARE HOME HEALTH PAYMENT Nonroutine Medical Supply Data Needed to Assess Payment Adjustments GAO-03-878 a August 2003 MEDICARE HOME HEALTH PAYMENT Nonroutine Medical Supply Data Needed to Assess Payment Adjustments Highlights of GAO-03-878, a report to congressional committees Under Medicare’s prospect... |
| Date Dec. 31, 2002 |
Report No. GAO-03-183 |
Title
United States General Accounting Office GAO
December 2002 Report to Congressional Committees SKILLED NURSING FACILITIES Medicare Payments Exceed Costs for Most but Not All Facilities GAO-03-183 Contents Letter
Results in Brief Background Medicare Payments Considerably Higher than Costs for Most Freestanding SNFs, Thereby Improving Their Overall Financial Performance Reported Medicare Costs of Hosp... |
| Date Sept. 30, 2002 |
Report No. GAO-02-963 |
Title
United States General Accounting Office GAO
September 2002 Report to Congressional Committees MEDICARE HOSPITAL PAYMENTS Refinements Needed to Better Account for Geographic Differences in Wages GAO-02-963 Contents Letter
Results in Brief Background Medicare Labor Cost Adjustment Does Not Adequately Account for Wage Differences within Certain Areas Through Reclassification, Some Hospitals Receive a... |
| Date July 23, 2002 |
Report No. GAO-02-968T |
Title
United States General Accounting Office GAO Testimony
Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives For Release on Delivery Expected at 2:00 p.m. Tuesday, July 23, 2002 MEDICARE HOSPITAL AND PHYSICIAN PAYMENTS Geographic Cost Adjustments Important to Preserve Beneficiary Access to Services
Statement of William J. Scanlon Director, Health Care Issues GAO-0... |
| Date May 6, 2002 |
Report No. GAO-02-663 |
Title
United States General Accounting Office GAO
May 2002 Report to Congressional Committees MEDICARE HOME HEALTH CARE Payments to Home Health Agencies Are Considerably Higher than Costs GAO-02-663 Contents Letter
Results in Brief Background Home Health PPS Episode Payments Are Considerably Higher than Estimated Costs of Care Provided Conclusions Matters for Congressional Consideration Agency Comments ... |
| Date July 10, 2001 |
Report No. GAO-01-944 |
Title
United States General Accounting Office GAO
July 2001 Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives NURSING WORKFORCE Emerging Nurse Shortages Due to Multiple Factors GAO-01-944 Contents Letter
Results in Brief Background Evidence Suggests Emerging Shortages of Nurses Multiple Obstacles to Increasing Supply of Nurses Demand for Nurses Will Co... |
| Date June 19, 2001 |
Report No. GAO-01-878T |
Title
United States General Accounting Office GAO Testimony
Before the Committee on Finance, U.S. Senate For Release on Delivery Expected at 10:00 a.m. Tuesday, June 19, 2001 MEDICARE MANAGEMENT Current and Future Challenges
Statement of William J. Scanlon Director, Health Care Issues GAO-01-878T Mr. Chairman and Members of the Committee: We are pleased to be here as you discuss the ability of the Healt... |
| Date March 30, 2001 |
Report No. GAO-01-506 |
Title
United States General Accounting Office GAO
March 2001 Report to Congressional Committees MEDICARE FRAUD AND ABUSE DOJ Has Improved Oversight of False Claims Act Guidance GAO-01-506 Contents Letter Appendix I GAO Reports Concerning the Use of the False Claims Act in Civil Health Care Fraud 1 15 Abbreviations AHA DOJ HCFA HHS-OIG PPS American Hospital Association Department of Justice Health Care F... |
| Date Jan. 30, 2001 |
Report No. GAO-01-205 |
Title
United States General Accounting Office GAO
January 2001 Report to Congressional Committees MEDICARE HOME HEALTH CARE OASIS Data Use, Cost, and Privacy Implications GAO-01-205 Contents Letter Appendix I Methodology for Survey of Home Health Agencies 1 22 Appendix II Development and Testing of the OASIS Data Set 27 Appendix III OASIS Data Privacy Protections 30 Appendix IV Comments From HCFA 34 Tab... |
| Date Sept. 15, 2000 |
Report No. HEHS-00-174R |
Title
GAO
Accountabilty
* Integrity * Reliability United States General Accounting Office Washington, DC 20548 Health, Education, and Human Services Division B-285973 September 15, 2000 The Honorable William B. Thomas Chairman, Subcommittee on Health Committee on Ways and Means House of Representatives Subject: Medicare Hospital Payment: PPS Includes Several Policies Intended to Help Rural Hospitals Dea... |
| Date Sept. 15, 2000 |
Report No. AIMD/OSI-00-281 |
Title
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 Sept. 13, 2000 |
Report No. T-HEHS-00-196 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 10:30 a.m. Thursday, September 13, 2000 Testimony
Before the Special Committee on Aging, U.S. Senate LONG-TERM CARE INSURANCE Better Information Critical to Prospective Purchasers
Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health, Education, and Human Services Division GAO/T-HEH... |
| Date Sept. 8, 2000 |
Report No. HEHS-00-176 |
Title
United States General Accounting Office GAO
September 2000 Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE HOME HEALTH CARE Prospective Payment System Could Reverse Recent Declines in Spending GAO/HEHS-00-176 Contents Letter Appendixes
Appendix I: Scope and Methodology 3 32 34 Appendix II: Medicare Home Health Users, by State of Reside... |
| Date Sept. 1, 2000 |
Report No. HEHS-00-177R |
Title
United States General Accounting Office Washington, DC 20548 Health, Education, and Human Services Division B-283429 September 1, 2000 The Honorable Pete Stark Ranking Minority Member Subcommittee on Health Committee on Ways and Means House of Representatives Subject: Medicare and Managed Care Plans: Payments and Costs for Selected Hospitals Dear Mr. Stark: Hospitals have reported financial diffic... |
| Date July 19, 2000 |
Report No. T-HEHS-00-160 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 10:00 a.m. Wednesday, July 19, 2000 Testimony
Before the Subcommittee on Health and Environment, Committee on Commerce, House of Representatives MEDICARE Refinements Should Continue to Improve Appropriateness of Provider Payments
Statement of William J. Scanlon, Director Health Financing and Public Health Issues Health... |
| Date July 12, 2000 |
Report No. T-AIMD/OSI-00-251 |
Title
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 April 28, 2000 |
Report No. HEHS/AIMD-00-132 |
Title
United States General Accounting Office GAO
April 2000 Report to Congressional Requesters MEDICARE HOME HEALTH AGENCIES Overpayments Are Hard to Identify and Even Harder to Collect GAO/HEHS/AIMD-00-132 Contents Letter Appendixes Related GAO Products Table Figure
Table 1: Overpayment Amounts for 15 Closed HHAs in Texas With the Largest HFCA-Reported Overpayments Figure 1: The Number of Medicare-Cer... |
| Date April 7, 2000 |
Report No. HEHS-00-9 |
Title
United States General Accounting Office GAO
April 2000 Report to Congressional Committees MEDICARE HOME HEALTH CARE Prospective Payment System Will Need Refinement as Data Become Available GAO/HEHS-00-9 Contents Letter Appendixes
Appendix I: Scope and Methodology Appendix II: HCFA Projects to Develop a Prospective Payment System for Home Health Agencies Appendix III: Comments From the Health Care ... |
| Date Feb. 24, 2000 |
Report No. T-HEHS/AIMD-00-103 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 10:00 a.m. Thursday, February 24, 2000 Testimony
Before the Committee on Finance, U.S. Senate MEDICARE REFORM Leading Proposals Lay Groundwork, While Design Decisions Lie Ahead
Statement of David M. Walker Comptroller General of the United States GAO/T-HEHS/AIMD-00-103 Medicare Reform: Leading Proposals Lay Groundwork,... |
| Date Feb. 8, 2000 |
Report No. T-HEHS/AIMD-00-77 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 9:30 a.m. Tuesday, February 8, 2000 Testimony
Before the Special Committee on Aging, U.S. Senate MEDICARE Program Reform and Modernization Are Needed But Entail Considerable Challenges
Statement of David M. Walker Comptroller General of the United States GAO/T-HEHS/AIMD-00-77 MEDICARE: Program Reform and Modernization ... |
| Date Dec. 14, 1999 |
Report No. HEHS-00-23 |
Title
United States General Accounting Office GAO
December 1999 Report to the Chairman and Ranking Minority Member, Committee on Finance, U.S. Senate and the Chairman, Special Committee on Aging, U.S. Senate SKILLED NURSING FACILITIES Medicare Payment Changes Require Provider Adjustments But Maintain Access GAO/HEHS-00-23 GAO United States General Accounting Office Washington, D.C. 20548 Health, Educati... |
| Date Oct. 1, 1999 |
Report No. T-HEHS-00-14 |
Title
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-99-185 |
Title
United States General Accounting Office GAO
September 1999 Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives SKILLED NURSING FACILITIES Medicare Payments Need to Better Account for Nontherapy Ancillary Cost Variation GAO/HEHS-99-185 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B... |
| Date Sept. 15, 1999 |
Report No. T-HEHS-99-192 |
Title
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 Aug. 6, 1999 |
Report No. HEHS-99-170 |
Title
United States General Accounting Office GAO
August 1999 Report to Congressional Requesters MEDICARE FRAUD AND ABUSE DOJ’s Implementation of False Claims Act Guidance in National Initiatives Varies GAO/HEHS-99-170 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-282251 August 6, 1999 The Honorable Ted Stevens Chairman The Honorabl... |
| Date June 10, 1999 |
Report No. T-HEHS-99-139 |
Title
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 March 17, 1999 |
Report No. T-HEHS-99-87 |
Title
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... |
| Date Jan. 29, 1999 |
Report No. HEHS-99-23 |
Title
United States General Accounting Office GAO
January 1999 Report to the Chairman and Ranking Minority Member, Committee on Finance, U.S. Senate MEDICARE HOME HEALTH AGENCIES Role of Surety Bonds in Increasing Scrutiny and Reducing Overpayments GAO/HEHS-99-23 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-280717 January 29, 1999 Th... |
| Date Sept. 9, 1998 |
Report No. HEHS-98-238 |
Title
United States General Accounting Office GAO
September 1998 Report to Congressional Requesters MEDICARE HOME HEALTH BENEFIT Impact of Interim Payment System and Agency Closures on Access to Services GAO/HEHS-98-238 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-280966 September 9, 1998 The Honorable William V. Roth, Jr. Chairman T... |
| Date Aug. 6, 1998 |
Report No. T-HEHS-98-234 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 10:00 a.m. Thursday, August 6, 1998 Testimony
Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE Interim Payment System for Home Health Agencies
Statement of William J. Scanlon, Director Health Financing and Systems Issues Health, Education, and Human Services Division GAO... |
| Date July 16, 1998 |
Report No. T-HEHS-98-214 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 11:00 a.m. Thursday July 16, 1998 Testimony
Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives BALANCED BUDGET ACT Implementation of Key Medicare Mandates Must Evolve to Fulfill Congressional Objectives
Statement of William J. Scanlon, Director Health Financing and Systems Issues H... |
| Date Feb. 23, 1998 |
Report No. HEHS-98-60 |
Title
United States General Accounting Office GAO
February 1998 Report to Congressional Committees RURAL PRIMARY CARE HOSPITALS Experience Offers Suggestions for Medicare’s Expanded Program GAO/HEHS-98-60 GAO United States General Accounting Office Washington, D.C. 20548 Health, Education, and Human Services Division B-278799 February 23, 1998 The Honorable William V. Roth, Jr. Chairman The Honorable ... |
| Date Oct. 29, 1997 |
Report No. T-HEHS-98-41 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 10:30 a.m. Wednesday, October 29, 1997 Testimony
Before the Subcommittee on Oversight and Investigations, Committee on Commerce, House of Representatives MEDICARE HOME HEALTH Success of Balanced Budget Act Cost Controls Depends on Effective and Timely Implementation
Statement of William J. Scanlon, Director Health Fina... |
| Date June 2, 1997 |
Report No. HEHS-97-139R |
Title
GAO United States General Accounting Office Washington, D.C. 20648 Health, Education and Human Services Division B-277090 June 2, 1997 The Honorable Fortney H. (Pete) Stark House of Representatives Subject: Medicare: Home Health Agencies With High Visit Rates Skew Averages Dear Mr. Stark: Medicare’s expenditures for home health care have been rising rapidly, increasing an average of 33 percent p... |
| Date May 28, 1997 |
Report No. HEHS-97-144R |
Title
United States General Accounting Office Washington, D.C. 20648 Health, Education and Human Services Division B-277123 May 28, 1997 The Honorable WiIliam M. Thomas Chairman, Subcommittee on Health Committee on Ways and Means House of Representatives Subject: Comments on H.R. 4229-A Proposal for a Home Health Prosnective Pavment &stem Dear Mr. Chairman: You asked us to comment on H.R. 4229, introduc... |
| Date April 9, 1997 |
Report No. T-HEHS-97-106 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 10:00 a.m. Wednesday, April 9, 1997 Testimony
Before the Committee on Finance, U.S. Senate MEDICARE POST-ACUTE CARE Cost Growth and Proposals to Manage It Through Prospective Payment and Other Controls
Statement of William J. Scanlon, Director Health Financing and Systems Issues Health, Education, and Human Services Di... |
| Date March 5, 1997 |
Report No. T-HEHS-97-92 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 10:00 a.m., Wednesday, March 5, 1997 Testimony
Before the Subcommittee on Health and Environment, Committee on Commerce, House of Representatives MEDICARE Home Health Cost Growth and Administration’s Proposal for Prospective Payment
Statement of William J. Scanlon, Director Health Financing and Systems Issues Health,... |
| Date March 4, 1997 |
Report No. T-HEHS-97-90 |
Title
United States General Accounting Office GAO
For Release on Delivery Expected at 1:00 p.m., Tuesday, March 4, 1997 Testimony
Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives MEDICARE POST-ACUTE CARE Home Health and Skilled Nursing Facility Cost Growth and Proposals for Prospective Payment
Statement of William J. Scanlon, Director Health Financing and Systems ... |
| Date Oct. 2, 1995 |
Report No. HEHS-96-12R |
Title
7 I A0 United States General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-259614 October 2, 1995 Max Baucus Senate Baucus: The Honorable United States Dear Senator One of the issues before the Congress as it considers modifications to the Medicare program is controlling costs while maintaining access to basic hospital and physician One model intended to ... |
| Date June 28, 1995 |
Report No. T-HEHS-95-193 |
Title
United States General Accounting Office Testimony
Before the Subcommittee on Health and Environment, Committee on Commerce, House of Representatives For Releaseon Delivery Expectedat 1O:OO am. Wednesday, June28,1995 MEDICARE Rapid Spending Growth Calls fur More Prudent Purchasing
Statement of Jonathan Ratner, Associate Director Health Financing Issues Health, Education, and Human Services Division... |
| Date May 25, 1995 |
Report No. HEHS-95-158R |
Title
GAO United States General Accounting Office Washington, D.C. 20548 Health, Education and Human !Servicea Division 3-234279 May 25, 1995 The Honorable John R. Kasich Chairman, Committee on the Budget House of Representatives Dear Mr. Chairman: inpatient As you know, the Medicare program covers hospital for eligible beneficiaries. as well as outpatient services inpatient services constitute the sing... |
| Date Dec. 9, 1994 |
Report No. AIMD-95-21 |
Title
United States General Accounting Office GAO
December 1994 Report to the Ranking Minority Member Committee on Ways and Means House of Representatives HOSPITAL COSTS Cost Control Efforts at 17 Texas Hospitals GAO/AIMD-95-21 GAO United States General Accounting Office Washington, D.C. 20548 Accounting and Information Management Division B-259150 December 9, 1994 The Honorable Bill Archer Ranking Mino... |
| Date Oct. 7, 1994 |
Report No. AIMD-95-3 |
Title
United States General Accounting Office GAO
October 1994 Report to Congressional Requesters BUDGET PROCESS Issues Concerning the 1990 Reconciliation Act GAO/AIMD-95-3 GAO United States General Accounting Office Washington, D.C. 20548 Accounting and Information Management Division B-256700 October 7, 1994 The Honorable Robert H. Michel Republican Leader House of Representatives The Honorable Newt G... |
| Date Sept. 2, 1994 |
Report No. HEHS-94-119 |
Title
United States General Accounting Office Report to Congressional Committees September 1994 MEDICARE Chmges to HMO Rate Setting Method Are Needed to Reduce Program Costs GAO/HEHS-94-119 1 Notice: This is a reprint of a GAO report. Health, Education, and Human ServIcea Division B-251657 September 2,1994 The Honorable Samuel Gibbons Acting Chairman The Honorable William Archer Ranking Minority Member ... |
| Date Sept. 9, 1992 |
Report No. HRD-92-120 |
Title
United States General Accounting OfTice GAO
September 1992 Report to Congressional Requesters HOSPITAL COSTS Adoption of Technologies Drives Cost Growth GAO/.HRD-92-120 GAO United States General Accounting Office Washington, D.C. 20548 Human Resources Division B-249499 September 9, 1992 The Honorable Bill Archer Ranking Minority Member Committee on Ways and Means House of Representatives The Honor... |
| Date June 13, 1991 |
Report No. T-HRD-91-34 |
Title
United States General Accounting Ofthe /vq/ Cl 7 ’ GAO Testimony llllllllllll llll
144107 For Release on Delivery Expected at 10:00 a.m. Thursday June 13, 1991 Further Medicare: to Reduce Program Changes Needed Costs '\r, , bu ,~ Statement of Charles A. Bowsher Comptroller General of the United States Before the Subcommittee on Health Committee on Ways and Means House of Representatives GAO/T-HR... |
| Date May 15, 1991 |
Report No. HRD-91-67 |
Title
. ‘. GAO United States DC. 20548 Division General Accounting Office
Washington, Human Resources B-243404 May 15, 1991 The Honorable Fortney H. (Pete) Stark Chairman, Subcommittee on Health Committee on Ways and Means House of Representatives Dear Mr. Chairman: Paying for about 25 percent of all hospital and physician services, Medicare is the fourth largest category of federal expenditures after... |
| Date Feb. 15, 1991 |
Report No. HRD-91-41 |
Title
.I...I._ .-.. .- _.._ . -_I -~ ___.-....-___-______ ~_ _, ._.... ..___._-.___._.-..-l-..llll_. _------- - 1~‘ f4w11;11’l!)!) 1 4’ RURAL HOSPITALS Federal Efforts Should Target Areas Where Closures Would Threaten Access to Care HlllllI II
143344 _..__-- ^.. .._ ..-.__ .__ . l.l._._. _.-.. .._._,...__,.^ ,.... .-.._.____..._._..., -..I”.._ .“_“..l ---~ “I..._“.__ (;A() ttl(:I)-!~l-~l... |
| Date Jan. 31, 1991 |
Report No. PEMD-91-7 |
Title
- ,---. -__---...-------._ .-- - __._._____... St.wt,t:s (h*nt~ritl -.- 1 ;rlil.tvi --..--__ Atxtount,ing Offiw GAO ltqx~?, t,o the Chairman, Sul>ctomrnittee on I Iealt~l~,Cornrnittee on Ways and Mans, House of’Ihqmsentatives HEALTH SERVICES Available Research Shows That Capacity Is Only Weakly Related to Volume I I#
143281 RESTRICTED --Not to be released outside the General Accounting Office un... |
| Date July 6, 1990 |
Report No. HRD-90-108 |
Title
MEDICARE Comparative Analyses of Payments for Selected Hospital Services 141741 _--“l -.... --.--_ -“-~ - _._. -._-__~--_-_--_-.-..------_-_II-____ _ GAO, IIItI)-!~o-loN L V GAO United States General Accounting Office Washington, D.C. 20548 Human Resources U-239657 Division July 6, 1990 The Honorable Fortney H. (Pete) Stark Chairman, Subcommittee on Health Committee on Ways and Means House of ... |
