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1. Shifting ground: erosion of the delegated model in California

Author(s):
Ginsburg, Paul B., author
Christianson, Jon B., author
Cohen, Genna R., author
Publication:
[Oakland, Calif.] : California HealthCare Foundation, [2009]
Subject(s):
Delivery of Health Care -- trends
Health Maintenance Organizations -- trends
Managed Care Programs -- trends
Preferred Provider Organizations -- trends
Accountable Care Organizations
Capitation Fee
Contract Services
Cost Control
Fee-for-Service Plans -- trends
Forecasting
Medicare
Humans
California
United States

2. Enhancements needed in the tracking and collection of Medicare overpayments identified by ZPICS and PSCS

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2017
Subject(s):
Financial Audit
Insurance, Health, Reimbursement
Medicare -- economics
Contract Services
Durable Medical Equipment -- economics
Home Care Services -- economics
Hospice Care -- economics
Information Dissemination
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

3. Directory assistance: maintaining reliable provider directories for health plan shoppers

Author(s):
Manatt, Phelps & Phillips. Manatt Health Solutions, author.
Publication:
[Oakland, Calif.] : California HealthCare Foundation, September 2015
Subject(s):
Data Collection -- standards
Directories as Topic
Health Insurance Exchanges -- legislation & jurisprudence
Health Insurance Exchanges -- standards
Health Manpower -- legislation & jurisprudence
Quality Assurance, Health Care
Contract Services
Decision Making
Insurance Coverage -- legislation & jurisprudence
Medicaid
Medicare
State Government
Humans
United States
United States.

5. Medicare provider education: oversight of efforts to reduce improper billing needs improvement : report to the Chairman, Committee on Finance, U.S. Senate

Publication:
Washington, D.C. : U.S. Government Accountability Office, March 2017
Subject(s):
Accounts Payable and Receivable
Fraud -- prevention & control
Insurance Claim Review
Medicare -- economics
Contract Services
Insurance, Health, Reimbursement
Humans
United States
United States. Department of Health and Human Services
Centers for Medicare & Medicaid Services (U.S.)

6. 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.)

8. Program integrity after the enactment of health reform

Publication:
Washington, D.C. : American Hospital Association, [2011]
Subject(s):
Fraud -- prevention & control
Health Care Reform -- organization & administration
Hospitals -- ethics
Insurance Claim Review -- statistics & numerical data
Insurance Claim Review -- trends
Medicaid -- ethics
Medicare -- ethics
Contract Services
Disclosure
Economics, Hospital
Fee-for-Service Plans -- ethics
Financial Audit
Forecasting
Government Regulation
Interinstitutional Relations
Humans
United States
United States.
Centers for Medicare & Medicaid Services (U.S.)

9. 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.

10. Medicare: CMS Fraud Prevention System uses claims analysis to address fraud : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):
Fraud -- prevention & control
Insurance Claim Review
Medicare
Public-Private Sector Partnerships
Contract Services
Data Interpretation, Statistical
Information Dissemination
Insurance, Health, Reimbursement
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)