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Book Performance of CHAMPUS Fiscal Intermediaries Needs Improvements

Download or read book Performance of CHAMPUS Fiscal Intermediaries Needs Improvements written by United States. General Accounting Office and published by . This book was released on 1981 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Performance of CHAMPUS Fiscal Intermediaries Needs Improvements

Download or read book Performance of CHAMPUS Fiscal Intermediaries Needs Improvements written by United States. General Accounting Office and published by . This book was released on 1981 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Several years ago the Department of Defense (DOD) converted its contracts with fiscal intermediaries (FI) under the Civilian Health and Medical Program of the Uniform Services (CHAMPUS) from a cost-reimbursable to a fixed-price basis, in which a set fee is paid for each claim processed. While administrative savings have been achieved under these competitively bid, fixed-price contracts, performance has been less than satisfactory. GAO reviewed the performance under competitively bid, fixed-price contracts of five intermediaries that process over 80 percent of CHAMPUS claims. The review showed that FI were not fulfilling many of their contractual responsibilities. In addition, the Office of the Civilian Health and Medical Program (OCHAMPUS), which administers the program, did not have adequate means to measure performance and enforce requirements. Improvements were needed in: (1) the accuracy of administering benefits in order to comply more fully with CHAMPUS regulations, instructions, and policies; (2) the systems established for controlling and containing costs; (3) the services to beneficiaries and providers in processing claims, correspondence, and appeals; and (4) the management of funds covering benefit and administrative costs.

Book Health Care

    Book Details:
  • Author : U S Government Accountability Office (G
  • Publisher : BiblioGov
  • Release : 2013-06
  • ISBN : 9781289066819
  • Pages : 186 pages

Download or read book Health Care written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Several years ago the Department of Defense (DOD) converted its contracts with fiscal intermediaries (FI) under the Civilian Health and Medical Program of the Uniform Services (CHAMPUS) from a cost-reimbursable to a fixed-price basis, in which a set fee is paid for each claim processed. While administrative savings have been achieved under these competitively bid, fixed-price contracts, performance has been less than satisfactory. GAO reviewed the performance under competitively bid, fixed-price contracts of five intermediaries that process over 80 percent of CHAMPUS claims. The review showed that FI were not fulfilling many of their contractual responsibilities. In addition, the Office of the Civilian Health and Medical Program (OCHAMPUS), which administers the program, did not have adequate means to measure performance and enforce requirements. Improvements were needed in: (1) the accuracy of administering benefits in order to comply more fully with CHAMPUS regulations, instructions, and policies; (2) the systems established for controlling and containing costs; (3) the services to beneficiaries and providers in processing claims, correspondence, and appeals; and (4) the management of funds covering benefit and administrative costs.

Book Federal Evaluations

Download or read book Federal Evaluations written by and published by . This book was released on 1982 with total page 972 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contains an inventory of evaluation reports produced by and for selected Federal agencies, including GAO evaluation reports that relate to the programs of those agencies.

Book Federal Program Evaluations

Download or read book Federal Program Evaluations written by and published by . This book was released on 1982 with total page 972 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contains an inventory of evaluation reports produced by and for selected Federal agencies, including GAO evaluation reports that relate to the programs of those agencies.

Book Federal Health Benefits Program

Download or read book Federal Health Benefits Program written by United States. General Accounting Office and published by . This book was released on 1992 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book A Bibliography of Documents Issued by the GAO on Matters Related to ADP

Download or read book A Bibliography of Documents Issued by the GAO on Matters Related to ADP written by United States. General Accounting Office and published by . This book was released on 1982 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book GAO Documents

    Book Details:
  • Author : United States. General Accounting Office
  • Publisher :
  • Release : 1984
  • ISBN :
  • Pages : 694 pages

Download or read book GAO Documents written by United States. General Accounting Office and published by . This book was released on 1984 with total page 694 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catalog of reports, decisions and opinions, testimonies and speeches.

Book Compendium of GAO s Views on the Cost Saving Proposals of the Grace Commission  Individual issue analyses

Download or read book Compendium of GAO s Views on the Cost Saving Proposals of the Grace Commission Individual issue analyses written by United States. General Accounting Office and published by . This book was released on 1985 with total page 1320 pages. Available in PDF, EPUB and Kindle. Book excerpt: In response to a congressional request, GAO examined issues studied and recommendations made by the President's Private Sector Survey on Cost Control, better known as the Grace Commission, to determine whether: (1) the issues and recommendations made on program management and cost control had merit; (2) legislation would be necessary to implement the recommendations; (3) implementation efforts were completely underway; and (4) the savings estimates were realistic. GAO found that many of the issues studied and recommendations made by the Commission had overall merit and that, while many have already been implemented by legislative or administrative action, many more require additional legislative action to be fully implemented. However, GAO questioned the accuracy of many of the associated savings estimates, found flaws in the methodology used to develop some of the estimates, and found that the description of the methodology used in some estimates was insufficient to allow an assessment of its validity. In most of the instances where GAO questioned the methodology used, it believed that the savings were overstated. GAO supported management improvement issues more frequently than policy-oriented issues; however, policy-oriented issues constitute a large portion of the total estimated savings. GAO does not support restructuring federal subsidy programs and fixing federal health care costs to a percentage of the gross national product, and it disagreed with selected aspects of recommendations to reduce civilian and military retirement benefits. GAO support was most extensive in the areas aimed at strengthening federal management systems, federal automatic data processing operations, federal credit and cash management efforts, and civilian procurement and property management activities. GAO has made similar or related recommendations in nearly half of the areas in which it agreed with the Commission. Additional legislative action would be necessary to fully implement approximately half of the recommendations analyzed.

Book Federal Programs Affecting Children

Download or read book Federal Programs Affecting Children written by and published by . This book was released on 1984 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: A U.S. congressional report provides information about and summaries of federal programs that serve children in the areas of income maintenance, nutrition, social services, education and training, health, housing, and taxation. Each summary includes the program's legislative authority; local, state, and federal agencies that administer the program; a brief program description; data on child participation; and 1981-83 fiscal year funding levels. A tabulation of related GAO report data is appended. (wz).

Book Implementation of Joint Military Medical Command

Download or read book Implementation of Joint Military Medical Command written by United States. Congress. House. Committee on Armed Services. Military Personnel and Compensation Subcommittee and published by . This book was released on 1988 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Annual Report of the General Accounting Office

Download or read book Annual Report of the General Accounting Office written by United States. General Accounting Office and published by . This book was released on 1980 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book General Services Administration Annual Report

Download or read book General Services Administration Annual Report written by United States. General Services Administration and published by . This book was released on 1981 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Constraining National Health Care Expenditures

Download or read book Constraining National Health Care Expenditures written by and published by . This book was released on 1985 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: