Key Government Reports. Volume 26: Health Care - June 2019
Erschienen am 2. Oktober 2019
202 Seiten
978-1-5361-6569-2 (ISBN)
Beschreibung
This book is a comprehensive compilation of all reports, testimony, correspondence and other publications issued by the GAO (Government Accountability Office) during the month of June, grouped according to the topic: Health Care.
Weitere Details
Weitere Ausgaben
Andere Ausgaben
Buch
10/2019
Nova Science Publishers Inc
210,36 €
Versand in 15-20 Tagen
Inhalt
- Intro
- Contents
- Preface
- Chapter 1
- Black Lung Benefits Program: Financing and Oversight
- Challenges Are Adversely
- Affecting the Trust Fund(
- Why GAO Did This Study
- What GAO Recommends
- What GAO Found
- Background
- Black Lung Benefits
- Benefit Adjudication Process
- Trust Fund Revenue and Expenditures
- Trust Fund Borrowing Will Likely Continue to Increase through 2050
- Preliminary Observations Raise Concerns About DOL's Oversight of Coal Mine Operator Insurance
- Chapter 2
- DOD Health Care: Improvements Needed for Tracking Coordination of Specialty Care Referrals for TRICARE Prime Beneficiaries(
- Abbreviations
- Why GAO Did This Study
- What GAO Recommends
- What GAO Found
- Background
- Referral Management Working Group
- Referral Management Guidance and Requirements
- Process for Specialty Care Referrals Made by Civilian Network Primary Care Managers
- Process for Specialty Care Referrals Made by MTF Primary Care Managers
- MTFs' Requirements for Closing Referrals
- DHA Has Limited Information about the Extent to Which the Referral Process Facilitates the Coordination of Care between the Direct and Purchased Care Systems for TRICARE Prime Beneficiaries
- Referral Data Was Incomplete and Unreliable for the MTFs Reviewed, and the Reports Examined Did Not Accurately Reflect the Referral Process
- CLRs
- Specialty Care Referral Results
- Closure of Specialty Care Referrals
- RMS Reports
- Inadequate Training on Processing Referrals in MHS Genesis Has Contributed to Data Reliability Concerns for Four Pilot MTFs
- Updates to the System Are Planned
- DHA's Monitoring of TRICARE Prime Specialty Care Referrals in the Direct Care System Is Expected to Evolve and in the Purchased Care System Is Focused on Contractors' Reports
- DHA's Monitoring of TRICARE Prime Specialty Care Referrals for the Direct Care System Is Limited, but Expected to Evolve as DHA Assumes Administrative Responsibilities for MTFs
- DHA Uses Required Monthly Reports from Its Contractors to Oversee Referrals in Its Purchased Care System
- Conclusion
- Recommendation for Executive Action
- Agency Comments
- Appendix I: Comments from the Department of Defense
- Chapter 3
- VA Health Care: Estimating Resources Needed to Provide Community Care(
- Abbreviations
- Why GAO Did This Study
- What GAO Found
- Background
- VA's Community Care Programs and Planned Consolidation
- Developing a Budget Estimate for VA Health Care
- VA Obligations for and Number of Veterans Authorized to Use Community Care Have Grown from Fiscal Year 2014 through Fiscal Year 2018
- VA's Obligations for Community Care Increased by Over 80 Percent from Fiscal Years 2014 through 2018, and VA Estimates Obligations Will Grow an Additional 20 Percent through 2021
- The Number of Veterans Authorized to Use Community Care Increased about 40 Percent from Fiscal Years 2014 through 2018
- VA Updated Its Projection Model to Develop Most of Its Community Care Budget Estimate
- Subsequent Changes Reflect More Current Information and Other Factors
- VA First Developed a Separate Budget Estimate for Community Care as Part of the President's Fiscal Year 2017 Budget Request for VA
- Beginning with the President's Fiscal Year 2018 Budget Request, VA Updated Its Projection Model to Develop over 75 Percent of Its Community Care Budget Estimate
- VA's Community Care Budget Estimates Projected by the Model for Fiscal Years 2018 and 2019 Were Subsequently Changed to Reflect More Current Information, among Other Factors
- VA's Actual Obligations for Community Care in Fiscal Years 2017 and 2018 Were Higher than Estimated and Included Additional Funding Received for the Choice Program
- VA's Actual Obligations for Community Care in Fiscal Years 2017 and 2018 Were $1.2 Billion and $2.2 Billion Higher than Estimated, Respectively
- VA's Higher-Than-Estimated Obligations for Community Care Included Additional Funding VA Received for the Choice Program Outside of the Annual Appropriations Process
- Agency Comments
- Appendix I: The Department of Veterans Affairs' Community Care Programs for Veterans and Other Eligible Beneficiaries
- Community Care Programs for Veterans that VA Plans to Consolidate
- Dialysis Contracts
- Individually Authorized Care
- Patient-Centered Community Care
- Veterans Choice Program
- Other Community Care Programs for Veterans
- Agreements with Federal Partners and Academic Affiliates
- Emergency Care
- Foreign Medical Program
- State Home Per Diem Program
- Community Care Programs for Other Beneficiaries
- Camp Lejeune Family Member Program
- Children of Women Vietnam Veterans Health Care Benefits Program
- Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)
- Spina Bifida Health Care Benefits Program
- Appendix II: Budget Formulation Process for the State Home Per Diem Program and Non-Veteran Community Care Programs
- State Home Per Diem Program
- CHAMPVA
- Appendix III: Health Care Services included in the Enrollee Health Care Projection Model for Fiscal Year 2019
- Appendix IV: Community Care Data Sources in the Department of Veterans Affairs' Enrollee Health Care Projection Model
- Chapter 4
- Veterans Health Administration: Regional Networks Need Improved Oversight and Clearly Defined Roles and Responsibilities(
- Abbreviations
- Why GAO Did This Study
- What GAO Recommends
- What GAO Found
- Recommendations for Executive Action
- Introduction
- Background
- Site Visits
- Conference Calls
- Performance Reviews
- Major Findings
- VHA's Oversight of VISNs Is Limited
- VHA's Oversight of VISNs Relies Primarily on Individual
- Director Assessments
- VHA Lacks a Comprehensive Policy That Defines VISN Roles and Responsibilities
- Program Office Policies
- VISN Director Job Descriptions
- Network Director Playbook
- VHA Has Standardized VISN Staffing Levels and Positions, but Does Not Ensure VISNs Adhere to Them
- Conclusion
- Agency Comments and Our Evaluation
- List of Congressional Addressees
- Appendix I: Veterans Health Administration (VHA) Standardized Veterans Integrated Service Network Organizational Chart, as of July 2016
- Appendix II: Comments from the Department of Veterans Affairs
- Chapter 5
- VA Real Property: Improvements in Facility Planning Needed to Ensure VA Meets Changes in Veterans' Needs and Expectations(
- Abbreviations
- Why GAO Did This Study
- What GAO Recommends
- What GAO Found
- Background
- VA's Organization
- VA's Projection Models and Health Care Planning
- Capital Planning at the VA Level
- Capital Planning at the VISN and VAMC level
- VA Assesses Trends in Veterans' Future Needs but Lacks a Process for Assessing Veterans' Changing Expectations
- VA Has Made Addressing Veterans' Changing Needs and Expectations in Facility Planning a Priority but Lacks Instructions for Its Implementation
- VA Established Meeting Veterans' Changing Needs and Expectations as a Strategic Goal but Did Not Provide VAMCs Instructions on How to Meet It
- VA Identified Foundational Health Services to Meet Some of Veterans' Expectations but Did Not Provide Clear Instruction on How to Implement the Effort
- VAMC Facility Planners Are Concerned about VA's Process for Identifying Future Needs for Space in Facilities and Thus May Instead Rely on Locally Defined Priorities
- VAMC Facility Planners Have Concerns about How SCIP's Estimated Space Needs Are Determined and Also Question the Estimates' Reliability and Usefulness
- VA Facility Planners May Rely on Local Priorities Rather Than Using SCIP's Estimated Space Needs
- Conclusion
- Recommendations for Executive Action
- Agency Comments and Our Evaluation
- Appendix I: Objectives, Scope, and Methodology
- Appendix II: Results of GAO's Survey of Department of Veterans Affairs' Medical Center (VAMC) Facility-Planning Officials
- Appendix III: Comments from the Department of Veterans Affairs
- Contents of Earlier Volumes
- Index
- Blank Page
