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Government Accountability Office
Latest Headlines
Latest Headlines
GAO: CMS verification of providers in incentive program lacking
The Centers for Medicare & Medicaid Services has implemented some procedures to verify whether providers have met the eligibility and reporting requirements of the electronic health record
GAO: Legal burdens dissuade health systems from P4P
The Stark law and anti-kickback statutes are so challenging that some health systems have ended financial incentive programs or have refrained from starting new ones, according to an Government
GAO: 112M people could have pre-existing conditions
Insurance companies soon could have anywhere between 36 million and 112 million new members with pre-existing conditions--or between 20 and 66 percent of the adult population-- that they must insure,
UnitedHealth's $20B Tricare contract challenged
TriWest has appealed the defense department's decision to give UnitedHealth the $20 billion Tricare contract it has held for the last 16 years, calling the contract evaluation process "flawed and
Technology could better prepare health professionals for disasters
Social media and other electronic tools could be of vital use to health professionals during catastrophic disasters such as widespread disease outbreaks, hurricanes and earthquakes, particularly
Lack of price transparency for medical devices hurts hospitals
A new Government Accountability Office report concluded that a lack of price transparency makes it difficult for hospitals to obtain the best prices on medical devices. The report, which examined
Most insurers already comply with MLR
Most insurers last year would have complied with the medical-loss ratio (MLR) requirements, according to a new report from the Government Accountability Office (GAO), which found that 77 percent of
$1M worth of equipment, patient info missing from VA hospital
The lack of recording inventory may be to blame for missing medical equipment worth more than a $1 million that contained patient information at a Florida VA hospital. Among the list of expensive
CMS streamlines fraud prevention with quicker verification
The Centers for Medicare & Medicaid Services (CMS) will streamline its vendor verification systems later this year and in early 2012, according to a senior CMS official. Dr. Peter Budetti, CMS's
MLR causing premium drops, broker fee cuts
Despite decreasing premiums and cutting brokers' fees in an attempt to meet the new medical-loss ratio (MLR) requirements, most insurers still had MLRs that exceeded the law's limits, a new report
