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1993 GAO Reports abuse accountability actions addition Administration Affecting Older Americans agencies allowed amount appropriate areas assistance authority beneficiaries benefits changes claims concerns Congress continuing contracts contributions costs Department of Veterans determine develop disability discusses drugs efforts elderly eligible emergency employees employment ensure estimated facilities federal Fiscal Year 1993 force fraud funding gao found gao's health care health insurance hospitals housing identified implementation improved income increase individuals Internal involved Issues Affecting Older July liability long-term Medicaid medical centers Medicare million needs nursing obtain Office organizations outpatient patients payments pbgc pension plans percent policies practices prescription problems procedures proposed rates receive recent Reduce reform Relating Reports on Issues result retirement Social Security Social Security Administration testimony treatment United Veterans Veterans Affairs
Page 33 - For example, some pharmacists routinely added medications to customers' orders, keeping the extras for themselves or to sell to others. Clinics inappropriately provided Medicaid recipients with completed prescription forms (scrips) that were then traded for merchandise from local pharmacies or sold on the street to the highest bidder. Some pills costing 50 cents at the pharmacy were resold for as much as $85. A common scheme is the so-called 'pill mill
Page 48 - Efforts to Obtain Outpatient Care From Alternative Sources (GAO/HRD-93-123, June 30, 1993).
Page 36 - Before the Subcommittee on Health and the Environment House Committee on Energy and Commerce May 31, 1989 Thank you, Mr.
Page 21 - OAA; that is, that in the provision of services, preference should be given to older individuals with the greatest economic and social needs, with particular attention given to low-income minority individuals.
Page 45 - Mar. 29, 1994). VA Health Care: Comparison of VA Benefits With Other Public and Private Programs (GAO/HRD-93-94, July 29, 1993).
Page 61 - Veterans' Health Care: Potential Effects of Health Care Reforms on VA'S Major Construction Program (Testimony, 5/6/93, GAO/T-HRD-93-19). Veterans' Affairs: Establishing Patient Smoking Areas at VA Facilities (Report, 5/3/93, GAO/HRD-93-104). Veterans' Health Care: Potential Effects of Health Financing Reforms on Demand for VA Services (Testimony, 3/31/93, GAO/r-HRD-93-12).
Page 53 - ... claims. If current trends continue, Medicare expenditures are expected to nearly double by 1998 to $239 billion. Concerned about curbing unnecessary Medicare expenditures, the Congress has asked us to examine numerous Medicare management problems. Two major problems emerge from our work in this area. First, the Health Care Financing Administration (HCFA), the agency that oversees Medicare, does not have an effective, national strategy to protect the program from making erroneous or wasteful payments....
Page 45 - VA Health Care: Closure and Replacement of the Medical Center in Martinez, California (Report, 12/1/92, GAO/HRD-93-i5). VA Health Care: Use of Private Providers Should Be Better Controlled (Report, 9/28/92, GAO/HRD-92-109). VA Health Care: Verifying Veterans' Reported Income Could Generate Millions in Copayment Revenues (Report, 9/15/92, GAO/HRD-92-159).
Page 58 - ... office. CONCLUSIONS AND ACTIONS NEEDED As long as pension plan underfunding persists, the pension insurance program and plan participants' benefits are at risk. We believe this is the time--while PBGC still has a positive cash flow--to develop solutions to better fund pension promises. We support more effective funding standards for defined benefit pension plans. Reducing underfunding would limit PBGC's future exposure and appropriately target the greatest threat confronting It — underfunded...