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Medicare Advantage: CMS Assists Beneficiaries Affected by Inappropriate Marketing but Has Limited Data on Scope of Issue

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Members of Congress and state agencies have raised questions about complaints that some Medicare Advantage (MA) organizations and their agents inappropriately marketed their health plans to Medicare beneficiaries. Inappropriate marketing may include activities such as providing inaccurate information about covered benefits and conducting prohibited marketing practices. The Centers for Medicare & Medicai… more
Date: December 17, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Federal Employees Health Benefits Program: Premium Growth Has Recently Slowed, and Varies among Participating Plans

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Average health insurance premiums for plans participating in the Federal Employees Health Benefits Program (FEHBP) have risen each year since 1997. These growing premiums result in higher costs to the federal government and plan enrollees. The Office of Personnel Management (OPM) oversees FEHBP, negotiating benefits and premiums and administering reserve accounts that may be used to cover plans' unantic… more
Date: December 22, 2006
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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Medicare Physician Fee Schedule: CMS Needs a Plan for Updating Practice Expense Component

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Medicare's payments for the costs physicians incur in operating their practices are based on two sets of estimates: total practice expenses and resource estimates for individual services. Total practice expense estimates were derived from American Medical Association (AMA) physician surveys, which the Centers for Medicare & Medicaid Services (CMS) refines with supplemental data submitted by medical spec… more
Date: December 13, 2004
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare: Post-Hearing Questions Related to Financial and Information Technology Management

Description: Correspondence issued by the General Accounting Office with an abstract that begins "This correspondence answers congressional questions about financial and information technology management of the Medicare Program. Among the topics discussed are claims processing, management of statistical data, and computer viruses. For example, in reference to claims processing, GAO found that, as of December 2000, Medicare carriers and fiscal intermediaries use six standard claims processing systems to proc… more
Date: December 21, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Clinical Data Registries: HHS Could Improve Medicare Quality and Efficiency through Key Requirements and Oversight

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Clinical data registries (CDR) have demonstrated a particular strength in assessing physician performance through their capacity to track and interpret trends in health care quality over time. Studies examining results reported by several long-established CDRs demonstrate the utility of CDR data sets for analyzing trends in both outcomes and treatments. CDR efforts to improve outcomes typically involve … more
Date: December 16, 2013
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Electronic Health Records: Number and Characteristics of Providers Awarded Medicaid Incentive Payments for 2011

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "In summary, 1,964 hospitals and 45,962 professionals were awarded a total of approximately $2.7 billion in Medicaid EHR incentive payments for 2011. These 1,964 hospitals, which represented 39 percent of the 5,013 eligible hospitals, were awarded a total of $1.7 billion in Medicaid EHR incentive payments for 2011. While the amount of Medicaid EHR incentive payments awarded to each hospital ranged from $7… more
Date: December 13, 2012
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Defense Health Care: Access to Care for Beneficiaries Who Have Not Enrolled in TRICARE's Managed Care Option

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) provides health care through its TRICARE program. Under TRICARE, beneficiaries may obtain care through a managed care option that requires enrollment and the use of civilian provider networks, which are developed and managed by contractors. Beneficiaries who do not enroll may receive care through TRICARE Standard, a fee-for-service option, using nonnetwork civilian provid… more
Date: December 22, 2006
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Hospital Accreditation: Joint Commission on Accreditation of Healthcare Organizations' Relationship with Its Affiliate

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Hospitals must meet certain conditions of participation established by the Centers for Medicare & Medicaid Services (CMS) in order to receive Medicare payments. In 2003, most hospitals--over 80 percent--demonstrated compliance with most of these conditions through accreditation from the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission). Established in 1986, Joint Commissio… more
Date: December 15, 2006
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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VA Health Care: Laundry Service Operations and Costs

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Department of Veteran Affairs' (VA) laundry support services, focusing on: (1) the type and volume of laundry service VA provides; (2) how VA provides laundry services; (3) the cost VA incurs; and (4) the revenue VA generates from selling laundry services."
Date: December 21, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Medicare Advantage: 2011 Profits Similar to Projections for Most Plans, but Higher for Plans with Specific Eligibility Requirements

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Medicare Advantage (MA) organizations' actual medical expenses, nonmedical expenses (such as marketing, sales, and administration) and profits as a percentage of total revenue were, on average, similar to projected values for plans available to all beneficiaries in 2011, the most recent year for which data were available at the time of the request for this work. MA organizations' actual medical expenses… more
Date: December 19, 2013
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
open access

DOD Animal Research: Improvements Needed in Quality of Biomedical Research Database

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO examined several issues related to the Department of Defense's (DOD) administration of its animal research programs, focusing on: (1) the extent to which DOD's research using animals addresses validated military objectives, does not unnecessarily duplicate work done elsewhere, and incorporates methods to reduce, replace, and refine the use of animals; and (2) problems w… more
Date: December 14, 1998
Creator: United States. General Accounting 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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Medicaid: CMS Should Ensure That States Clearly Report Overpayments

Description: A letter report issued by the Government Accountability Office with an abstract that begins "States recovered $9.8 million in Medicaid overpayments, but they did not clearly report the overpayments and the return of the federal share to the Centers for Medicare & Medicaid Services (CMS) within the Department of Health and Human Services (HHS). Federal audits initially identified about $20.4 million in potential Medicaid overpayments across the 19 states with identified overpayments from June 20… more
Date: December 6, 2013
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Federal Employees' Health Plans: Premium Growth and OPM's Role in Negotiating Benefits

Description: A letter report issued by the General Accounting Office with an abstract that begins "Federal employees' health insurance premiums have increased at double-digit rates for 3 consecutive years. GAO was asked to examine how the Federal Employees Health Benefits Program's (FEHBP) premium trends compared to those of other large purchasers of employer-sponsored health insurance, factors contributing to FEHBP's premium growth, and steps the Office of Personnel Management (OPM) takes to help contain p… more
Date: December 31, 2002
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Skilled Nursing Facilities: Medicare Payments Exceed Costs for Most but Not All Facilities

Description: A letter report issued by the General Accounting Office with an abstract that begins "This report addresses (1) the relationship between Medicare skilled nursing facility (SNF) payments and the costs of treating Medicare patients in freestanding SNFs, as well as the effect of Medicare SNF payments on the financial condition of these facilities, and (2) the relationship between Medicare SNF payments and the costs of treating patients in hospital-based SNFs, as well as the factors that may accoun… more
Date: December 31, 2002
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Plum Island Animal Disease Center: DHS Has Made Significant Progress Implementing Security Recommendations, but Several Recommendations Remain Open

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "For many years, the Department of Agriculture (USDA) owned and operated the Plum Island Animal Disease Center, located on an island in the Long Island Sound off the coast of New York. Scientists at Plum Island, often with the assistance of scientists from other countries, diagnose the pathogens that cause foreign animal diseases and then conduct research to, among other things, develop vaccines to protec… more
Date: December 17, 2007
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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