Medicare Program's Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for 1997

OGC-97-5: Published: Nov 8, 1996. Publicly Released: Nov 8, 1996.


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Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on the Medicare Program's inpatient hospital deductible and hospital and extended care services coinsurance amounts for 1997. GAO found that: (1) the new rule would, based on a formula contained in the Medicare statute, set the 1997 inpatient hospital deductible at $760, the daily coinsurance amount at $190 for the 61st through 90th days of hospitalization, the amount for lifetime reserve days at $380, and the amount for the 21st through 100th days of extended care services in a skilled nursing facility in a benefit period at $95; and (2) HCFA complied with applicable requirements in promulgating the rule.

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