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Medicare Part B Imaging Services: Rapid Spending Growth and Shift to Physician Offices Indicate Need for CMS to Consider Additional Management Practices

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Centers for Medicare & Medicaid Services (CMS)--an agency within the Department of Health and Human Services (HHS)--and the Congress, through the Deficit Reduction Act of 2005 (DRA), recently acted to constrain spending on imaging services, one of the fastest growing set of services under Medicare Part B, which covers physician and other outpatient services. GAO was asked to provide information to h… more
Date: June 13, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare Physician Payment: Care Coordination Programs Used in Demonstration Show Promise, but Wider Use of Payment Approach May Be Limited

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Congress mandated in 2000 that the Centers for Medicare & Medicaid Services (CMS) conduct the Physician Group Practice (PGP) Demonstration to test a hybrid payment methodology for physician groups that combines Medicare fee-for-service payments with new incentive payments. The 10 participants, with 200 or more physicians each, may earn annual bonus incentive payments by achieving cost savings and meetin… more
Date: February 15, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare Advantage: Characteristics, Financial Risks, and Disenrollment Rates of Beneficiaries in Private Fee-for-Service Plans

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Medicare Advantage (MA) plans are an alternative to the original Medicare fee-for-service (FFS) program. Private fee-for-service (PFFS) plans--one type of MA plan--give beneficiaries an option that is more like Medicare FFS than other MA plans, with a wider choice of providers and less plan management of services and providers. PFFS enrollment increased from about 35,000 beneficiaries in June 2004 to ab… more
Date: December 15, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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State and Local Fiscal Challenges: Rising Health Care Costs Drive Long-term and Immediate Pressures

Description: A statement of record issued by the Government Accountability Office with an abstract that begins "GAO was asked to provide its views on projected trends in health care costs and their effect on the long-term outlook for state and local governments in the context of the current economic environment. This statement addresses three key points: (1) the state and local government sector's long-term fiscal challenges; (2) rapidly rising health care costs which drive the sector's long-term fiscal dif… more
Date: November 19, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare Part D: Plan Sponsors' Processing and CMS Monitoring of Drug Coverage Requests Could Be Improved

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Under the Medicare Part D program, prescription drug coverage is provided through plans sponsored by private companies. Beneficiaries, their appointed representatives, or physicians can ask sponsors to cover prescriptions restricted under their plan--a process known as a coverage determination--and can appeal denials to the sponsor and the independent review entity (IRE). GAO was asked to review (1) the… more
Date: January 22, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Global HIV/AIDS: A More Country-Based Approach Could Improve Allocation of PEPFAR Funding

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The President's Emergency Plan for AIDS Relief (PEPFAR) provides assistance for combating HIV/AIDS in 15 focus countries and elsewhere, with global targets for prevention, treatment, and care. The U.S. Leadership Against HIV/AIDS, TB and Malaria Act of 2003, which authorizes the $15 billion program, contains directives to guide the Office of the U.S. Global AIDS Coordinator's (OGAC) allocation of this f… more
Date: April 2, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare Part D Prescription Drug Coverage: Federal Oversight of Reported Price Concessions Data

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "To help Medicare beneficiaries manage the rising cost of prescription drugs, Congress passed the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), which established the outpatient prescription drug benefit known as Medicare Part D. The benefit was first available in January 2006, and that year it provided federally subsidized prescription drug coverage for nearly 28 million be… more
Date: September 30, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare: Covert Testing Exposes Weaknesses in the Durable Medical Equipment Supplier Screening Process

Description: A letter report issued by the Government Accountability Office with an abstract that begins "According to the Department of Health and Human Services (HHS), schemes to defraud the Medicare program have grown more elaborate in recent years. In particular, HHS has acknowledged Centers for Medicare & Medicaid Service's (CMS) oversight of suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) is inadequate to prevent fraud and abuse. Specifically, weaknesses in the DM… more
Date: July 3, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Health-care-associated infections (HAI) are infections that patients acquire while receiving treatment for other conditions. Normally treated with antimicrobial drugs, HAIs are a growing concern as exposure to multidrug-resistant organisms (MDRO) becomes more common. Infections caused by MDROs, such as methicillin-resistant Staphylococcus aureus (MRSA), lead to longer hospital stays, higher treatment co… more
Date: September 5, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Influenza Pandemic: Federal Agencies Should Continue to Assist States to Address Gaps in Pandemic Planning

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Implementation Plan for the National Strategy for Pandemic Influenza states that in an influenza pandemic, the primary response will come from states and localities. To assist them with pandemic planning and exercising, Congress has provided $600 million to states and certain localities. The Department of Homeland Security (DHS) established five federal influenza pandemic regions to work with states… more
Date: June 19, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Federal Compensation Programs: Perspectives on Four Programs for Individuals Injured by Exposure to Harmful Substances

Description: Testimony issued by the Government Accountability Office with an abstract that begins "The U.S. federal government has played an ever-increasing role in providing benefits to individuals injured as a result of exposure to harmful substances. Over the years, it has established several key compensation programs, including the Black Lung Program, the Vaccine Injury Compensation Program (VICP), the Radiation Exposure Compensation Program (RECP), and the Energy Employees Occupational Illness Compens… more
Date: April 1, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare: Callers Can Access 1-800-MEDICARE Services, but Responsibility within CMS for Limited English Proficiency Plan Unclear

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Centers for Medicare & Medicaid Services (CMS) is responsible for providing beneficiaries timely and accurate information about Medicare. Receiving nearly 30 million calls in 2007, 1-800-MEDICARE, operated by a contractor, is the most common way members of the public get program information. The help line provides services both to English-speaking and limited English proficiency (LEP) callers. In th… more
Date: December 29, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Health-Care-Associated Infections in Hospitals: Number Associated with Medical Devices Unknown, but Experts Report Provider Practices as a Significant Factor

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "Health-care-associated infections (HAI) in hospitals can be expensive to treat and, according to the Department of Health and Human Services' (HHS) Centers for Disease Control and Prevention (CDC), HAIs are estimated to be one of the top 10 causes of death in the United States. HAIs can be caused by bacteria or viruses, which may be introduced to a patient through the use of a device used to treat them, … more
Date: September 26, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Health Resources and Services Administration: Many Underserved Areas Lack a Health Center Site, and the Health Center Program Needs More Oversight

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Health centers funded through grants under the Health Center Program--managed by the Health Resources and Services Administration (HRSA), an agency in the U.S. Department of Health and Human Services (HHS)--provide comprehensive primary care services for the medically underserved. HRSA provides funding for training and technical assistance (TA) cooperative agreement recipients to assist grant applicants… more
Date: August 8, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Prescription Drugs: FDA's Oversight of the Promotion of Drugs for Off-Label Uses

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Food and Drug Administration (FDA), an agency within the Department of Health and Human Services (HHS), regulates the promotion of prescription drugs to ensure that promotional materials are not false and misleading and that they comply with applicable laws and regulations. Among other things, FDA prohibits drug companies from promoting drugs for off-label uses--that is, for a condition or patient p… more
Date: July 28, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare: Thousands of Medicare Providers Abuse the Federal Tax System

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Under the Medicare program, the Centers for Medicare & Medicaid Services (CMS) and its contractors paid over $400 billion in Medicare benefits in calendar year 2006. GAO was asked to determine if Medicare providers have unpaid federal taxes and, if so, to (1) determine the magnitude of such debts, (2) identify examples of Medicare providers that have engaged in abusive or potentially criminal activities… more
Date: June 13, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections

Description: Testimony issued by the Government Accountability Office with an abstract that begins "According to the Centers for Disease Control and Prevention (CDC), health-care-associated infections (HAI)--infections that patients acquire while receiving treatment for other conditions--are estimated to be 1 of the top 10 causes of death in the nation. This statement summarizes a report issued in March and released today, Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Priorit… more
Date: April 16, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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VA Health Care: Recruitment and Retention Challenges and Efforts to Make Salaries Competitive for Nurse Anesthetists

Description: Testimony issued by the Government Accountability Office with an abstract that begins "Certified registered nurse anesthetists (CRNA), registered nurses who have completed a master's degree program in nurse anesthesia, provide the majority of anesthesia care in the Department of Veterans Affairs (VA) medical facilities. There are approximately 500 VA-employed CRNAs (VA CRNA) who provide care to veterans in VA medical facilities. While the demand for CRNAs has increased, many employed by VA are … more
Date: April 9, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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VA and DOD Health Care: Progress Made on Implementation of 2003 President's Task Force Recommendations on Collaboration and Coordination, but More Remains to Be Done

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "Improving collaboration and health resource sharing between the Department of Veterans Affairs (VA) and the Department of Defense (DOD) has been the focus of numerous efforts by Congress and the executive branch for more than two decades. In 1982, Congress passed the Veterans' Administration and Department of Defense Health Resources Sharing and Emergency Operations Act (Sharing Act), which authorized VA… more
Date: April 30, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare Part D Low-Income Subsidy: Assets and Income Are Both Important in Subsidy Denials, and Access to State and Manufacturer Drug Programs Is Uneven

Description: A letter report issued by the Government Accountability Office with an abstract that begins "To help defray the cost of prescription drugs for beneficiaries with limited means, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) included the low-income subsidy (LIS) in the Part D prescription drug insurance program. To qualify for the LIS, beneficiaries must be enrolled in a Part D plan and their assets and income must be less than the thresholds established by the … more
Date: September 5, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Public Health and Border Security: HHS and DHS Should Further Strengthen Their Ability to Respond to TB Incidents

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In spring 2007, the Department of Health and Human Services (HHS), the Department of Homeland Security (DHS), and state and local health officials worked together to interdict two individuals with drug-resistant infectious tuberculosis (TB) from crossing U.S. borders and direct them to treatment. Concerns arose that HHS's and DHS's responses to the incidents were delayed and ineffective. GAO was asked t… more
Date: October 14, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicaid: CMS Needs More Information on the Billions of Dollars Spent on Supplemental Payments

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The financing of the $299 billion Medicaid program is shared between the federal government and states. States pay qualified providers for covered Medicaid services and receive federal matching funds from the Department of Health & Human Services' (HHS) Centers for Medicare & Medicaid Services (CMS) for expenditures authorized in their state Medicaid plans. In addition to these standard Medicaid payment… more
Date: May 30, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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FDA Advisory Committees: Process for Recruiting Members and Evaluating Potential Conflicts of Interest

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Health and Human Services' (HHS) Food and Drug Administration (FDA) has been criticized about how it recruits individuals to become members of its advisory committees and how it grants some determinations that allow members with conflicts of interest to participate in committee meetings. Advisory committee meetings can include both standing and temporary members. Temporary members only… more
Date: September 30, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Defense Health Care: Oversight of Military Services' Post-Deployment Health Reassessment Completion Rates Is Limited

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "Military servicemembers engaged in combat tours in Afghanistan and Iraq are at risk of developing combat-related mental health conditions, including post-traumatic stress disorder (PTSD). In many cases, signs of potential mental health conditions do not surface until months after servicemembers return from deployment. In 2004, Army researchers published a series of articles that indicated a significant i… more
Date: September 4, 2008
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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