Accession Number : ADA267351


Title :   Medicaid: Legislation Needed to Improve Collections From Private Insurers


Corporate Author : GENERAL ACCOUNTING OFFICE WASHINGTON DC HUMAN RESOURCES DIV


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a267351.pdf


Report Date : Nov 1990


Pagination or Media Count : 33


Abstract : This report responds to your request that we review problems experienced by state Medicaid agencies in collecting from certain third parties. As a public assistance program, it was intended that Medicaid would pay for health care only after Medicaid recipients had used all their other health care resources. As agreed with your office we focused our review on out-state insurers and employee health benefit plan covered under the Employee Retirement Income Security Act of 1974 (ERISA). State Medicaid agencies have reported problems collecting from these types of insurers. We agreed to provide information on the type and extent of the problems and discuss any potential legislative remedies needed to resolve them


Descriptors :   *COSTS , *MEDICAL SERVICES , *INSURANCE , *LEGISLATION , *HEALTH CARE FACILITIES , REQUIREMENTS , STATE LAW , FEDERAL BUDGETS , COLLECTION , PATIENTS , PUBLIC HEALTH , FINANCIAL MANAGEMENT


Subject Categories : Economics and Cost Analysis
      Government and Political Science
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE