United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Health, Education, and Human Services Division author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1994-03-17 monographic deposited born digital GA 1.13:T-HEHS-94-124 https://www.govinfo.gov/app/details/GAOREPORTS-T-HEHS-94-124 P0b002ee180373365 f:the94124 DGPO 2010-08-12 2011-03-24 GAOREPORTS-T-HEHS-94-124 machine generated eng fdlp REPORT GAOREPORTS-T-HEHS-94-124 T-HEHS-94-124 Health maintenance organizations Administrative remedies Health care costs Monitoring Medical information systems Law enforcement Proposed legislation Health services administration Insurance companies Fraud Medicare Program Medicaid Program National Health Care Reform Initiative Clinton Health Care Plan Health Security Act Testimony HEHS Weaknesses within the current health insurance system allow unscrupulous health care providers to cheat insurance companies and programs out of billions of dollars annually. Fraud and abuse flourish in a health care system that collects little information on provider practices, encourages high profits at the expense of cost-effective care, and has ineffective laws and enforcement mechanisms to punish and recover money from those abusing the system. This testimony makes several recommendations aimed at overcoming these problems. Recent legislative proposals to reform the health care system, including the administration's proposal, address each of these elements to some extent. https://www.govinfo.gov/content/pkg/GAOREPORTS-T-HEHS-94-124/html/GAOREPORTS-T-HEHS-94-124.htm GAO/T-HEHS-94-124 https://www.govinfo.gov/app/details/GAOREPORTS-T-HEHS-94-124 Testimony GAO/T-HEHS-94-124; Health Care Reform: How Proposals Address Fraud and Abuse; Health maintenance organizations Administrative remedies Health care costs Monitoring Medical information systems Law enforcement Proposed legislation Health services administration Insurance companies Fraud Medicare Program Medicaid Program National Health Care Reform Initiative Clinton Health Care Plan Health Security Act