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126757 1 (1985-04-24)

handle is hein.gao/gaobactlh0001 and id is 1 raw text is: 


             United States General  Accounting Office

                        Washington,  D.C.



                                       FOR RELEASE ON DELIVERY
      126757
                                       EXPECTED-      0 A.M. EST

                                       WE  ESDAY, APRIL 24, 1985



                          STATEMENT  OF

              MICHAEL ZIMMERMAN, ASSOCIATE  DIRECTOR

                    HUMAN RESOURCES  DIVISION

                           BEFORE THE

            SUBCOMMITTEE ON HEALTH  AND LONG-TERM CARE

                    SELECT COMMITTEE ON  AGING

             UNITED STATES HOUSE OF  REPRESENTATIVES

                             ON THE

            SOUTH FLORIDA HMO DEMONSTRATION  PROJECTS



Mr. Chairman and Members of  the Subcommittee:

     We are pleased to be here  to discuss the results to date of

our ongoing review of Medicare's health maintenance  organization

(HMO) demonstration projects  in Florida. My  statement will

focus on the coordination problems  that we identified between

Medicare and the HMOs which result  in duplicate or other

erroneous payments to the HMOs, hospitals,  physicians, or

beneficiaries.  We found that delayed  recording of beneficiary

enrollment dates and other coordination  problems between

Medicare and the HMOs led to

     --Medicare paying non-HMO providers  for services that HMOs

       had already been paid for,

                            () RT    1 / 6757

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