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HRD-79-76 1 (1979-06-29)

handle is hein.gao/gaobaazkz0001 and id is 1 raw text is: 


BY THE COMPTROLLER GENERAL                                  Illtll!(ll!lllll
                                                                 LM109780


Report To The Congress


OF THE UNITED STATES




More Can Be Done To Achieve

Greater Efficiency In Contracting For

Medicare Claims Processing

This is a comprehensive study of the claims
processing system under Medicare. GAO
found many opportunities for HEW to im-
prove its administration and is recommending
that the Congress and HEW take a number of
actions.

Among other things, GAO is recommending
that HEW: carefully evaluate ongoing experi-
ments with competitive fixed-price contracts
to assess their effect on benefit payments and
services; conduct experiments aimed at eval-
uating the feasibility of merging parts A and B
of Medicare under a single contractor and
whether incentive contracts will work in Med-
icare; and take immediate action to reduce
the number of contractors in the program by
eliminating the less efficient performers.


HEW intends to ask the Congress for statu-
tory authority to select Medicare contractors
competitively. GAO believes there is insuffi-
cient information to recommend such a
change at this time. It will take HEW a con-
siderable amount of time to evaluate the ex-
periments so the Congress may wish to con-
sider providing HEW with contingency legisla-
tion which would become effective once HEW
demonstrates that competitive fixed-price
contracting is the most appropriate course of
action.
     ;sD s2


     g0


109780


~HRD-79-76
            JUNE 29, 1979

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