Medicare Health Maintenance Organizations: The IMC Experience : Hearing Before a Subcommittee of the Committee on Government Operations, House of Representatives, One Hundredth Congress, First Session, December 15, 1987, Volume 4U.S. Government Printing Office, 1988 - 205 pages |
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... going on . In response to concerns over abuses in the HMO area , the Con- gress has taken interest and has passed two provisions which expand the Department's authority to impose penalties administra- tively . The Omnibus Reconciliation ...
... going on . In response to concerns over abuses in the HMO area , the Con- gress has taken interest and has passed two provisions which expand the Department's authority to impose penalties administra- tively . The Omnibus Reconciliation ...
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... going to suggest that we start with limitations of 10 min- utes on each of our questions , and if there are second rounds , we will reduce it at that point . Mr. Kusserow , did your office conduct a review to reconcile the HCFA - IMC ...
... going to suggest that we start with limitations of 10 min- utes on each of our questions , and if there are second rounds , we will reduce it at that point . Mr. Kusserow , did your office conduct a review to reconcile the HCFA - IMC ...
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... going to do much better . So , when they preenroll , they are not allowed to go through the preenrollment screening in the form of giving examinations and x rays and other diagnostic tests for the purpose of making sure that you screen ...
... going to do much better . So , when they preenroll , they are not allowed to go through the preenrollment screening in the form of giving examinations and x rays and other diagnostic tests for the purpose of making sure that you screen ...
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... - plaints began to develop to the point where we began to think that there might be something systemically wrong , and we really needed to find out what was going on in that front . Mr. LIGHTFOOT . As you went through the investigation , ...
... - plaints began to develop to the point where we began to think that there might be something systemically wrong , and we really needed to find out what was going on in that front . Mr. LIGHTFOOT . As you went through the investigation , ...
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... going to get a set fee , doesn't it necessarily lead that somebody does not have the welfare of the beneficiaries at heart to begin with ? Mr. KUSSEROW . In any program , if you have individuals that are motivated other than doing the ...
... going to get a set fee , doesn't it necessarily lead that somebody does not have the welfare of the beneficiaries at heart to begin with ? Mr. KUSSEROW . In any program , if you have individuals that are motivated other than doing the ...
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Expressions et termes fréquents
50 percent affiliated providers agency asked audit Chairman complaints concern conflict of interest Congressman correct costs counties Dade County DATE ACTIVITY December 15 decision demonstration employees enrollees enrollment standard fact Federal qualification Financing Administration Florida former HHS FOWLER freedom-of-choice George Reeb going GOULET HADDOW HCFA Health and Human Health Care Financing Health Maintenance Organizations Heckler HMO's hospital Human Services IMC contract IMC's inspector International Medical Centers investigation issue Jeb Bush Juan del Real Kevin Moley kind KUSSEROW law firm letter LIGHTFOOT Lyn Nofziger Medicaid Medicare beneficiaries Medicare contract Medicare enrollment Medicare Program ment Miami Miguel Recarey million MOLEY non-Medicare OHMO operations paid patient payment PELOSI PRIVATE HEALTH PLANS problems PRUSSIN qualification officer Recarey's received recommendations regulations requirement responsibility risk-based SAWYER staff statement subcommittee TEFRA terminate testimony Thank things tion waiver Wayne Fowler WEISS
Fréquemment cités
Page 92 - Administrator similarly cited the value of work done by the Department of Health and Human Services Office of the Inspector General and IV&V vendors at contractor sites in uncovering problems.
Page 97 - Did you have a statement that you would like to make? STATEMENT OF ROBERT F.
Page 72 - Mr. Chairman, this concludes my statement and I will be pleased to answer any of your questions.
Page 6 - THE SUBCOMMITTEE ON HUMAN RESOURCES AND INTERGOVERNMENTAL RELATIONS OF THE COMMITTEE ON GOVERNMENT OPERATIONS HOUSE OF REPRESENTATIVES FEBRUARY 18, 1988 Mr.
Page 176 - ... is introduced (substantially curtailing the right to contest license renewals, guaranteed to the public by the Communications Act of 1934) that it is supported by 23 Senators and 118 Congressmen? The broadcasting industry is, without question, the single most powerful lobby in our nation's history. What should we do about it? What can we do about it? Once the Big Broadcasting-Big Business axis has kidnapped and run off with the democratic process is there anyway of guaranteeing its safe return?
Page 85 - Mr. Chairman, this concludes my statement. I will be pleased to respond to any questions that you may have at this time.
Page 117 - ... organization's enrollment may be Medicare and Medicaid beneficiaries. (2) Waiver of composition of enrollment standard. Unless limited by the criteria specified in paragraph (d)(3) of this section, HCPA may waive compliance with the requirements of paragraph (d)<l) of this section if— (i) The organization is making reasonable efforts to enroll individuals who are not Medicare or Medicaid beneficiaries; and (ii) Medicare and Medicaid beneficiaries constitute more than 50 percent of the population...
Page 158 - ... this subcommittee the benefit of your experience and programs. We appreciate your being a witness. At this point I would like to have entered into the record a statement by Senator Bellmon. He was not able to get here to present it in the opening, so it will be entered into the record in its entirety. STATEMENT OF HON. HENRY BELLMON, A US SENATOR FROM THE STATE OF OKLAHOMA Senator BELLMON. Mr. Chairman, members of the subcommittee : At the outset I want to say how pleased I am that this special...
Page 158 - DIRECTOR, OFFICE OF HEALTH MAINTENANCE ORGANIZATIONS, DEPARTMENT OF HEALTH AND HUMAN SERVICES; AND HAROLD HUNTER, DIRECTOR, RESEARCH AND DEVELOPMENT, GROUP HEALTH ASSOCIATION OF AMERICA Mr.
Page 89 - I appreciate your taking the time to testify before the Government Operations Human Resources and Intergovernmental Relations Subcommittee on December I5.