Comprehensive Health Planning

Comprehensive Health Planning

Date: January 1968
Creator: Hopkins, Robert M.
Description: The purpose of this study is to conduct an examination of the concept of comprehensive health planning the type of which is mandatory if society is ever to realize comprehensive health services for the multitude of people in that society.
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Medicare: HCFA Could Do More to Identify and Collect Overpayments

Medicare: HCFA Could Do More to Identify and Collect Overpayments

Date: September 7, 2000
Creator: United States. General Accounting Office.
Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on efforts to recover Medicare's overpayments, focusing on: (1) how the Health Care Financing Administration (HCFA) and its contractors identify potential overpayments, and whether techniques used by recovery auditors would improve overpayment identification; (2) how well HCFA and its contractors collect overpayments once they are identified, and whether the services of recovery auditors would improve HCFA collection efforts; and (3) what challenges HCFA would face if it were required to hire recovery auditors to augment its overpayment identification and collection activities."
Contributing Partner: UNT Libraries Government Documents Department
Medicaid and SCHIP: Recent HHS Approvals of Demonstration Waiver Projects Raise Concerns

Medicaid and SCHIP: Recent HHS Approvals of Demonstration Waiver Projects Raise Concerns

Date: July 12, 2002
Creator: United States. General Accounting Office.
Description: A letter report issued by the General Accounting Office with an abstract that begins "States provide health care coverage to about 40 million uninsured, low-income adults and children under two federal-state programs--Medicaid and the State Children's Health Insurance Program (SCHIP). To receive federal funding, states must meet statutory requirements, including providing certain levels of benefits to specified populations. Under section 1115 of the Social Security Act, the Secretary of Health and Human Services (HHS) can waive many of the statutory requirements in the case of experimental, pilot, or demonstration projects likely to promote program objectives. Since August 2001, HHS has approved four of 13 waiver proposals from states to either expand health insurance to uninsured populations or extend pharmacy coverage to low-income seniors, consistent with the new goals. Of the nine proposals still under review, five seek to expand coverage to uninsured populations, while four would provide pharmacy benefits for low-income seniors. GAO has both legal and policy concerns about the extent to which the approved waivers are consistent with the goals and fiscal integrity of Medicaid and SCHIP. The legal concern is that HHS has allowed Arizona to use unspent SCHIP funding to cover adults without children, despite SCHIP's ...
Contributing Partner: UNT Libraries Government Documents Department
Graduate Medical Education: Trends in Training and Student Debt

Graduate Medical Education: Trends in Training and Student Debt

Date: May 4, 2009
Creator: United States. Government Accountability Office.
Description: Correspondence issued by the Government Accountability Office with an abstract that begins "The federal government invests significantly in medical education through various programs to help ensure that the anticipated supply of new physicians meets the nation's health care needs. Medicare, the federal health care program for elderly and certain disabled people, subsidizes training for medical school graduates in hospitals and other teaching institutions by helping to support the increased costs associated with postgraduate medical training. These subsidy payments provided hospitals and other teaching institutions with an additional $8.76 billion for postgraduate medical training in fiscal year 2008. In addition, Medicaid, a joint federal and state program that finances health care for certain low-income individuals, provides funding for graduate medical education. In order to pay for medical school tuition and related fees, students often rely on loans to finance their education. The Department of Education (Education) administers loan programs that are available to medical school students. These loans may be made by private lenders and guaranteed by the federal government or made directly by the federal government through a student's school. The Health Resources and Services Administration (HRSA) administers various scholarships, loans, and loan repayment programs for disadvantaged students and those ...
Contributing Partner: UNT Libraries Government Documents Department
Medicare Advantage Organizations: Actual Expenses and Profits Compared to Projections for 2005

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

Date: June 24, 2008
Creator: United States. Government Accountability Office.
Description: Correspondence issued by the Government Accountability Office with an abstract that begins "Medicare Advantage (MA) organizations offer an alternative to the original Medicare fee-for-service (FFS) program. Payments to MA organizations are, in part, based on the revenue and expenditure projections MA organizations submit to the Centers for Medicare & Medicaid Services (CMS)--the agency that administers Medicare--prior to the start of each contract year. Once Medicare payments are determined, they are not modified based on differences between actual and projected expenses. In February 2008, we reported that, on average, MA organizations projected they would spend approximately 87 percent of their 2007 revenue on medical expenses, 9 percent on non-medical expenses, and that the remaining 4 percent would go to profits. The accuracy of MA organizations' projections is important because, in addition to determining Medicare payments, these projections also affect the extent to which MA beneficiaries receive additional benefits not provided under FFS and the amounts beneficiaries pay in cost sharing and premiums. This report responds to a Congressional request for additional information on the accuracy of MA organizations' projections. Specifically, this report focuses on how organizations' 2005 actual medical expenses, non-medical expenses, and profits compare to projections for the same year. ...
Contributing Partner: UNT Libraries Government Documents Department
Food and Drug Administration: Effect of User Fees on Drug Approval Times, Withdrawals, and Other Agency Activities

Food and Drug Administration: Effect of User Fees on Drug Approval Times, Withdrawals, and Other Agency Activities

Date: September 17, 2002
Creator: United States. General Accounting Office.
Description: A letter report issued by the General Accounting Office with an abstract that begins "Ten years ago, Congress passed the Prescription Drug User Fee Act to speed up the review process used to ensure that new drugs and biological products are safe and effective. GAO found that the act has provided the Food and Drug Administration (FDA) with the funding needed to hire more drug reviewers, which has led to faster availability of new drugs to the United States. Approval times have shortened both for priority drugs--those that FDA expects to offer significant therapeutic benefits beyond drugs already on the market--and standard drugs, which are not thought to have significant therapeutic benefits beyond available drugs. Although the act has increased the funds available for FDA's drug and biological reviews, funds for other activities, such as the regulation of foods and medical devices, have shrunk as a share of FDA's overall budget. The 1997 amendments to the act, which shortened review schedules and set new performance goals to reduce overall drug development time, have increased reviewer workload at FDA. GAO found that some drug reviewers may have forgone training and professional development opportunities to ensure that the new goals were met. ...
Contributing Partner: UNT Libraries Government Documents Department
VA Health Care: Preliminary Findings on VA's Provision of Health Care Services to Women Veterans

VA Health Care: Preliminary Findings on VA's Provision of Health Care Services to Women Veterans

Date: July 14, 2009
Creator: United States. Government Accountability Office.
Description: Testimony issued by the Government Accountability Office with an abstract that begins "Historically, the vast majority of VA patients have been men, but that is changing. VA provided health care to over 281,000 women veterans in 2008--an increase of about 12 percent since 2006--and the number of women veterans in the United States is projected to increase by 17 percent between 2008 and 2033. Women veterans seeking care at VA medical facilities need access to a full range of health care services, including basic gender-specific services--such as cervical cancer screening--and specialized gender-specific services--such as treatment of reproductive cancers. This testimony, based on ongoing work, discusses GAO's preliminary findings on (1) the on-site availability of health care services for women veterans at VA facilities, (2) the extent to which VA facilities are following VA policies that apply to the delivery of health care services for women veterans, and (3) key challenges that VA facilities are experiencing in providing health care services for women veterans. GAO reviewed applicable VA policies, interviewed officials, and visited 19 medical facilities--9 VA medical centers (VAMC) and 10 community-based outpatient clinics (CBOC)--and 8 Vet Centers. These facilities were chosen based in part on the number of women ...
Contributing Partner: UNT Libraries Government Documents Department
Physician Performance: Report Cards Under Development but Challenges Remain

Physician Performance: Report Cards Under Development but Challenges Remain

Date: September 30, 1999
Creator: United States. General Accounting Office.
Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed efforts to provide the public with information on physician performance, focusing on: (1) the issues involved in measuring and reporting on physician and physician group performance; (2) efforts to develop physician report cards; and (3) initiatives under way that may address impediments to measuring physician and physician group performance."
Contributing Partner: UNT Libraries Government Documents Department
Defense Health Care: Oversight of the TRICARE Civilian Provider Network Should Be Improved

Defense Health Care: Oversight of the TRICARE Civilian Provider Network Should Be Improved

Date: July 31, 2003
Creator: United States. General Accounting Office.
Description: A letter report issued by the General Accounting Office with an abstract that begins "Testifying before Congress in 2002, military beneficiary groups described problems accessing care from TRICARE's civilian medical providers. Providers also testified on their dissatisfaction with the TRICARE program, specifying low reimbursement rates and administrative burdens. The Bob Stump National Defense Authorization Act of 2003 required GAO to review the oversight of the TRICARE network of civilian providers. Specifically, GAO describes how the Department of Defense (DOD) oversees the adequacy of the civilian provider network, evaluates DOD's oversight of the civilian provider network, and describes the factors that have been reported to contribute to network inadequacy. GAO analyzed TRICARE Prime--the managed care component of TRICARE. To describe and evaluate DOD's oversight, GAO reviewed and analyzed information from reports on network adequacy and interviewed DOD and contractor officials in 5 of 11 TRICARE regions."
Contributing Partner: UNT Libraries Government Documents Department
Medicare Contracting Reform: CMS's Plan Has Gaps and Its Anticipated Savings Are Uncertain

Medicare Contracting Reform: CMS's Plan Has Gaps and Its Anticipated Savings Are Uncertain

Date: August 17, 2005
Creator: United States. Government Accountability Office.
Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) significantly reformed contracting for the administration of claims for Part A, Medicare's hospital insurance, and Part B, which covers outpatient services such as physicians' care. The MMA required the Centers for Medicare & Medicaid Services (CMS)--the agency within the Department of Health and Human Services (HHS) that administers Medicare--to conduct full and open competition for all of its claims administration contracts and to transfer the work to Medicare administrative contractors (MAC) by October 2011. The MMA required the Secretary of HHS to submit a report to the Congress and GAO on the plan for implementing Medicare contracting reform and for GAO to evaluate the plan. To address this mandate, GAO reviewed the extent to which (1) the plan provides an appropriate framework for implementing Medicare contracting reform and (2) the plan's cost and savings estimates are sound enough to support decisions on implementation."
Contributing Partner: UNT Libraries Government Documents Department
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