Download or read book Centers for Medicare and Medicaid Services written by Kay L. Daly and published by DIANE Publishing. This book was released on 2010-10 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a result of internal control deficiencies discussed in a 2007 report on certain contracts at the Centers for Medicare and Medicaid Services (CMS), the auditor was asked to identify the extent to which CMS: (1) implemented effective control procedures over contract actions; and (2) established a strong control environment for contract management. The auditor used a statistical random sample of 2008 CMS contract actions to assess CMS internal control procedures. The results were projected to the population of 2008 CMS contract actions. The auditor reviewed contract file documentation and interviewed senior acquisition management officials. Includes recommendations. Charts and tables.
Download or read book Improving the Medicare Market written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Medicare Contracting Reform written by United States. Government Accountability Office and published by DIANE Publishing. This book was released on 2005 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Uncertainties Surround Proposal to Expand Prepaid Health Plan Contracting written by United States. General Accounting Office and published by . This book was released on 1987 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book North Carolina s Medicaid Insurance Agreement Contracting Procedures Need Improvement Dept of Health Education and Welfare written by United States. General Accounting Office and published by . This book was released on 1976 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Contracting Reform written by Leslie G. Aronovitz and published by DIANE Publishing. This book was released on 2005-11 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book More Can be Done to Achieve Greater Efficiency in Contracting for Medicare Claims Processing written by United States. General Accounting Office and published by . This book was released on 1979 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Centers for Medicare and Medicaid Services written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-08 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a result of internal control deficiencies discussed in GAO's 2007 report on certain contracts at the Centers for Medicare and Medicaid Services (CMS), GAO was asked to identify the extent to which CMS (1) implemented effective control procedures over contract actions, and (2) established a strong control environment for contract management. GAO used a statistical random sample of 2008 CMS contract actions (including contract awards and modifications) to assess CMS internal control procedures. The results were projected to the population of 2008 CMS contract actions. GAO also determined the extent to which CMS implemented recommendations GAO made in 2007 to improve internal control over contracting and payments to contractors. GAO reviewed contract file documentation and interviewed senior acquisition management officials. GAO makes 10 recommendations for developing policies to improve oversight and strengthen CMS's control environment. It also reaffirms 7 prior recommendations that CMS has not fully implemented. CMS concurred with
Download or read book Oversight of Contract Management at the Centers for Medicare and Medicaid Services written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Ad Hoc Subcommittee on Contracting Oversight and published by . This book was released on 2010-01-01 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Centers for Medicare and Medicaid Services written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-24 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Centers for Medicare and Medicaid Services: Internal Control Deficiencies Resulted in Millions of Dollars of Questionable Contract Payments
Download or read book Contracting Activities of HMO s State Medicaid Agencies written by and published by . This book was released on 1986 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Centers for Medicare and Medicaid Services written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-10 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: CENTERS FOR MEDICARE AND MEDICAID SERVICES: Analysis of Contracting Data
Download or read book Medicare Contracting Reform written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-08 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 significantly reformed contracting for payment of Medicare's $310 billion per year in fee-for-service claims. The Centers for Medicare and Medicaid Services (CMS) is transitioning claims administration to 19 new entities known as Medicare Administrative Contractors (MAC) and plans to complete the process ahead of Oct. 1, 2011, the date required by law. This report examined: (1) how CMS has implemented Medicare contracting reform; (2) how CMS assessed the performance of the MACs and what the results of its assessments have been; and (3) what CMS's costs and savings have been for Medicare contracting reform. Charts and tables.
Download or read book Selective Contracting for Medicaid written by and published by . This book was released on 1986 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Centers for Medicare and Medicaid Services written by United States. Government Accountability Office and published by . This book was released on 2009 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a result of internal control deficiencies discussed in GAO's 2007 report on certain contracts at the Centers for Medicare and Medicaid Services (CMS), GAO was asked to identify the extent to which CMS (1) implemented effective control procedures over contract actions, and (2) established a strong control environment for contract management. GAO used a statistical random sample of 2008 CMS contract actions (including contract awards and modifications) to assess CMS internal control procedures. The results were projected to the population of 2008 CMS contract actions. GAO also determined the extent to which CMS implemented recommendations GAO made in 2007 to improve internal control over contracting and payments to contractors. GAO reviewed contract file documentation and interviewed senior acquisition management officials. GAO makes 10 recommendations for developing policies to improve oversight and strengthen CMS's control environment. It also reaffirms 7 prior recommendations that CMS has not fully implemented. CMS concurred with the new recommendations, but generally disagreed with GAO's assessment of progress on the prior recommendations. GAO's analysis confirmed the need for additional efforts on these recommendations.
Download or read book Oversight of Contract Management at the Centers for Medicare and Medicaid Services written by United States Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-10-11 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Oversight of contract management at the Centers for Medicare and Medicaid Services : hearing before the Ad Hoc Subcommittee on Contracting Oversight of the Committee on Homeland Security and Governmental Affairs, United States Senate, One Hundred Eleventh Congress, second session, April 28, 2010.
Download or read book Oversight of Contract Management at the Centers for Medicare and Medicaid Services written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-12-30 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Oversight of contract management at the Centers for Medicare and Medicaid Services : hearing before the Ad Hoc Subcommittee on Contracting Oversight of the Committee on Homeland Security and Governmental Affairs, United States Senate, One Hundred Eleventh Congress, second session, April 28, 2010.
