Coverart for item
The Resource CHAMPUS has improved its methods for procuring and monitoring fiscal intermediary services to process medical claims : report to the Honorable Albert Gore, Jr., United States Senate, by the U.S. General Accounting Office

CHAMPUS has improved its methods for procuring and monitoring fiscal intermediary services to process medical claims : report to the Honorable Albert Gore, Jr., United States Senate, by the U.S. General Accounting Office

Label
CHAMPUS has improved its methods for procuring and monitoring fiscal intermediary services to process medical claims : report to the Honorable Albert Gore, Jr., United States Senate
Title
CHAMPUS has improved its methods for procuring and monitoring fiscal intermediary services to process medical claims
Title remainder
report to the Honorable Albert Gore, Jr., United States Senate
Statement of responsibility
by the U.S. General Accounting Office
Creator
Subject
Language
eng
Summary
Pursuant to a congressional request, GAO reviewed: (1) The Department of Defense's Office of Civilian Health and Medical Program of the Uniformed Services' use of contracting procedures to obtain fiscal intermediary services for processing health insurance claims to determine whether they were suited to ensuring high-quality performance at the lowest possible cost to the government; and (2) the performance of Blue Cross of California, a fiscal intermediary that was awarded a contract to process claims for the southeast region of the United States. GAO found that certain areas of the process for procuring and monitoring fiscal intermediary services needed strengthening to: (1) better document proposal evaluation criteria and the rationale for contract award decisions; (2) better assess an offerer's price, past experience, and operations performance ability; and (3) provide more systematic and thorough assistance to and evaluations of contractor operations. GAO noted that the program office did not resolve fiscal intermediary problems encountered when preparing for operations under a new contract which resulted in contractors beginning operations before the systems were fully tested and ready. GAO also found that the program office did not adequately measure Blue Shield of California's performance against office standards or check compliance with provisions contained in the technical proposals to determine whether they were implemented. Blue Shield only met the program's critical performance standards 32.5 percent of the time during the first year of its contract. Although it took steps to improve its performance, the program office did not renew its contract. GAO believes that the program office has taken corrective actions which should improve the procurement process
Cataloging source
AD#
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
bibliography
http://bibfra.me/vocab/lite/organizationName
United States
http://library.link/vocab/subjectName
  • United States
  • United States
  • Claims
  • Health insurance
  • Government contractors
  • Health Benefit Plans, Employee
  • Blue Cross Blue Shield Insurance Plans
  • California
  • Armed Forces
  • Claims
  • Government contractors
  • Health insurance
  • United States
Label
CHAMPUS has improved its methods for procuring and monitoring fiscal intermediary services to process medical claims : report to the Honorable Albert Gore, Jr., United States Senate, by the U.S. General Accounting Office
Instantiates
Publication
Note
  • Cover title
  • Distributed to depository libraries in microfiche
  • "August 23, 1985."
  • "GA0/HRD-85-56."
  • "B-217903"--1st prelim. page
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Dimensions
28 cm
Extent
[1], iv, 45 pages
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Note
Hein Online
Other physical details
illustrations
System control number
  • (OCoLC)640627939
  • (OCoLC)ocn640627939
System details
  • Mode of access: World Wide Web
  • System requirement: Adobe Acrobat reader
Label
CHAMPUS has improved its methods for procuring and monitoring fiscal intermediary services to process medical claims : report to the Honorable Albert Gore, Jr., United States Senate, by the U.S. General Accounting Office
Publication
Note
  • Cover title
  • Distributed to depository libraries in microfiche
  • "August 23, 1985."
  • "GA0/HRD-85-56."
  • "B-217903"--1st prelim. page
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Dimensions
28 cm
Extent
[1], iv, 45 pages
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Note
Hein Online
Other physical details
illustrations
System control number
  • (OCoLC)640627939
  • (OCoLC)ocn640627939
System details
  • Mode of access: World Wide Web
  • System requirement: Adobe Acrobat reader

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