About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

112715 1 (1980-06-30)

handle is hein.gao/gaobacxtb0001 and id is 1 raw text is: GAO United States General Accounting Office Human Resources Washington, DC 20548 Division JUN 3 0 1980 Mr. Earl M. Collier Jr., Acting Administrator Health Care Financing Administration Washington, D.C. Dear Mr. Collier: We recently completed a review of hospitals' use of contract management services In particular, we examined those arrangements where the management firm provides full service management and assumes responsibility for management of the day-to-day operation of the hospital. The cost of these contracts can be significant and hospitals' use of them is increasing at a rapid rate. There are a number of concerns we noted in connection with the use of these contracts. For example, --the contracts frequently covered excessively long periods; --the fees for many of the contracts were often based on a percentage of gross revenues; --the fees varied widely; --the documentation of the services actually provided was inadequate; --the adequacy of controls over payments to the firms was questionable; --Medicare intermediaries generally were not reviewing the reasonableness of the fees charged; and, --the Health Care Financing Administration (HCFA) had not developed adequate standards and instructions governing reimbursement for the costs of the contracts. 112715

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Contact Us

Already a HeinOnline Subscriber?

Log In

profiles profiles most