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New GAO Reports – Medicaid, Telecommunications Relay Service

  • Medicaid: A Small Share of Enrollees Consistently Accounted for a Large Share of Expenditures, GAO-15-460: Published: May 8, 2015. Publicly Released: May 8, 2015: “A small percentage of Medicaid-only enrollees—that is, those who were not also eligible for Medicare—consistently accounted for a large percentage of total Medicaid expenditures for Medicaid-only enrollees. In each fiscal year from 2009 through 2011, the most expensive 5 percent of Medicaid-only enrollees accounted for almost half of the expenditures for all Medicaid-only enrollees. In contrast, the least expensive 50 percent of Medicaid-only enrollees accounted for less than 8 percent of the expenditures for these enrollees.”
  • Telecommunications Relay Service: FCC Should Strengthen Its Management of Program to Assist Persons with Hearing or Speech Disabilities, GAO-15-409: Published: Apr 29, 2015. Publicly Released: May 8, 2015:  “Since 2002, the overall minutes of use and costs for the Telecommunications Relay Service (TRS) program have grown significantly due to the advent of Internet-based forms of TRS and increased usage by the deaf and hard-of-hearing communities. Program data show that total TRS minutes have grown from about 53 million in “rate year” (July-to-June) 2002–2003 to about 249 million in rate year 2013–2014, an almost five-fold increase. Total TRS costs have grown from about $104 million in the 2002–2003 rate year to about $818 million in the 2013–2014 rate year, an almost eight-fold increase. These increases stem from the popularity of new forms of TRS that use the Internet—such as Video Relay Service (VRS) and Internet Protocol Captioned Telephone Service—and the growth in consumers’ use of them, according to FCC, some providers, and one consumer group that GAO interviewed.”

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