Nursing homes (71 - 80 of 124 items)
Medicare and Medicaid: Stronger Enforcement of Nursing Home Requirements Needed
HRD-87-113: Published: Jul 22, 1987. Publicly Released: Sep 18, 1987.
In response to a congressional request, GAO investigated the enforcement of Medicare and Medicaid requirements for nursing homes, focusing on the: (1) extent and potential effect of repeated noncompliance; and (2) adequacy of enforcement actions taken by state and federal agencies.GAO found that: (1) 3,372 of 8,298 certified skilled nursing facilities and 2,005 of 5,970 certified intermediate care...
Medicaid: Determining Cost-Effectiveness of Home and Community-Based Services
HRD-87-61: Published: Apr 28, 1987. Publicly Released: Apr 28, 1987.
GAO reviewed states' reports on Medicaid home- and community-based service (HCBS) programs to determine whether the Health Care Financing Administration (HCFA) was collecting accurate and useful information on HCBS programs. HCFA collects the data to ensure that the cost of Medicaid HCBS programs does not exceed the estimated cost of providing nursing home care to HCBS recipients.GAO found that: (...
Medicaid: Addressing the Needs of Mentally Retarded Nursing Home Residents
HRD-87-77: Published: Apr 15, 1987. Publicly Released: Apr 15, 1987.
GAO examined the services provided to mentally retarded nursing home residents through Medicaid in five states to determine if they were complying with Department of Health and Human Services (HHS) requirements for: (1) speech, occupational, and physical therapy; (2) training in personal care skills; and (3) training in community living skills.GAO found that: (1) management controls were inadequat...
Health Facilities: New York State's Oversight of Nursing Homes and Hospitals
HRD-87-24: Published: Nov 28, 1986. Publicly Released: Dec 2, 1986.
In response to a congressional request, GAO provided information on the adequacy of the New York State Department of Health's nursing home and hospital inspections to ensure that these facilities met the conditions for participation in the Medicare and Medicaid programs. GAO specifically addressed allegations about defects in the inspection process that could result in: (1) the certification of su...
Nursing Home Standards Enforcement
129914: May 21, 1986
GAO testified on enforcing nursing home quality-of-care requirements, specifically, ensuring that nursing homes correct identified deficiencies and comply with Medicare and Medicaid regulations. GAO studied the actions of the Health Care Financing Administration (HCFA) and two states and determined that they failed to enforce compliance on a continuing basis. GAO noted that the nursing homes studi...
Medicaid: Making Georgia's Nursing Home Reimbursement More Equitable
HRD-86-58: Published: May 12, 1986. Publicly Released: May 12, 1986.
GAO studied Georgia's reimbursement system for free-standing intermingled nursing homes to determine whether: (1) its grouping methodology for reimbursement purposes resulted in equitable reimbursement for intermingled homes; and (2) applying minimum nursing standards resulted in appropriate payment levels.GAO noted that: (1) Georgia did not conduct studies or analyses to serve as a basis for esta...
Medicaid: Methods for Setting Nursing Home Rates Should Be Improved
HRD-86-26: Published: May 9, 1986. Publicly Released: May 9, 1986.
GAO reviewed seven states' prospective payment systems, which provide nursing homes with incentives to reduce costs without adversely affecting the quality of health care, to identify weaknesses in each phase of the ratesetting process.GAO found that: (1) allowable base costs were too high because the seven states did not always establish specific written criteria limiting allowable costs; (2) sta...
Simulations of a Medicare Prospective Payment System for Home Health Care
HRD-85-110: Published: Sep 30, 1985. Publicly Released: Sep 30, 1985.
Pursuant to a congressional request, GAO simulated the probable prospective payment rates for home health care under the Medicaid program.The system GAO modeled specified that: (1) rates should be nationwide, and no distinction should be made between the rates for freestanding and facility-based providers; (2) rates should be set at the 75th percentile instead of the 60th percentile; (3) costs sho...
A Proposal for Transferring St. Elizabeths Hospital to the District of Columbia
HRD-84-48: Published: Apr 19, 1984. Publicly Released: May 21, 1984.
Pursuant to a congressional request, GAO proposed a method for transferring control of St. Elizabeths Hospital from the Department of Health and Human Services to the District of Columbia.GAO proposed a comprehensive mental health care system for the District. Under the proposed system, primary mental health care would be shifted from St. Elizabeths to community-based programs and facilities. Thre...