Author: United States. Congress. Senate. Committee on Finance. Subcommittee on HealthPublisher:
ISBN:
Category : Medicare
Languages : en
Pages : 128
Book Description
Competitive Contracting for the Administration of Medicare Claims
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on HealthPublisher:
ISBN:
Category : Medicare
Languages : en
Pages : 128
Book Description
Competitive Contracting for the Administration of Medicare Claims
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on HealthPublisher:
ISBN:
Category : Medicare
Languages : en
Pages : 128
Book Description
Competitive Contracting for the Administration of Medicare Claims
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on HealthPublisher:
ISBN:
Category : Medicare
Languages : en
Pages : 119
Book Description
Medicare
Author: U S Government Accountability Office (GPublisher: BiblioGov
ISBN: 9781289026561
Category :
Languages : en
Pages : 108
Book Description
GAO evaluated the Health Care Financing Administration's (HCFA) management of Medicare claims processing under noncompetitive cost reimbursement contracts and eight competitively bid fixed-price contracts to determine whether: (1) the advantages of fixed-price competition justify broader use of this method of contracting; and (2) the Department of Health and Human Services' (HHS) current authority is sufficient to achieve increased administrative efficiency without a change in contracting methods. HHS was given legislative authority to experiment with fixed-price or incentive arrangements with contractors as a way of potentially reducing costs and improving program administration. The Deficit Reduction Act (DEFRA) gave HHS additional authority to use competition on a limited basis to remove poorly performing contractors from the program. GAO found that: (1) the competitive contracts have not demonstrated any clear advantage over cost contracts; (2) HHS has been successful in controlling administrative costs using cost contracts; (3) regular competition would probably increase contractor turnover and the problems associated with changing contractors, such as disrupted services and slower payments; and (4) competitive contracting requires more HHS management resources. However, GAO believes that limited use of competitive contracting would be useful, since it stimulates some cost contractors to improve performance and reduce costs. In 1985, because of budgetary shortfalls, HHS abandoned the traditional budget negotiation process and reduced the funds given to each contractor to carry out its claims processing functions. The cuts: (1) were made without consideration of individual contractor circumstances, since even the most cost-efficient contractors were required to reduce costs; (2) left inadequate funds to implement additional legislative requirements or process claims; and (3) were inconsistent with the congressional intent that cost-cutting measures not adversely affect program payments and the quality of service.
Administration of Medicare
Author: Glenn R. MarkusPublisher:
ISBN:
Category : Competition
Languages : en
Pages : 45
Book Description
More Can be Done to Achieve Greater Efficiency in Contracting for Medicare Claims Processing
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Medical claims processing industry
Languages : en
Pages : 242
Book Description
Competitive Contracting for the Administration of Medicare Claims
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on HealthPublisher:
ISBN:
Category : Government publications
Languages : en
Pages : 132
Book Description
Medicare Contracting Reform
Author: Leslie G. AronovitzPublisher: DIANE Publishing
ISBN: 9781422302842
Category :
Languages : en
Pages : 74
Book Description
The Medicare Prescription Drug, Improvement, & Modernization Act of 2003 (MMA) significantly reformed contracting for the administration of claims for Part A, Medicare's hospital insurance, & Part B, which covers outpatient services such as physicians' care. The MMA required the Centers for Medicare & Medicaid Services to conduct open competition for its claims administration contracts & to transfer the work to Medicare administration contractors by Oct. 2011. This report reviewed the extent to which: (1) the plan provides an appropriate framework for implementing Medicare contracting reform; & (2) the plan's cost & savings estimates are sound enough to support decisions on implementation. Charts & tables.
Issues Related to Medicare Contracting
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on HealthPublisher:
ISBN:
Category : Medicare
Languages : en
Pages : 194
Book Description
Medicare Contracting Reform
Author: United States. Government Accountability OfficePublisher: DIANE Publishing
ISBN: 1428933603
Category : Health care reform
Languages : en
Pages : 69
Book Description