Health Facilities:
New York State's Oversight of Nursing Homes and Hospitals
HRD-87-24: Published: Nov 28, 1986. Publicly Released: Dec 2, 1986.
Additional Materials:
- Full Report:
Contact:
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 substandard facilities for participation in the programs; and (2) beneficiaries receiving substandard care.
GAO found that: (1) there was no evidence that nursing homes received advance notice of inspection times; (2) changes to inspection reports were mainly editorial and did not suppress findings of deficiencies; (3) the state investigated patient complaints within the time periods established by state policy; (4) the state began sharing patient complaint information with GAO in June 1985; (5) although the state increased its emphasis on enforcement actions against nursing homes in 1983 and against hospitals in 1985, it failed to consistently take action against hospitals and negligent physicians; and (6) although there was no evidence of bias in favor of certain facilities regarding inspection and enforcement actions, the state lacked adequate internal controls to prevent conflicts of interest.
Jan 14, 2021
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Medicaid:
Data Completeness and Accuracy Have Improved, Though Not All Standards Have Been MetGAO-21-196: Published: Jan 14, 2021. Publicly Released: Jan 14, 2021.
Jan 4, 2021
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Medicare Severe Wound Care:
Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on QualityGAO-21-92: Published: Jan 4, 2021. Publicly Released: Jan 4, 2021.
Dec 22, 2020
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Defense Health Care:
Efforts to Ensure Beneficiaries Access Specialty Care and Receive Timely and Effective CareGAO-21-143: Published: Dec 22, 2020. Publicly Released: Dec 22, 2020.
Dec 16, 2020
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Medicaid Long-Term Services and Supports:
Access and Quality Problems in Managed Care Demand Improved OversightGAO-21-49: Published: Nov 16, 2020. Publicly Released: Dec 16, 2020.
Dec 14, 2020
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Drug Pricing Program:
HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B RequirementsGAO-21-107: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020. -
Substance Use Disorder:
Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant ProgramGAO-21-58: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020.
Dec 10, 2020
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Indian Health Service:
Actions Needed to Improve Oversight of Provider Misconduct and Substandard PerformanceGAO-21-97: Published: Dec 10, 2020. Publicly Released: Dec 10, 2020. -
Clinical Labs:
Studies Suggest Biopsy Specimen Misidentification and Contamination Errors Are InfrequentGAO-21-59: Published: Nov 10, 2020. Publicly Released: Dec 10, 2020.
Dec 7, 2020
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Medicaid:
CMS Needs More Information on States' Financing and Payment Arrangements to Improve OversightGAO-21-98: Published: Dec 7, 2020. Publicly Released: Dec 7, 2020.
Dec 1, 2020
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Military Health Care:
Defense Health Agency Processes for Responding to Provider Quality and Safety ConcernsGAO-21-160R: Published: Dec 1, 2020. Publicly Released: Dec 1, 2020.
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