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NCJ Number: 66098 Add to Shopping cart Find in a Library
Title: SAVINGS AVAILABLE BY CONTRACTING FOR MEDICAID SUPPLIES AND LABORATORY SERVICES
Author(s): ANON
Corporate Author: US Comptroller General
United States of America
Date Published: 1978
Page Count: 36
Sponsoring Agency: Azimuth Inc.
Fairmont, WV 26554
US Comptroller General
Washington, DC 20548
Sale Source: Azimuth Inc.
1000 Technology Drive, Suite 3120
Fairmont, WV 26554
United States of America
Language: English
Country: United States of America
Annotation: RESULTS AND RECOMMENDATIONS ARE REPORTED FROM A GENERAL ACCOUNTING OFFICE (GAO) INVESTIGATION OF STATE PURCHASES OF MEDICAID SUPPLIES AND LABORATORY SERVICES.
Abstract: UNDER MEDICAID, RECIPIENTS ARE ENTITLED TO CHOOSE THE PROVIDER OF THEIR HEALTH CARE SERVICES. IN THE PAST, THIS PROVISION HAS BEEN THE BASIS FOR CHALLENGING STATE OR LOCAL EFFORTS TO CONTRACT COMPETITIVELY OR OTHERWISE DIRECTLY PROVIDE SUCH EQUIPMENT ITEMS AND SERVICES AS WHEELCHAIRS AND LABORATORY TESTS. GAO COMPARED PRICES PAID FOR EYEGLASSES, OXYGEN, AND WHEELCHAIRS BY VARIOUS STATES AND FEDERAL AGENCIES AND FOUND THAT COMPETITIVE BUYING PRODUCED SIGNIFICANT SAVINGS. FURTHER, STATE MEDICAID PROGRAMS WERE FOUND TO PAY HIGHER PRICES FOR CLINICAL LABORATORY SERVICES THAN OTHER PURCHASERS, EVEN THOUGH MEDICAID IS A VOLUME USER. THE CONGRESS, WITH GAO SUPPORT, HAS BEEN CONSIDERING LEGISLATION WHICH WOULD PERMIT COMPETITIVE BIDDING ON AN EXPERIMENTAL BASIS FOR MEDICAID LABORATORY SERVICES TO PREVENT MEDICAID FROM PAYING A LABORATORY MORE THAN OTHER PURCHASERS OF SUCH SERVICES. THE ISSUE OF WHETHER OR NOT DIRECT CONTRACTING BY STATES TO MINIMIZE MEDICAID COSTS IS CONSISTENT WITH THE FREEDOM-OF-CHOICE PROVISIONS OF THE SOCIAL SECURITY ACT IS STILL UNCLEAR. TO REMOVE ALL DOUBT THAT COMPETITIVE PURCHASES OF MEDICAID SUPPLIES ARE AUTHORIZED, CONGRESS SHOULD AMEND THE MEDICAID LAW TO EXCLUDE SELECTED ITEMS OF EQUIPMENT FROM THE FREEDOM-OF-CHOICE PROVISION. APPENDIXES CONTAIN THE DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE'S (HEW'S) FAVORABLE COMMENTS ON THE REPORT AND A LIST OF PRINCIPAL HEW OFFICIALS RESPONSIBLE FOR ADMINISTERING ACTIVITIES DISCUSSED IN THIS REPORT. (AUTHOR ABSTRACT MODIFIED--RCB)
Index Term(s): Cost analysis; Efficiency; Financial management; Government contracting; Medicaid/Medicare fraud; Medical costs; US Government Accountability Office (GAO)
Note: THERE IS A CHARGE FOR MORE THAN ONE COPY REPORT TO THE CONGRESS OF THE UNITED STATES BY THE COMPTROLLER GENERAL
To cite this abstract, use the following link:
http://www.ncjrs.gov/App/publications/abstract.aspx?ID=66098

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