124 photos
- tagged with centersformedicaremedicaidservices [×]
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Figure 2: Total Prescriptions, Including Compounded Drug Prescriptions, Paid for through TRICARE's Pharmacy Benefit by Pharmacy Setting, Fiscal Year 2013
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- License: United States Government Work
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- 2,113 views
- Date uploaded: 2014-10-08
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1564, tricare, awp, averagewholesaleprice, cms, centersformedicaremedicaidservices, dha, defensehealthagency, dod, departmentofdefense, dqsa, drugqualityandsecurityact, fda, foodanddrugadministration, fdca, federalfooddrugandcosmeticact, hcpcs, healthcarecommonprocedurecodingsystem, hhs, departmentofhealthandhumanservices, mtf, militarytreatmentfacility, ncpdp, nationalcouncilforprescriptiondrugprograms, ndc, nationaldrugcode, pbm, pharmacybenefitmanager, usp, uspharmacopeialconvention, va, departmentofveteransaffairs, vamc, vamedicalcenter
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Figure 1: A General Overview of How to Calculate Physician Performance on Measure of Blood Pressure Control
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- License: United States Government Work
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- 2,073 views
- Date uploaded: 2016-10-27
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao175, healthcarequality, cms, centersformedicaremedicaidservices, cqmc, corequalitymeasurescollaborative, ehr, electronichealthrecord, gpra, governmentperformanceandresultsactof1993, hhs, departmentofhealthandhumanservices, macra, medicareaccessandchipreauthorizationactof2015, mips, meritbasedincentivepaymentsystem, onc, officeofthenationalcoordinatorforhealthinformationtechnology
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Figure 1: State Reported Cumulative Spending of 90/10 Funds by Quarter, Fiscal Years 2011 through 2014
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- License: United States Government Work
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- 2,058 views
- Date uploaded: 2014-12-17
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15169, medicaid, apd, advanceplanningdocuments, calt, collaborativeapplicationlifecycletool, chip, childrenshealthinsuranceprogram, cms, centersformedicaremedicaidservices, hhs, departmentofhealthandhumanservices, ffe, federallyfacilitatedexchange, ffp, federalfinancialparticipation, fpl, federalpovertylevel, it, informationtechnology, magi, modifiedadjustedgrossincome, mec, minimumessentialcoverage, mmis, medicaidmanagementinformationsystem, ppaca, patientprotectionandaffordablecareact
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Figure 1: Potential Improper-Payment Indicators Related to Medicaid Claims for Prescription Medication for Four Selected States during Fiscal Year 2011
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- License: United States Government Work
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- 2,054 views
- Date uploaded: 2015-09-15
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15390, medicaid, 2013cmsdursummary, medicaiddrugutilizationreviewstatecomparisonannualreport, ahca, floridaagencyforhealthcareadministration, ahcccs, arizonahealthcarecostcontainmentsystem, cms, centersformedicaremedicaidservices, dmahs, stateofnewjerseydepartmentofhumanservicesdivisionofmedicalassistanceandhealthservices, dmf, deathmasterfile, dur, drugutilizationreview, ffs, feeforservice, gsa, generalservicesadministration, hhs, departmentofhealthandhumanservices, hiv, humanimmunodeficiencyvirus, mco, managedcareorganization, mmis, medicaidmanagementinformationsystem, msis, medicaidstatisticalinformationsystem, oig, officeofinspectorgeneral, sam, systemforawardmanagement, ssa, socialsecurityadministration, ssn, socialsecuritynumber, tmsis, transformedmedicaidstatisticalinformationsystem
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Figure 1: Summary of GAO's Fictitious Applications for 2016 Open-Enrollment Testing for PPACA Coverage through the Marketplaces
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- License: United States Government Work
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- 2,043 views
- Date uploaded: 2016-09-30
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16784, patientprotectionandaffordablecareact, aptc, advancepremiumtaxcredit, cms, centersformedicaremedicaidservices, csr, costsharingreduction, datahub, dataserviceshub, hcera, healthcareandeducationreconciliationactof2010, hhs, departmentofhealthandhumanservices, irs, internalrevenueservice, marketplace, healthinsurancemarketplace, ppaca, ssa, socialsecurityadministration
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Figure 3: Estimated Total Manual Medical Reviews (MMR) Conducted for Outpatient Therapy Services Provided October 1, 2012–December 31, 2012
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- License: United States Government Work
- 2 comments
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- 2,032 views
- Date taken: 2013-07-11 17:09:06
- Date uploaded: 2013-07-11
- Tags: governmentaccountabilityoffice, gao, gao13613, centersformedicaremedicaidservices, medicalreview, medicine, outpatienttherapy, medicare, usgovernmentaccountabilityoffice, usgao
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Figure 3: Average Percentage Distribution of the Reported Sources of Revenue in 2012 for the Five Largest National GPOs
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- License: United States Government Work
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- 2,017 views
- Date uploaded: 2014-12-02
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1513, grouppurchasingorganizations, cms, centersformedicaremedicaidservices, doj, departmentofjustice, fda, foodanddrugadministration, ftc, federaltradecommission, gpo, grouppurchasingorganization, hgpii, healthcaregrouppurchasingindustryinitiative, hhs, departmentofhealthandhumanservices, hhsoig, hhsofficeoftheinspectorgeneral, hsca, healthcaresupplychainassociation, iv, intravenous, mdma, medicaldevicemanufacturersassociation, medpac, medicarepaymentadvisorycommission, rfp, requestforproposal, administrativefees, adminfees, fy2012
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Proportion of Older Adult Medicare Part D Enrollees Outside of the Nursing Home Diagnosed with Dementia Who Were Prescribed an Antipsychotic in 2012
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- License: United States Government Work
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- 2,014 views
- Date uploaded: 2015-03-10
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15211, antipsychoticdruguse, acl, administrationforcommunityliving, ahrq, agencyforhealthcareresearchandquality, cert, centerforeducationresearchontherapeutics, cms, centersformedicaremedicaidservices, fda, foodanddrugadministration, hhs, departmentofhealthandhumanservices, mbsf, masterbeneficiarysummaryfile, mds, longtermcareminimumdataset, ndc, nationaldrugcode, nih, nationalinstitutesofhealth, nppes, nationalplanandproviderenumerationsystem, oig, officeofinspectorgeneral, pasrr, preadmissionscreeningandresidentreview, pde, medicarepartdprescriptiondrugevent, qio, qualityimprovementorganization
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Figure 1: Type of Health Insurance Marketplace Used by States for Plan Year 2014
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- License: United States Government Work
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- 1 favorite
- 2,013 views
- Date taken: 2014-09-19 14:20:09
- Date uploaded: 2014-09-19
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao14730, healthcaregov, healthcare, securityandprivacycontrols, cms, centersformedicaremedicaidservices, marketplace, partnership, ppaca, patientprotectionandaffordablecareact
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Figure 4: Functions Performed by the Various Types of Marketplaces
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- License: United States Government Work
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- 2,007 views
- Date taken: 2014-09-19 14:20:12
- Date uploaded: 2014-09-19
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao14730, healthcaregov, healthcare, securityandprivacycontrols, ffm, federallyfacilitatedmarketplace, federallyfacilitatedpartnerships, cms, centersformedicaremedicaidservices, marketplace, statebasedmarketplace, partnership, chip, statechildrenshealthinsuranceprogram, ppaca, patientprotectionandaffordablecareact
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Figure 1: Interdependent and Mutually Reinforcing Categories of Fraud Control Activities
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- License: United States Government Work
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- 1,969 views
- Date taken: 2015-07-30 11:22:06
- Date uploaded: 2015-07-30
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber, prevention, response, detection
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Figure 1: Medicare Expenditures on and Administrations of Part B Drugs, by Payment Methodology (2014)
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- License: United States Government Work
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- 1 favorite
- 1,967 views
- Date uploaded: 2016-09-01
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16594, medicarepartb, amp, averagemanufacturerprice, asp, averagesalesprice, awp, averagewholesaleprice, cms, centersformedicaremedicaidservices, dme, durablemedicalequipment, esrd, endstagerenaldisease, fda, foodanddrugadministration, ffs, feeforservice, hcpcs, healthcarecommonprocedurecodingsystem, hhs, departmentofhealthandhumanservices, hopd, hospitaloutpatientdepartment, mma, medicareprescriptiondrugimprovementandmodernizationactof2003, ndc, nationaldrugcode, oig, officeofinspectorgeneral
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Figure 3: Example of Two-Dimensional Risk Matrices
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- License: United States Government Work
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- 1,955 views
- Date taken: 2015-07-30 11:22:04
- Date uploaded: 2015-07-30
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber
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Figure 1: States in which Consumer Operated and Oriented Plans (CO-OP) Offered Health Plans in the Health Insurance Exchanges for 2014 and 2015
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- License: United States Government Work
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- 1,955 views
- Date uploaded: 2015-06-24
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15304, privatehealthinsurance, cms, centersformedicaremedicaidservices, coop, consumeroperatedandorientedplan, hhs, departmentofhealthandhumanservices, oig, officeofinspectorgeneral, ppaca, patientprotectionandaffordablecareact, iowa, nebraska, oregon, maine, massachusetts, newhampshire, vermont
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Figure 1: General Flow of Administrative Fees
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- License: United States Government Work
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- 1,948 views
- Date uploaded: 2014-12-02
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1513, grouppurchasingorganizations, cms, centersformedicaremedicaidservices, doj, departmentofjustice, fda, foodanddrugadministration, ftc, federaltradecommission, gpo, grouppurchasingorganization, hgpii, healthcaregrouppurchasingindustryinitiative, hhs, departmentofhealthandhumanservices, hhsoig, hhsofficeoftheinspectorgeneral, hsca, healthcaresupplychainassociation, iv, intravenous, mdma, medicaldevicemanufacturersassociation, medpac, medicarepaymentadvisorycommission, rfp, requestforproposal, administrativefees, adminfees, fees
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Figure 1: Health Insurance Exchange Arrangements for 2014
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- License: United States Government Work
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- 1,926 views
- Date uploaded: 2014-10-03
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao14657, issuerparticipationinhealthinsuranceexchanges, healthcare, healthinsurance, healthinsuranceexchange, cms, smallbusiness, smallbusinesshealthoptionsprogram, shop, healthplan, centersformedicaremedicaidservices, ppaca, patientprotectionandaffordablecareact, map
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Figure 2: Aggregate Share of Medicare Fee-for-Service Beneficiary Admissions Listing a Cancer Diagnosis, by Hospital Type, Calendar Year 2012
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- License: United States Government Work
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- 1,924 views
- Date uploaded: 2015-04-27
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15199, medicare, apc, ambulatorypaymentclassification, cbsa, corebasedstatisticalarea, ccc, comprehensivecancercenter, cms, centersformedicaremedicaidservices, ffs, feeforservice, hcris, healthcarecostreportinformationsystem, hhs, departmentofhealthandhumanservices, msdrg, medicareseveritydiagnosisrelatedgroup, pch, prospectivepaymentsystemexemptcancerhospital, pcr, paymenttocostratio, pps, prospectivepaymentsystem
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Figure 2: Estimated State Medicaid Spending per Enrollee, by Eligibility Group, Fiscal Year 2008
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- License: United States Government Work
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- 1,898 views
- Date taken: 2014-07-18 08:54:54
- Date uploaded: 2014-07-18
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, health, medicaid, centersformedicaremedicaidservices, cms, medicaidspending, federalmedicaid, patientprotectionandaffordablecareact, ppaca, cbo, congressionalbudgetoffice, medicaidexpenditures, perenrolleespending, medicaidmanagedcareplan, medicaidenrollment, departmentofhealthandhumanservices
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Consumer Complaints and Serious Deficiencies, 2005 - 2014
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- License: United States Government Work
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- 1,896 views
- Date uploaded: 2015-12-14
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1633, nursinghomequality, cms, centersformedicaremedicaidservices, gpra, governmentperformanceandresultsactof1993, hhs, departmentofhealthandhumanservices, impactact, improvingmedicarepostacutecaretransformationactof2014, obra87, omnibusbudgetreconciliationactof1987, pama, protectingaccesstomedicareactof2014, ppaca, patientprotectionandaffordablecareact, qio, qualityimprovementorganization, qis, qualityindicatorsurvey, sff, specialfocusfacility
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Estimated Medicaid Spending per Enrollee, by State, Federal Fiscal Year 2008
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- License: United States Government Work
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- 1,896 views
- Date taken: 2014-07-21 08:56:19
- Date uploaded: 2014-07-21
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, health, medicaid, centersformedicaremedicaidservices, cms, medicaidspending, federalmedicaid, patientprotectionandaffordablecareact, ppaca, cbo, congressionalbudgetoffice, medicaidexpenditures, perenrolleespending, medicaidmanagedcareplan, medicaidenrollment, departmentofhealthandhumanservices
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Figure 4: Federal-State Medicaid Partnership Framework
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- License: United States Government Work
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- 1,875 views
- Date uploaded: 2015-09-01
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15677, medicaid, epop, employmenttopopulationratio, cbo, congressionalbudgetoffice, chip, statechildrenshealthinsuranceprogram, cms, centersformedicaremedicaidservices, dsh, disproportionatesharehospital, epsdt, earlyandperiodicscreeningdiagnosticandtreatment, fmap, federalmedicalassistancepercentage, fpl, federalpovertylevel, hcera, healthcareandeducationreconciliationactof2010, hhs, departmentofhealthandhumanservices, it, informationtechnology, ltss, longtermservicesandsupports, macpac, medicaidandchippaymentandaccesscommission, mco, managedcareorganization, mmis, medicaidmanagementinformationsystem, msis, medicaidstatisticalinformationsystem, tmsis, transformedmedicaidstatisticalinformationsystem, oig, officeofinspectorgeneral, pecos, providerenrollmentchainandownershipsystem, ppaca, patientprotectionandaffordablecareact, upl, upperpaymentlimit
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Figure 1: An Example of the Prescription Drug Supply Chain and Opportunities for Abuse and Diversion
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- License: United States Government Work
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- 1,858 views
- Date uploaded: 2015-08-28
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15471, prescriptiondrugs, arcos, automatedreportsandconsolidatedorderssystem, cdc, centersfordiseasecontrolandprevention, cms, centersformedicaremedicaidservices, csa, controlledsubstancesact, dea, drugenforcementadministration, pdac, pharmacydiversionawarenessconference
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Figure 1: Example of How a Part D Plan Sponsor Contracts with Other Entities
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- License: United States Government Work
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- 1,846 views
- Date uploaded: 2014-12-03
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1566, medicareprogramintegrity, medicare, cms, centersformedicaremedicaidservices, cpars, contractorperformanceassessmentreportssystem, cpi, centerforprogramintegrity, dm, detectionandmonitoring, dea, drugenforcementadministration, dur, drugutilizationreview, fdr, firsttierdownstreamorrelatedentity, hhs, departmentofhealthandhumanservices, ip, investigationandprosecution, medic, medicaredrugintegritycontractor, mma, medicareprescriptiondrugimprovementandmodernizationactof2003, nbi, nationalbenefitintegrity, oe, outreachandeducation, oig, officeofinspectorgeneral, oms, overutilizationmonitoringsystem, pdmp, prescriptiondrugmonitoringprogram, rac, recoveryauditcontractor, siu, specialinvestigationunit
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Figure 1: Number of New National Drug Codes for Bulk Drug Substances Added to First Databank's Database, 2009 through 2013
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- License: United States Government Work
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- 1,830 views
- Date uploaded: 2014-11-13
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1585, compounddrugs, publicprograms, privateinsurers, medicarepartb, insurance, insurers, medicare, awp, averagewholesaleprice, cms, centersformedicaremedicaidservices, fda, foodanddrugadministration, fdca, federalfooddrugandcosmeticact, hcpcs, healthcarecommonprocedurecodingsystem, hhs, departmentofhealthandhumanservices, ncpdp, nationalcouncilforprescriptiondrugprograms, ndc, nationaldrugcode, pbm, pharmacybenefitmanager, oig, officeofinspectorgeneral, usp, uspharmacopeialconvention
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Figure 1: Number of Servicemembers, Former Servicemembers, and Their Dependents, Fiscal Year 2013
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- License: United States Government Work
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- 1,816 views
- Date uploaded: 2014-12-17
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao154, healthcare, servicemembers, acs, americancommunitysurvey, cms, centersformedicaremedicaidservices, dod, departmentofdefense, hhs, departmentofhealthandhumanservices, mec, minimumessentialcoverage, ppaca, patientprotectionandaffordablecareact, va, departmentofveteransaffairs, military, veterans
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Figure 3: GAO Sample Estimates of Provider and Supplier Practice Location Addresses in PECOS Using the USPS Address- Management Tool
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- License: United States Government Work
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- 1,811 views
- Date uploaded: 2015-08-25
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15448, medicareprogram, cmra, commercialmailreceivingagency, cms, centersformedicaremedicaidservices, dmepos, durablemedicalequipmentprostheticsorthoticsandsupplies, fsmb, federationofstatemedicalboards, hhs, departmentofhealthandhumanservices, lcm, licensecontinuousmonitoring, leie, listofexcludedindividualsandentities, mac, medicareadministrativecontractor, nsc, nationalsupplierclearinghouse, oig, officeofinspectorgeneral, pecos, providerenrollmentchainandownershipsystem, ppaca, patientprotectionandaffordablecareact, ssa, socialsecurityadministration, ups, unitedparcelservice, usps, unitedstatespostalservice
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Figure 1: Key Interactions and Stakeholders Involved in the Distribution of and Payment for Generic Drugs
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- License: United States Government Work
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- 1,796 views
- Date uploaded: 2016-09-22
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16706, genericdrugsundermedicare, anda, abbreviatednewdrugapplication, api, activepharmaceuticalingredient, cms, centersformedicaremedicaidservices, fda, foodanddrugadministration, ftc, federaltradecommission, gdufa, genericdruguserfeeamendmentsof2012, hhs, departmentofhealthandhumanservices, pbm, pharmacybenefitmanager, pde, prescriptiondrugevent
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Figure 7: Example of a State's Responsibility for Paying Overtime in a Joint Employment Scenario
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- License: United States Government Work
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- 1,772 views
- Date uploaded: 2014-12-19
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1512, fairlaborstandardsact, adl, activitiesofdailyliving, bls, bureauoflaborstatistics, cms, centersformedicaremedicaidservices, doj, departmentofjustice, dol, departmentoflabor, faq, frequentlyaskedquestions, flsa, fairlaborstandardsactof1938, hhs, departmentofhealthandhumanservices, iadl, instrumentalactivitiesofdailyliving, nprm, noticeofproposedrulemaking, whd, wageandhourdivision, homecarerule, worker, overtime
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Figure 2: Price Trends under Medicare Part D for the Changing Basket and Established Basket of Generic Drugs, First Quarter 2010 through the Second Quarter 2015
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- License: United States Government Work
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- 1,748 views
- Date uploaded: 2016-09-22
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16706, genericdrugsundermedicare, anda, abbreviatednewdrugapplication, api, activepharmaceuticalingredient, cms, centersformedicaremedicaidservices, fda, foodanddrugadministration, ftc, federaltradecommission, gdufa, genericdruguserfeeamendmentsof2012, hhs, departmentofhealthandhumanservices, pbm, pharmacybenefitmanager, pde, prescriptiondrugevent
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Figure 1: Average Amount of Uncompensated Care and Charity Care as a Percentage of Total Facility Revenue Provided by All Hospitals with Various Disproportionate Share Hospital (DSH) Adjustment Percentages, 2012
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- License: United States Government Work
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- 1,736 views
- Date uploaded: 2015-07-22
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15442, medicarepartbdrugs, cms, centersformedicaremedicaidservices, dsh, disproportionatesharehospital, gme, graduatemedicaleducation, hhs, departmentofhealthhumanservices, hrsa, healthresourcesandservicesadministration, ime, indirectmedicaleducation, ipps, inpatientprospectivepaymentsystem, mdh, medicaredependenthospital, opps, outpatientprospectivepaymentsystem, pps, prospectivepaymentsystem
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Figure 2: The Number of States Where the Enrollment Share for the Top Three Insurers Was at Least 80 Percent, by Market Segment 2010-2013
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- License: United States Government Work
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- 1,733 views
- Date uploaded: 2014-12-05
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15101r, privatehealthinsurance, patientprotectionandaffordablecareact, ppaca, consumeroperatedandorientedplan, coop, nationalassociationofinsurancecommissioners, naic, usdepartmentofhealthandhumanservices, hhs, centersformedicaremedicaidservices, cms, americanmedicalassociation, ama, metropolitanstatisticalareas, msa, healthcare, healthinsurance, insurance, enrollment
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Figure 4: Mailbox Rental Store with a Suite Number Address Used as a Provider Practice Location
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- License: United States Government Work
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- 1,706 views
- Date uploaded: 2015-08-25
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15448, medicareprogram, cmra, commercialmailreceivingagency, cms, centersformedicaremedicaidservices, dmepos, durablemedicalequipmentprostheticsorthoticsandsupplies, fsmb, federationofstatemedicalboards, hhs, departmentofhealthandhumanservices, lcm, licensecontinuousmonitoring, leie, listofexcludedindividualsandentities, mac, medicareadministrativecontractor, nsc, nationalsupplierclearinghouse, oig, officeofinspectorgeneral, pecos, providerenrollmentchainandownershipsystem, ppaca, patientprotectionandaffordablecareact, ssa, socialsecurityadministration, ups, unitedparcelservice, usps, unitedstatespostalservice
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Figure 4: Potential Redistribution of Home Care Worker Hours
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- License: United States Government Work
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- 1,700 views
- Date uploaded: 2014-12-19
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1512, fairlaborstandardsact, adl, activitiesofdailyliving, bls, bureauoflaborstatistics, cms, centersformedicaremedicaidservices, doj, departmentofjustice, dol, departmentoflabor, faq, frequentlyaskedquestions, flsa, fairlaborstandardsactof1938, hhs, departmentofhealthandhumanservices, iadl, instrumentalactivitiesofdailyliving, nprm, noticeofproposedrulemaking, whd, wageandhourdivision, homecarerule, workerhours
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Figure 7: No Real Working Offices Operating in Provider's Practice Location Address
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- License: United States Government Work
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- 1,698 views
- Date uploaded: 2015-08-25
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15448, medicareprogram, cmra, commercialmailreceivingagency, cms, centersformedicaremedicaidservices, dmepos, durablemedicalequipmentprostheticsorthoticsandsupplies, fsmb, federationofstatemedicalboards, hhs, departmentofhealthandhumanservices, lcm, licensecontinuousmonitoring, leie, listofexcludedindividualsandentities, mac, medicareadministrativecontractor, nsc, nationalsupplierclearinghouse, oig, officeofinspectorgeneral, pecos, providerenrollmentchainandownershipsystem, ppaca, patientprotectionandaffordablecareact, ssa, socialsecurityadministration, ups, unitedparcelservice, usps, unitedstatespostalservice
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Figure 5: Potential Responses to Fraud Risks Based on Assessed Likelihood, Impact, and Risk Tolerance
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- License: United States Government Work
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- 1,698 views
- Date taken: 2015-07-30 11:22:02
- Date uploaded: 2015-07-30
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber
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Figure 2: Issuer Participation in State Individual and Small-group Markets in 2012
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- License: United States Government Work
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- 1,692 views
- Date uploaded: 2014-10-03
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao14657, issuerparticipationinhealthinsuranceexchanges, healthcare, healthinsurance, healthinsuranceexchange, exchanges, cms, smallgroupmarkets, healthplan, centersformedicaremedicaidservices, ppaca, patientprotectionandaffordablecareact, piechart
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Figure 1: States Where Consumer Operated and Oriented Plans (CO-OPs) Offered Health Plans in the Health Insurance Exchanges, 2014 through 2016, as of January 4, 2016
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- License: United States Government Work
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- 1,690 views
- Date uploaded: 2016-04-12
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16326, privatehealthinsurance, cms, centersformedicaremedicaidservices, coop, consumeroperatedandorientedplan, hhs, departmentofhealthandhumanservices, ldi, louisianadepartmentofinsurance, naic, nationalassociationofinsurancecommissioners, oig, officeofinspectorgeneral, ppaca, patientprotectionandaffordablecareact
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Figure 1: Medicare Part D Cost-Sharing Structure under the Standard Benefit, 2014
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- License: United States Government Work
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- 1,673 views
- Date uploaded: 2015-10-02
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15633, medicarepartd, cms, centersformedicaremedicaidservices, far, federalacquisitionregulation, hhs, departmentofhealthandhumanservices, pde, prescriptiondrugevent, ppaca, patientprotectionandaffordablecareact, rac, recoveryauditcontractor
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Figure 1: Undercover testing of Patient Protection and Affordable Care Act (PPACA) Application
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- License: United States Government Work
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- 1,662 views
- Date taken: 2014-07-25 08:48:12
- Date uploaded: 2014-07-25
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, health, healthcare, patientprotectionandaffordablecareact, ppaca, centersformedicaremedicaidservices, cms, premium, subsidizedcoverage, healthcareenrollment, healthinsuranceexchange, healthinsurancemarketplace, subsidizedhealthcarecoverage, flowchart
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Figure 1: Percentage of Unsupported Diagnoses within Medicare Advantage (MA) Contracts by the Centers for Medicare & Medicaid Services (CMS) Coding Intensity, 2007 Risk Adjustment Data Validation (RADV) Audits
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- License: United States Government Work
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- 1,644 views
- Date uploaded: 2016-05-17
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1676, medicareadvantage, aha, americanhospitalassociation, ahip, americashealthinsuranceplans, ama, americanmedicalassociation, cdat, centraldataabstractiontool, cms, centersformedicaremedicaidservices, esmd, electronicsubmissionofmedicaldocumentation, ffs, feeforservice, hcc, hierarchicalconditioncategory, hhs, departmentofhealthandhumanservices, ipia, improperpaymentsinformationactof2002, ma, mac, medicareadministrativecontractor, rac, recoveryauditcontractor, radv, riskadjustmentdatavalidation
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Figure 6: Different Types of Shared Living Arrangements Outlined in DOL Guidance
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- License: United States Government Work
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- 1,641 views
- Date uploaded: 2014-12-19
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1512, fairlaborstandardsact, adl, activitiesofdailyliving, bls, bureauoflaborstatistics, cms, centersformedicaremedicaidservices, doj, departmentofjustice, dol, departmentoflabor, faq, frequentlyaskedquestions, flsa, fairlaborstandardsactof1938, hhs, departmentofhealthandhumanservices, iadl, instrumentalactivitiesofdailyliving, nprm, noticeofproposedrulemaking, whd, wageandhourdivision, homecarerule
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Figure 1: Medicare Payments That Help Offset Hospital Uncompensated Care by Type, 2013 and 2014
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- License: United States Government Work
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- 1,639 views
- Date uploaded: 2016-08-31
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16568, hospitaluncompensatedcare, aspe, assistantsecretaryofplanningandevaluation, cms, centersformedicaremedicaidservices, dsh, disproportionatesharehospital, jct, jointcommitteeontaxation, medpac, medicarepaymentadvisorycommission, ppaca, patientprotectionandaffordablecareact, hhs, departmentofhealthandhumanservices, irs, internalrevenueservice, uc, uncompensatedcare, upl, upperpaymentlimit
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Figure 1: The Number of States Where the Market Share of the Three Largest Issuers Was at Least 80 Percent, by Market, 2011-2014
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- License: United States Government Work
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- 1 favorite
- 1,629 views
- Date uploaded: 2016-09-21
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16724, privatehealthinsurance, cms, centersformedicaremedicaidservices, coop, consumeroperatedandorientedplan, hhs, departmentofhealthandhumanservices, mlr, medicallossratio, ppaca, patientprotectionandaffordablecareact, urr, unifiedratereview
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Figure 8: Reported Practice Location Verified by Using the Phone Verification Method
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- License: United States Government Work
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- 1,609 views
- Date uploaded: 2015-08-25
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15448, medicareprogram, cmra, commercialmailreceivingagency, cms, centersformedicaremedicaidservices, dmepos, durablemedicalequipmentprostheticsorthoticsandsupplies, fsmb, federationofstatemedicalboards, hhs, departmentofhealthandhumanservices, lcm, licensecontinuousmonitoring, leie, listofexcludedindividualsandentities, mac, medicareadministrativecontractor, nsc, nationalsupplierclearinghouse, oig, officeofinspectorgeneral, pecos, providerenrollmentchainandownershipsystem, ppaca, patientprotectionandaffordablecareact, ssa, socialsecurityadministration, ups, unitedparcelservice, usps, unitedstatespostalservice
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Figure 2: Distribution of Hospital Value-based Purchasing Bonuses and Penalties, Fiscal Years 2013 through 2015
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- License: United States Government Work
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- 1 favorite
- 1,596 views
- Date uploaded: 2015-10-06
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao169, hospitalvaluebasedpurchasing, cms, centersformedicaremedicaidservices, hvbp, iqr, inpatientqualityreporting, it, informationtechnology, ppaca, patientprotectionandaffordablecareact, fy13fy15, bonuses, penalties, qualityofcare
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Figure 1: Illustration of Base Premium Interactive Map
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- License: United States Government Work
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- 1,591 views
- Date uploaded: 2014-10-08
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao14772r, ppaca, patientprotectionandaffordablecareact, cciio, centerforconsumerinformationandinsuranceoversight, hhs, unitedstatesdepartmentofhealthandhumanservices, cms, centersformedicaremedicaidservices, basepremium, map, healthcare, medicare, medicaid
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Figure 5: Demolished Site Listed as Provider’s Practice Location
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- License: United States Government Work
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- 1,583 views
- Date uploaded: 2015-08-25
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15448, medicareprogram, cmra, commercialmailreceivingagency, cms, centersformedicaremedicaidservices, dmepos, durablemedicalequipmentprostheticsorthoticsandsupplies, fsmb, federationofstatemedicalboards, hhs, departmentofhealthandhumanservices, lcm, licensecontinuousmonitoring, leie, listofexcludedindividualsandentities, mac, medicareadministrativecontractor, nsc, nationalsupplierclearinghouse, oig, officeofinspectorgeneral, pecos, providerenrollmentchainandownershipsystem, ppaca, patientprotectionandaffordablecareact, ssa, socialsecurityadministration, ups, unitedparcelservice, usps, unitedstatespostalservice
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Figure 3: Estimated Percentage of Low-Income, Uninsured Adults with Behavioral Health Conditions Based on 2008 to 2013 Data, Highest and Lowest Five States
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- License: United States Government Work
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- 1,555 views
- Date uploaded: 2015-08-21
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15449, behavioralhealth, bha, behavioralhealthagency, cms, centersformedicaremedicaidservices, ffs, feeforservice, fpl, federalpovertylevel, hhs, departmentofhealthandhumanservices, mco, managedcareorganization, ppaca, patientprotectionandaffordablecareact, samhsa, substanceabuseandmentalhealthservicesadministration
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Figure 2: Market Share for the Three Largest Issuers, by Market in 2014
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- License: United States Government Work
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- 1,545 views
- Date uploaded: 2016-09-21
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16724, privatehealthinsurance, cms, centersformedicaremedicaidservices, coop, consumeroperatedandorientedplan, hhs, departmentofhealthandhumanservices, mlr, medicallossratio, ppaca, patientprotectionandaffordablecareact, urr, unifiedratereview
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Figure 1: State-Reported Actions to Exclude Medicaid's Nonemergency Medical Transportation (NEMT) Benefit for Newly Eligible Enrollees, September 2015
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- License: United States Government Work
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- 1,537 views
- Date uploaded: 2016-03-07
- Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16221, medicaid, cms, centersformedicaremedicaidservices, fpl, federalpovertylevel, hhs, departmentofhealthandhumanservices, nemt, nonemergencymedicaltransportation, ppaca, patientprotectionandaffordablecareact
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