Nursing homes (21 - 30 of 40 items)
Nursing Homes: Stronger Complaint and Enforcement Practices Needed to Better Ensure Adequate Care
T-HEHS-99-89: Published: Mar 22, 1999. Publicly Released: Mar 22, 1999.
Pursuant to a congressional request, GAO discussed the effectiveness of complaint and enforcement practices to protect nursing home residents, and to ensure that homes participating in Medicare and Medicaid comply with federal standards, focusing on the: (1) effectiveness of states' complaint practices in protecting residents; (2) Health Care Financing Administration's (HCFA) role in establishing...
State Medicaid Financing Practices
HEHS-96-76R: Published: Jan 23, 1996. Publicly Released: Jan 23, 1996.
Pursuant to a congressional request, GAO provided information on state Medicaid financing arrangements in Michigan, Tennessee, and Texas. GAO noted that: (1) until the Health Care Financing Administration (HCFA) ruled in 1985 that states could use Medicaid provider donations to reduce their share of Medicaid expenditures, states could only use provider donations for the cost of training administra...
Michigan Financing Arrangements
HEHS-95-146R: Published: May 5, 1995. Publicly Released: May 5, 1995.
Pursuant to a congressional request, GAO provided information on Michigan's 1995 Medicaid funding arrangements. GAO noted that: (1) Michigan has been among the most successful states in obtaining additional federal Medicaid funds; (2) since fiscal year (FY) 1991, Michigan has reduced its Medicaid costs by $1.8 billion due to a variety of financing partnerships with medical providers; (3) most fede...
VA Health Care: Inadequate Planning in the Chesapeake Network
HEHS-95-6: Published: Dec 22, 1994. Publicly Released: Dec 22, 1994.
Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) planned construction of a new nursing home in the Baltimore, Maryland, area, focusing on whether VA used sound planning criteria in: (1) choosing the new nursing home site; and (2) developing its plans to replace the former medical center and nursing home.GAO found that: (1) VA did not soundly plan its const...
Mental Health Plans: Many States May Not Meet Deadlines for Plan Implementation
HRD-90-142: Published: Sep 18, 1990. Publicly Released: Sep 18, 1990.
Pursuant to a legislative requirement, GAO evaluated states' implementation of the State Comprehensive Mental Health Services Plan Act of 1986, which required states to plan and implement community-based care for the seriously mentally ill.GAO found that: (1) it was too early to fairly assess implementation, since states were not required to fully implement their plans until September 1991; (2) mo...
VA Health Care: Efforts to Assure Quality of Care in State Homes
HRD-90-40: Published: Nov 27, 1989. Publicly Released: Nov 27, 1989.
Pursuant to a congressional request, GAO determined whether the Department of Veterans Affairs (VA): (1) inspected state homes frequently enough to evaluate the care veterans received; and (2) used adequate procedures to assess the quality of care provided in state homes. GAO also determined whether VA had implemented three GAO recommendations made in 1981 to: (1) revise its state home inspection...
Mental Health: Funds Needed for Future Planning Activities
HRD-89-94: Published: Apr 28, 1989. Publicly Released: Apr 28, 1989.
Pursuant to a congressional request, GAO assessed whether 14 states would need additional federal funds to establish and implement statutorily required comprehensive community-based mental health services.GAO found that: (1) the Department of Health and Human Services (HHS) provided each state with $82,200 in fiscal year (FY) 1988 and $81,000 in FY 1989 to develop programs; (2) 13 of the 14 states...
Board and Care: Insufficient Assurances That Residents' Needs Are Identified and Met
HRD-89-50: Published: Feb 10, 1989. Publicly Released: Mar 10, 1989.
In response to a congressional request, GAO reviewed board and care facilities for elderly and disabled adults, focusing on: (1) industry size; (2) the characteristics and needs of residents; (3) states' regulation and monitoring of facilities; and (4) the Department of Health and Human Services' (HHS) role in overseeing facilities.GAO found that: (1) although a 1987 survey showed that there were...
Insufficient Assurances That Board and Care Residents' Needs Are Being Identified and Met
T-HRD-89-9: Published: Mar 9, 1989. Publicly Released: Mar 9, 1989.
GAO discussed the quality of care provided to board and care home residents. GAO found that: (1) establishment and enforcement of licensing requirements varies among states; (2) state inspections of licensed board and care homes identified serious problems, including physical and sexual abuse and unsanitary conditions; (3) in situations involving poor care, three of the six states reviewed could o...
Medicaid: Recoveries From Nursing Home Residents' Estates Could Offset Program Costs
HRD-89-56: Published: Mar 7, 1989. Publicly Released: Mar 7, 1989.
GAO reviewed the potential for estate recovery programs to help offset state and federal Medicaid nursing home costs.GAO found that: (1) estate recovery programs provide a cost-effective way to offset state and federal costs, while promoting more equitable treatment of Medicaid recipients; (2) the absence of estate recovery programs creates inequities in the treatment of Medicaid recipients and th...