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102852 1 (1977-07-21)

handle is hein.gao/gaobadxvb0001 and id is 1 raw text is: DOCUMENT RESUME 02852 - [A20932071 Development and Organization of the Health Care Financing Administration. Jujy 21, 1977. 29 pp. Testimony before thc Senate Committee on Finance: Health Subcomwittee; by Gregory J. Ahart, Director, HUmar Resources Div. Issue Area: Personnel Management and Compensation (300); Health Programs (1200). Contact: Human Resources Div. Budget Function: Health: General Health Financing Assistance (555) ; General Government: Central Personnel Management (805). Organization Concerned: Health Care Financing Administration. Congressional Relevance: Senate Committee on Finance: Health Subcommittee. Authority: Social Security Act, sec. 1817. Social Security Act, sec. 1841. The reoLjanization cf the Health Care FiPanc'ng Administration (14CFA) within the Depart-,ent of Health, Education, and Welfare (HEW), which hss resulted in the placement of redicaid, Medicare, and quality and standards primarily under the direction cf one agency head, should result in imprcved management of the pr',grams through better coordination c- efforts and exchange of infoiwation. The organizational structure, including the authorization of staiIfic supergrade positions, is stil3 dev2loping. HCFA req;uets ir supergrade ard executive level staff have been cut in half zdncs the initial proposal, ard some reductions have occurred sin'.e the Subcommittee on Health questioned the aatter. The continued zplit betwzeen the Public Health Service and HCFA can ba expected to result i f.iroblems with respect to the administration and manag-;ment of the health financing program,. authorized by the Social Security Act. TLere is evidence of duplication and overlapping of staff activities in functional ste tements issued by HCFA and other elements of HEW. However, most of these duplications were in the area of planninq or carrying out evaluations, studies, and research where the identification of precise duplication based on broad functional statements is difficult. The primary areas where real consolidation has occurred are in program integrity and the administration of standards and provider certifications. Little aas occurred in other consolidation oL Medicaid and Hedi,:are functions presumably because of the major differences in the legislation for the two programs. (SC)

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