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 1995-07-12 monographic deposited born digital GA 1.13:T-HEHS-95-206 https://www.govinfo.gov/app/details/GAOREPORTS-T-HEHS-95-206 P0b002ee180385c66 f:the95206 DGPO 2010-08-12 2011-03-28 GAOREPORTS-T-HEHS-95-206 machine generated eng fdlp REPORT GAOREPORTS-T-HEHS-95-206 T-HEHS-95-206 Federal funds Health care cost control Health maintenance organizations Beneficiaries Waivers Disadvantaged persons Quality assurance Oversight by Congress State-administered programs Oregon Medicaid Managed Care Program Medicaid Program Arizona Medicaid Managed Care Program Testimony HEHS Requiring states to obtain waivers to broaden use of managed care may hamper their efforts to aggressively pursue cost-containment strategies. At the same time, because current program restrictions on managed care were designed to reinforce quality assurance, their absence requires the substitution of appropriate and adequate mechanisms to protect both Medicaid beneficiaries and federal dollars. Finally, the reinvestment of managed care savings to expand Medicaid coverage to several million additional persons suggests the need for up-front consultation with Congress because of (1) the heavier financial burden such 1115 waivers may place on the federal government and (2) the issue of whether the U.S. Treasury should benefit from those savings. https://www.govinfo.gov/content/pkg/GAOREPORTS-T-HEHS-95-206/html/GAOREPORTS-T-HEHS-95-206.htm GAO/T-HEHS-95-206 https://www.govinfo.gov/app/details/GAOREPORTS-T-HEHS-95-206 Testimony GAO/T-HEHS-95-206; Medicaid: State Flexibility in Implementing Managed Care Programs Requires Appropriate Oversight; Federal funds Health care cost control Health maintenance organizations Beneficiaries Waivers Disadvantaged persons Quality assurance Oversight by Congress State-administered programs Oregon Medicaid Managed Care Program Medicaid Program Arizona Medicaid Managed Care Program