TITLE

Medicare: HCFA Faces Challenges to Control Improper Payments: T-HEHS-00-74

AUTHOR(S)
Aronovitz, Leslie G.
PUB. DATE
March 2000
SOURCE
GAO Reports;3/9/2000, p1
SOURCE TYPE
Government Documents
DOC. TYPE
Article
ABSTRACT
Both the traditional Medicare program and Medicare+Choice contain major information gaps that impede the ability of the Health Care Financing Administration (HCFA) to minimize program losses attributable to improper payments to claims administration contractors. HCFA does not have a clear picture of how the contractors perform with respect to fee-for-service payments, which totaled $171 billion in fiscal year 1999, or the newly designed payment systems. HCFA similarly lacks data to monitor the appropriateness of payments made to Medicare+Choice health plans and the services the enrollees receive. HCFA's systems for collecting and analyzing data on beneficiaries' use of services are seriously outmoded.
ACCESSION #
18208077

 

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