GAO: 5% of Medicaid-only Enrollees Account for Nearly Half of Costs

Slabodkin, Greg
May 2015
Healthdatamanagement.com;5/11/2015, p1
A small percentage of Medicaid-only enrollees--those who were not also eligible for Medicare--consistently accounted for a large percentage of total Medicaid expenditures, according to the Government Accountability Office.


Related Articles

  • Medicaid: States' Efforts to Maximize Federal Reimbursements Highlight Need for Improved Federal Oversight: GAO-05-836T. Allen, Kathryn G. // GAO Reports;6/28/2005, p1 

    Medicaid--the federal-state health care financing program covering almost 54 million low-income people at a cost of $276 billion in fiscal year 2003--is by its size and structure at significant risk of waste and exploitation. Because of challenges inherent in overseeing the program, which is...

  • Medicare Spending: Preliminary Findings Regarding an Approach Focusing on Physician Practice Patterns to Foster Program Efficiency: GAO-07-567T. Steinwald, A. Bruce // GAO Reports;3/6/2007, p1 

    Medicare's current system of spending targets used to moderate spending growth for physician services and annually update physician fees is problematic. This spending target system--called the sustainable growth rate (SGR) system--adjusts physician fees based on the extent to which actual...

  • GAO finds AMP reimbursement 36% below acquisition cost.  // Drug Topics;2/5/2007, Vol. 151 Issue 3, p8 

    The article reports on the findings of the U.S. Government Accountability Office (GAO) regarding pharmacy reimbursement for generics under Medicaid. According to GAO, pharmacy reimbursement for generics under the Medicaid program would be less than their acquisition costs by an average of 36...

  • Medicare Hospice Care: Modifications to Payment Methodology May Be Warranted: GAO-05-42. Dummit, Laura A. // GAO Reports;10/15/2004, p1 

    The Medicare hospice benefit provides care to patients with a terminal illness. For each patient, hospices are paid a per diem rate corresponding to one of four payment categories, which are based on service intensity and location of care. Since implementation in 1983, the payment methodology...

  • What's Covered…and What's Not.  // HR Magazine;Aug2008, Vol. 53 Issue 8, p80 

    A list of employees' health expenses covered for reimbursement is presented, including abortion, nursing services and surgery.

  • Reimbursement basics. Isenberg, Steven F. // ENT: Ear, Nose & Throat Journal;Apr2003, Vol. 82 Issue 4, p260 

    Answers quiries related to medical care costs. Rules on Medicare reimbursements; Definition of unbundling; Information on correct coding initiatives.

  • Nebulizer coding made easy.  // Medical Economics;11/7/2003, Vol. 80 Issue 21, p22 

    Presents guidelines on how to report nebulizer sessions effectively so that each procedures performed within the session could be properly billed. Suggestion to bill private payers for pulse oximetry; Delineation that spirometry and inhalation treatments are different procedures and should be...

  • Wellness program among steps supplier takes to cut costs. GREENE, JAY // Crain's Detroit Business;12/13/2010, Vol. 26 Issue 51, p25 

    The article offers information on two approaches including, increased employee deductibles and health reimbursement account program adopted by Dave Galli, general manager to decrease annual health care costs of Tape Master Tool Co. in Troy, Michigan.

  • Don't be afraid to re-negotiate insurance contracts. Baum, Neil H.; Dowling, Robert A. // Urology Times;Feb2008, Vol. 36 Issue 2, p24 

    The article offers practical tips on how to re-negotiate from a position of strength to be paid for actual charges of medical services or reimbursement.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics