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HRD-94-63R 1 (1993-11-15)

handle is hein.gao/gaobacklp0001 and id is 1 raw text is: GAO United States General Accounting OMce Washington, D.C. 20548 Human Resources Division B-255760 November 15, 1993 The Honorable Joseph I. Lieberman Chairman The Honorable Thad Cochran Ranking Minority Member Subcommittee on Regulation and Government Information Committee on Governmental Affairs United States Senate On June 2, 1993, you requested that we study ways to simplify the administration of the Medicare Secondary Payer (MSP) Provisions. These provisions require that, in certain cases, health and accident insurers covering Medicare beneficiaries pay medical claims ahead of Medicare. The purpose of these provisions is to save Medicare funds by ensuring that Medicare does not pay when other insurance is available. Although our work is not yet complete, you asked us to provide our observations on whether the recently mandated Medicare and Medicaid Coverage Data Bank will contribute to more effective MSP program administration. BACKGROUND Section 13581 of the Omnibus Budget Reconciliation Act of 1993 (OBRA-93), signed into law on August 10, 1993, directed the Secretary of Health and Human Services (HHS) to establish the Medicare and Medicaid Coverage Data Bank. The act requires employers to report to the Secretary of HHS detailed information on the health insurance coverage they provide to their workers, including descriptive data on these employees, their dependents, and their insurers. The act requires employers to report this information for calendar years beginning in 1994. The Health Care Financing Administration (HCFA), which administers the MSP provisions, has been assigned responsibility for administering the data bank. The aim of the data bank is to provide a source of information for the Medicare and Medicaid programs to more readily identify and collect payments from health insurers GAO/HRD-94-63R Medicare/Medicaid Data Bank Issues

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