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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.

8. Best practices in specialty provider recruitment and retention: challenges and solutions

Publication:
[New York, N.Y.] : Commonwealth Fund, [2005]
Subject(s):
Health Manpower
Interprofessional Relations
Personnel Selection -- organization & administration
Personnel Turnover
Specialization
Communication
Contract Services
Economics, Medical
Insurance Claim Review
Managed Care Programs -- organization & administration
Medicaid -- organization & administration
Organizational Case Studies
Referral and Consultation
Reimbursement Mechanisms
New York
Oregon
Rhode Island
United States
Washington

9. 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.)

10. 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.)

13. 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.)

14. 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.

15. 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.)

19. Veterans affairs contracting: improvements in buying medical and surgical supplies could yield cost savings and efficiency : report to the chairman, Committee on Veterans' Affairs, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, November 2017
Subject(s):
Contract Services
Hospitals, Veterans
Purchasing, Hospital
Cost Savings
Emergencies
Equipment and Supplies -- economics
Humans
United States
United States. Veterans Health Administration.

20. Veterans affairs contracting: improvements in buying medical and surgical supplies could yield cost savings and efficiency : testimony before the Committee on Veterans' Affairs, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, December 7, 2017
Subject(s):
Purchasing, Hospital -- economics
Veterans Health -- economics
Contract Services
Cost Control
Cost Savings
Economic Competition
Equipment and Supplies -- economics
Formularies as Topic
Humans
United States
United States. Department of Veterans Affairs.

21. VA construction: actions taken to improve Denver Medical Center and other large projects' cost estimates and schedules : testimony before the Committee on Veterans' Affairs, U.S. House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, January 17, 2018
Subject(s):
Hospital Design and Construction
Hospitals, Veterans
Contract Services
Economics, Hospital
Time Factors
Veterans Health
Humans
Colorado
United States
United States. Department of Veterans Affairs.

23. Monitoring and assessing the use of external quality review organizations to improve services for young children: a toolkit for state Medicaid agencies

Author(s):
Krissik, Tara, author
Ireys, Henry T., author
Markus, Anne, author
Rosenbaum, Sara, author
Publication:
[New York, N.Y.] : Commonwealth Fund, July 2008
Subject(s):
Child Health Services
Managed Care Programs
Medicaid
Preventive Health Services
Professional Review Organizations -- statistics & numerical data
Quality Assurance, Health Care
Child
Child Development
Child, Preschool
Contract Services
Guideline Adherence
State Government
Humans
United States

25. Drug discount program: improvements needed in federal oversight of compliance at 340B contract pharmacies : testimony before the Subcommittee on Health, Committee on Energy and Commerce, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, July 11, 2018
Subject(s):
Drug Costs
Economics, Pharmaceutical
Pharmacies -- economics
Contract Services
Government Regulation
United States
United States. Health Resources and Services Administration.

27. VA disability exams: improved oversight of contracted examiners needed : testimony before the Subcommittee on Disability Assistance and Memorial Affairs, Committee on Veterans' Affairs, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, November 15, 2018
Subject(s):
Contract Services
Disability Evaluation
Veterans Disability Claims
United States
United States. Department of Veterans Affairs.