Patients First

Patients First

Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health

Publisher:

Published: 2001

Total Pages: 96

ISBN-13:

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Compendium of GAO's Views on the Cost Saving Proposals of the Grace Commission: Individual issue analyses

Compendium of GAO's Views on the Cost Saving Proposals of the Grace Commission: Individual issue analyses

Author: United States. General Accounting Office

Publisher:

Published: 1985

Total Pages: 1320

ISBN-13:

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In response to a congressional request, GAO examined issues studied and recommendations made by the President's Private Sector Survey on Cost Control, better known as the Grace Commission, to determine whether: (1) the issues and recommendations made on program management and cost control had merit; (2) legislation would be necessary to implement the recommendations; (3) implementation efforts were completely underway; and (4) the savings estimates were realistic. GAO found that many of the issues studied and recommendations made by the Commission had overall merit and that, while many have already been implemented by legislative or administrative action, many more require additional legislative action to be fully implemented. However, GAO questioned the accuracy of many of the associated savings estimates, found flaws in the methodology used to develop some of the estimates, and found that the description of the methodology used in some estimates was insufficient to allow an assessment of its validity. In most of the instances where GAO questioned the methodology used, it believed that the savings were overstated. GAO supported management improvement issues more frequently than policy-oriented issues; however, policy-oriented issues constitute a large portion of the total estimated savings. GAO does not support restructuring federal subsidy programs and fixing federal health care costs to a percentage of the gross national product, and it disagreed with selected aspects of recommendations to reduce civilian and military retirement benefits. GAO support was most extensive in the areas aimed at strengthening federal management systems, federal automatic data processing operations, federal credit and cash management efforts, and civilian procurement and property management activities. GAO has made similar or related recommendations in nearly half of the areas in which it agreed with the Commission. Additional legislative action would be necessary to fully implement approximately half of the recommendations analyzed.


Improving the Medicare Market

Improving the Medicare Market

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1996-11-01

Total Pages: 384

ISBN-13: 0309175364

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Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.