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4. Potential misclassifications reported by drug manufacturers may have led to $1 billion in lost Medicaid rebates

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, December 2017
Subject(s):
Drug Costs
Drug Industry -- economics
Medicaid -- economics
Pharmaceutical Preparations -- classification
Pharmaceutical Preparations -- economics
Insurance, Health, Reimbursement
Insurance, Pharmaceutical Services
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

5. CMS did not detect some inappropriate claims for durable medical equipment in nursing facilities

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, June 2018
Subject(s):
Durable Medical Equipment -- economics
Insurance, Health, Reimbursement
Medicare -- economics
Skilled Nursing Facilities
Home Care Services -- economics
Insurance Claim Review
Insurance Coverage
Medicaid -- economics
Nursing Homes
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

8. Schedule H: new community benefit reporting requirements for hospitals

Publication:
Washington, D.C. : George Washington University, [2009]
Subject(s):
Economics, Hospital
Hospitals, Voluntary -- economics
Taxes
Uncompensated Care -- economics
Community-Institutional Relations -- economics
Hospitals, Community -- economics
Hospitals, Private -- economics
Mandatory Reporting
Medicaid -- economics
Medicare -- economics
Voluntary Programs
Humans
United States

10. Federal subsidies for health insurance coverage for people under age 65: 2018 to 2028

Publication:
Washington, D.C. : Congressional Budget Office, May 2018
Subject(s):
Financing, Government
Insurance Coverage -- economics
Insurance, Health -- economics
Adolescent
Adult
Child
Cost Sharing
Health Benefit Plans, Employee -- economics
Health Insurance Exchanges -- economics
Infant
Medicaid -- economics
Medicare -- economics
Taxes -- economics
Humans
United States
State Children's Health Insurance Program (U.S.)

11. Federal mandatory spending for means-tested programs, 2008 to 2028

Publication:
Washington, D.C. : Congressional Budget Office, June 2018
Subject(s):
Federal Government
Health Expenditures -- statistics & numerical data
Health Expenditures -- trends
Medicaid -- economics
Medicare -- economics
Cost Sharing
Food Assistance -- economics
Forecasting
Mandatory Programs -- economics
Medicare Part D -- economics
Humans
United States
United States.

12. How CBO adjusts for survey underreporting of transfer income in its distributional analyses

Author(s):
Habib, Bilal, author
Publication:
Washington, D.C. : Congressional Budget Office, July 2018
Subject(s):
Data Collection
Financing, Government
Food Assistance -- economics
Income
Medicaid -- economics
Eligibility Determination
Forecasting
Income -- trends
Poverty
Humans
United States
State Children's Health Insurance Program (U.S.)

14. How CBO and JCT analyze major proposals that would affect health insurance coverage

Publication:
[Washington, DC] : Congressional Budget Office, February 2018
Subject(s):
Insurance Coverage -- economics
Insurance Coverage -- legislation & jurisprudence
Insurance, Health -- economics
Insurance, Health -- legislation & jurisprudence
Budgets
Costs and Cost Analysis
Federal Government
Health Benefit Plans, Employee -- economics
Health Benefit Plans, Employee -- legislation & jurisprudence
Income Tax
Medicaid -- economics
Models, Economic
State Government
Taxes
Humans
United States
United States.

15. Prices for and spending on specialty drugs in Medicare Part D and Medicaid: an in-depth analysis

Author(s):
Anderson-Cook, Anna, author
Maeda, Jared, author
Nelson, Lyle, author
Publication:
[Washington, DC] : Congressional Budget Office, March 2019
Subject(s):
Health Expenditures -- statistics & numerical data
Health Expenditures -- trends
Medicaid -- economics
Medicare Part D -- economics
Prescription Drugs -- economics
Drug Costs
Economics, Pharmaceutical -- trends
Forecasting
Medicaid -- trends
Medicare Part D -- trends
Orphan Drug Production -- economics
Humans
United States

16. Prices for and spending on specialty drugs in Medicare Part D and Medicaid

Publication:
[Washington, DC] : Congressional Budget Office, March 2019
Subject(s):
Health Expenditures -- statistics & numerical data
Health Expenditures -- trends
Medicaid -- economics
Medicare Part D -- economics
Prescription Drugs -- economics
Drug Costs
Economics, Pharmaceutical -- trends
Forecasting
Medicaid -- trends
Medicare Part D -- trends
Orphan Drug Production -- economics
Humans
United States

17. How do changes in Medical malpractice liability laws affect health care spending and the federal budget?

Author(s):
Stockley, Karen, author
Publication:
[Washington, DC] : Congressional Budget Office, April 2019
Subject(s):
Health Expenditures -- legislation & jurisprudence
Health Expenditures -- statistics & numerical data
Liability, Legal -- economics
Medicaid -- economics
Medicare -- economics
Models, Economic
Private Sector
Public Sector
Humans
United States

19. Medicaid: CMS needs better data to monitor the provision of and spending on personal care services : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, January 2017
Subject(s):
Community Health Services -- economics
Data Collection
Health Expenditures
Home Care Services -- economics
Long-Term Care -- economics
Medicaid -- economics
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

20. Medicaid managed care: improved oversight needed of payment rates for long-term services and supports : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, January 2017
Subject(s):
Community Health Services -- economics
Insurance, Health, Reimbursement -- economics
Long-Term Care -- economics
Managed Care Programs -- economics
Medicaid -- economics
Data Collection
Government Regulation
State Government
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

22. Medicaid program integrity: CMS should build on current oversight efforts by further enhancing collaboration with states : report to the Chairman, Committee on Finance, U.S. Senate

Publication:
Washington, D.C. : U.S. Government Accountability Office, March 2017
Subject(s):
Financial Audit
Fraud -- prevention & control
Insurance, Health, Reimbursement
Medicaid -- economics
Program Evaluation
Contract Services
Managed Care Programs
State Government
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

23. Medicaid demonstrations: federal action needed to improve oversight of spending : report to the Chairman, Committee on Finance, U.S. Senate

Publication:
Washington, D.C. : U.S. Government Accountability Office, 2017
Subject(s):
Health Expenditures
Medicaid -- economics
Pilot Projects
Cost Control
Federal Government
Government Regulation
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

24. Medicaid personal care services: more harmonized program requirements and better data are needed : testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, May 2, 2017
Subject(s):
Fraud -- prevention & control
Community Health Services -- economics
Home Care Services -- economics
Insurance, Health, Reimbursement
Medicaid -- economics
Community Health Services -- organization & administration
Data Collection
Government Regulation
Health Expenditures
Home Care Services -- organization & administration
Quality Assurance, Health Care
State Government
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

25. Preliminary analysis of legislation that would replace subsidies for health care with block grants

Publication:
Washington, D.C. : Congressional Budget Office, September 2017
Subject(s):
Budgets -- legislation & jurisprudence
Budgets -- statistics & numerical data
Budgets -- trends
Financing, Government -- legislation & jurisprudence
Insurance Coverage -- economics
Insurance Coverage -- legislation & jurisprudence
Insurance Coverage -- trends
Insurance, Health -- economics
Insurance, Health -- legislation & jurisprudence
Insurance, Health -- trends
Federal Government
Forecasting
Health Insurance Exchanges -- economics
Health Insurance Exchanges -- legislation & jurisprudence
Health Insurance Exchanges -- trends
Insurance, Major Medical -- economics
Insurance, Major Medical -- trends
Medicaid -- economics
Medicaid -- legislation & jurisprudence
Medically Uninsured -- legislation & jurisprudence
Medically Uninsured -- statistics & numerical data
State Government
Taxes
Humans
United States
United States.

27. Rebalancing long-term care: the role of the Medicaid HCBS waiver program

Publication:
Washington, D.C. : National Health Policy Forum, [2006]
Subject(s):
Community Health Services -- economics
Deinstitutionalization -- economics
Home Care Services -- economics
Long-Term Care -- economics
Medicaid -- economics
Community Health Services -- legislation & jurisprudence
Community Health Services -- trends
Costs and Cost Analysis
Deinstitutionalization -- legislation & jurisprudence
Deinstitutionalization -- trends
Eligibility Determination
Forecasting
Home Care Services -- legislation & jurisprudence
Home Care Services -- trends
Long-Term Care -- legislation & jurisprudence
Long-Term Care -- trends
Medicaid -- legislation & jurisprudence
Medicaid -- trends
State Government
Humans
United States

28. Medicare and mental health: the fundamentals

Publication:
Washington, D.C. : George Washington University, [2006]
Subject(s):
Insurance Coverage
Medicare -- economics
Mental Disorders -- economics
Mental Health -- statistics & numerical data
Community Mental Health Services -- economics
Disabled Persons
Disease Management
Drug Costs
Health Expenditures
Hospitalization -- economics
Insurance, Pharmaceutical Services
Medicaid -- economics
Medicare -- statistics & numerical data
Mental Disorders -- epidemiology
Mental Disorders -- therapy
Mental Health Services -- economics
Prevalence
Psychotropic Drugs -- economics
Humans
United States
Medicare Payment Advisory Commission (U.S.)

29. Value-based coverage policy in the United States and the United Kingdom: different paths to a common goal

Publication:
Washington, D.C. : George Washington University, [2006]
Subject(s):
Cost-Benefit Analysis
Evidence-Based Medicine
Insurance Coverage -- economics
Technology Assessment, Biomedical
Formularies as Topic
Medicaid -- economics
Medicare -- economics
Private Sector
State Government
Humans
United Kingdom
United States
United States. Agency for Healthcare Research and Quality.
Blue Cross Association.
Blue Shield Association.
Centers for Medicare & Medicaid Services (U.S.)
National Institute for Health and Clinical Excellence (Great Britain)

31. Shaping Medicaid and SCHIP through waivers: the fundamentals

Publication:
Washington, D.C. : George Washington University, [2008]
Subject(s):
Child Health Services -- economics
Child Health Services -- legislation & jurisprudence
Medicaid -- economics
Medicaid -- legislation & jurisprudence
Budgets
Child
Child Health Services -- trends
Cost Control
Federal Government
Forecasting
Health Policy -- economics
Medicaid -- trends
Organizational Innovation
Organizational Policy
State Government
Humans
United States
State Children's Health Insurance Program (U.S.)

33. National spending for long-term services and supports (LTSS): the basics

Publication:
Washington, D.C. : George Washington University, [2011]
Subject(s):
Health Expenditures -- statistics & numerical data
Long-Term Care -- economics
Long-Term Care -- statistics & numerical data
Caregivers -- economics
Community Health Services -- economics
Financing, Personal
Health Services Needs and Demand
Home Care Services -- economics
Insurance, Long-Term Care -- economics
Medicaid -- economics
Medicare -- economics
Private Sector
Public Sector
Humans
United States

34. Drug discount program: update on agency efforts to improve 340B program oversight : testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, July 18, 2017
Subject(s):
Government Regulation
Insurance, Pharmaceutical Services -- economics
Medicaid -- economics
Contract Services
Economics, Pharmaceutical
Forecasting
Government Programs -- statistics & numerical data
Insurance, Health, Reimbursement
Pharmacies -- statistics & numerical data
Pharmacies -- trends
Humans
United States
United States. Health Resources and Services Administration.

35. Telehealth: use in Medicare and Medicaid : testimony before the Subcommittee on Agriculture, Energy, and Trade and Subcommittee on Health and Technology, Committee on Small Business, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, July 20, 2017
Subject(s):
Insurance Coverage
Insurance, Health, Reimbursement
Medicaid -- economics
Medicare -- economics
Telemedicine -- economics
Telemedicine -- utilization
Health Services Accessibility
Reimbursement Mechanisms
Rural Health Services
Rural Population
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

36. Medicaid: states fund services for adults in institutions for mental disease using a variety of strategies : report to the Co-Chair, Caucus on International Narcotics Control, U.S. Senate

Publication:
Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):
Insurance Coverage -- economics
Mental Disorders -- therapy
Mental Health Services -- economics
Residential Treatment -- economics
Residential Treatment -- statistics & numerical data
Substance-Related Disorders -- therapy
Adult
Health Services Accessibility
Managed Care Programs
Medicaid -- economics
Middle Aged
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

37. Newborn health: federal action needed to address neonatal abstinence syndrome : report to Congressional addressees

Publication:
Washington, D.C. : U.S. Government Accountability Office, October 2017
Subject(s):
Neonatal Abstinence Syndrome -- economics
Neonatal Abstinence Syndrome -- therapy
Infant, Newborn
Insurance Coverage -- economics
Medicaid -- economics
Mothers
Neonatal Abstinence Syndrome -- drug therapy
Opioid-Related Disorders
Patient Education as Topic
Pregnancy
Prenatal Care
Social Stigma
Substance-Related Disorders -- therapy
Humans
United States
United States. Department of Health and Human Services.

38. Medicaid: Characteristics of and expenditures for adults with intellectual or developmental disabilities : report to congressional requesters

Publication:
Washington, DC : United States Government Accountability Office, April 2023
Subject(s):
Adult
Developmental Disabilities -- economics
Government Regulation
Intellectual Disability -- economics
Legislation, Medical
Long-Term Care -- economics
Medicaid -- economics
United States

40. The cost of not expanding Medicaid

Author(s):
Holahan, John, author
Buettgens, Matthew, author
Dorn, Stan, author
Publication:
Menlo Park, CA : Henry J. Kaiser Family Foundation, July 2013
Subject(s):
Health Care Reform -- economics
Health Care Reform -- legislation & jurisprudence
Health Care Reform -- statistics & numerical data
Insurance Coverage -- economics
Insurance Coverage -- legislation & jurisprudence
Insurance Coverage -- statistics & numerical data
Insurance, Health -- economics
Insurance, Health -- legislation & jurisprudence
Insurance, Health -- statistics & numerical data
Medicaid -- economics
Medicaid -- legislation & jurisprudence
Medicaid -- statistics & numerical data
Medically Uninsured -- legislation & jurisprudence
Medically Uninsured -- statistics & numerical data
United States
United States.

43. Medicaid eligibility: accurate beneficiary enrollment requires improvements in oversight, data, and collaboration : testimony before the Subcommittee on Health Care, Committee on Finance, U.S. Senate

Publication:
Washington, DC : United States Government Accountability Office, October 30, 2019
Subject(s):
Eligibility Determination
Government Regulation
Medicaid -- economics
United States
United States.
Centers for Medicare & Medicaid Services (U.S.)

44. Opioid use disorder: barriers to Medicaid beneficiaries' access to treatment medications : report to Congressional committees

Publication:
Washington, DC : United States Government Accountability Office, January 2020
Subject(s):
Analgesics, Opioid -- supply & distribution
Analgesics, Opioid -- therapeutic use
Health Services Accessibility
Medicaid -- economics
Opiate Substitution Treatment
Opioid-Related Disorders -- drug therapy
United States
Centers for Medicare & Medicaid Services (U.S.)

45. Medicaid: CMS needs more information on states' financing and payment arrangements to improve oversight : report to the Chairman, Committee on Homeland Security and Governmental Affairs, U.S. Senate

Publication:
Washington, DC : United States Government Accountability Office, December 2020
Subject(s):
Financing, Government -- organization & administration
Government Regulation
Medicaid -- economics
United States
Centers for Medicare & Medicaid Services (U.S.)

46. CMS should pursue strategies to increase the number of at-risk beneficiaries acquiring naloxone through Medicaid

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2020
Subject(s):
Government Regulation
Medicaid -- economics
Naloxone -- supply & distribution
Opioid-Related Disorders -- economics
United States
United States. Department of Health and Human Services

48. Medicaid: HHS’s preliminary analyses offer incomplete picture of behavioral health demonstration’s effectiveness : report to Congressional requesters

Publication:
Washington, DC : United States Government Accountability Office, May 2021
Subject(s):
Behavioral Medicine -- economics
Community Mental Health Services -- legislation & jurisprudence
Government Regulation
Medicaid -- economics
Medicare -- economics
United States
United States. Department of Health and Human Services

49. Medicare and Medicaid: COVID-19 program flexibilities and considerations for their continuation : testimony before the Committee on Finance, U.S. Senate

Publication:
Washington, DC : United States Government Accountability Office, May 19, 2021
Subject(s):
COVID-19 -- prevention & control
Government Regulation
Medicaid -- economics
Medicare -- economics
Telemedicine -- economics
United States
Centers for Medicare & Medicaid Services (U.S.)

50. Medicaid behavioral health: CMS guidance needed to better align demonstration payment rates with costs and prevent duplication : report to Congressional committees

Publication:
Washington, DC : United States Government Accountability Office, September 2021
Subject(s):
Community Mental Health Services -- standards
Government Regulation
Medicaid -- economics
Mental Disorders -- economics
United States
United States. Department of Health and Human Services

52. Puerto Rico: efforts to improve competition for Medicaid procurement : testimony before the Subcommittee on Health, Committee on Energy and Commerce, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, March 17, 2021
Subject(s):
Economic Competition -- legislation & jurisprudence
Fraud -- prevention & control
Government Regulation
Medicaid -- economics
Puerto Rico
United States
Centers for Medicare & Medicaid Services (U.S.)

53. A comparison of brand-name drug prices among selected federal programs

Author(s):
Baker, Colin, author
Laughery, Scott, author
Patel, Yash, author
Publication:
[Washington, DC] : Congressional Budget Office, February 2021
Subject(s):
Drug Costs -- statistics & numerical data
Government Programs -- economics
Medicaid -- economics
Federal Government
Medicare Part D -- economics
Prescription Drugs -- economics
United States
United States. Department of Defense.
United States. Department of Veterans Affairs.

56. Data on Medicaid Managed Care payments to providers are incomplete and inaccurate

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, March 2021
Subject(s):
Economics, Medical -- statistics & numerical data
Government Regulation
Insurance, Health, Reimbursement
Managed Care Programs -- economics
Medicaid -- economics
United States
United States. Department of Health and Human Services

57. Opportunities exist to strengthen evaluation and oversight of telehealth for behavioral health in Medicaid

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2021
Subject(s):
Fraud -- prevention & control
Government Regulation
Medicaid -- economics
Mental Health Services -- organization & administration
Telemedicine -- organization & administration
United States
United States. Department of Health and Human Services

58. Nationwide, almost all Medicaid Managed Care plans achieved their medical loss ratio targets

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, August 2021
Subject(s):
Economics, Medical -- statistics & numerical data
Government Regulation
Medicaid -- economics
Managed Care Programs -- economics
United States
United States. Department of Health and Human Services

59. Most Medicare beneficiaries received telehealth services only from providers with whom they had an established relationship

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, October 2021
Subject(s):
Fraud -- prevention & control
Government Regulation
Medicaid -- economics
Physician-Patient Relations
Telemedicine -- organization & administration
COVID-19
United States
United States. Department of Health and Human Services

60. States reported multiple challenges with using telehealth to provide behavioral health services to Medicaid enrollees

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2021
Subject(s):
Computer User Training -- economics
Government Regulation
Internet Access -- economics
Medicaid -- economics
Mental Health Services -- organization & administration
Telemedicine -- organization & administration
United States
United States. Department of Health and Human Services
United States.

62. Drug discount program: status of agency efforts to improve 340B program oversight : testimony before the Committee on Health, Education, Labor, and Pensions, U.S. Senate

Publication:
Washington, DC : United States Government Accountability Office, May 15, 2018
Subject(s):
Drug Costs
Economics, Pharmaceutical
Government Regulation
Medicaid -- economics
United States
United States. Health Resources and Services Administration.

66. One percent of drugs with Medicaid reimbursement were not FDA-approved

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, May 2019
Subject(s):
Drug Approval
Insurance, Health, Reimbursement -- economics
Insurance, Health, Reimbursement -- statistics & numerical data
Medicaid -- economics
Medicaid -- statistics & numerical data
Economics, Pharmaceutical
Fraud -- prevention & control
Prescription Drugs -- economics
Humans
United States
United States. Food and Drug Administration.

67. Part D plans generally include drugs commonly used by dual eligibles: 2019

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, June 2019
Subject(s):
Dual MEDICAID MEDICARE Eligibility
Formularies as Topic
Insurance Coverage
Medicare Part D -- economics
Insurance, Pharmaceutical Services -- economics
Medicaid -- economics
Medicare -- economics
Humans
United States
United States.
Centers for Medicare & Medicaid Services (U.S.)

69. Budgetary effects of policies to modify or eliminate Medicaid’s institutions for mental diseases exclusion

Author(s):
Duchovny, Noelia Judith, author
Hammond, Stuart, (Of Congressional Budget Office), author
Mutter, Ryan, 1976- author
Publication:
[Washington, D.C.] : Congressional Budget Office, April 2023
Subject(s):
Budgets
Federal Government
Health Expenditures -- statistics & numerical data
Medicaid -- economics
Mental Health Services -- economics
State Government
United States

70. Exploring the effects of Medicaid during childhood on the economy and the budget

Author(s):
Ash, Elizabeth, (Of Congressional Budget Office), author
Carrinton, William, author
Heller, Rebecca, (Of Congressional Budget Office), author
Hwang, Grace, (Of Congressional Budget Office), author
Publication:
[Washington, DC] : Congressional Budget Office, November 2023
Subject(s):
Budgets
Child
Federal Government
Income
Medicaid -- economics
Taxes
United States

71. Four states reviewed received increased Medicaid COVID-19 funding even though they terminated some enrollees’ coverage for unallowable or potentially unallowable reasons

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2023
Subject(s):
COVID-19
Financing, Government -- legislation & jurisprudence
Government Regulation
Medicaid -- economics
Florida
Minnesota
New York
Texas

72. States face ongoing challenges in meeting third-party liability requirements for ensuring that Medicaid functions as the payer of last resort

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, October 2023
Subject(s):
Financial Audit
Government Regulation
Insurance, Health, Reimbursement -- legislation & jurisprudence
Medicaid -- economics
State Health Plans
United States