Nursing homes (51 - 60 of 124 items)
Fraud and Abuse: Medicare Continues to Be Vulnerable to Exploitation by Unscrupulous Providers
T-HEHS-96-7: Published: Nov 2, 1995. Publicly Released: Nov 2, 1995.
GAO discussed challenges Medicare faces in battling fraud and abuse in the health care system, focusing on reasons that: (1) Medicare is an appealing target for unscrupulous providers; and (2) abusive practices persist despite efforts by program managers and law enforcement agencies. GAO noted that: (1) although most Medicare providers abide by program rules, Medicare has difficulty preventing fra...
Long-Term Care: Current Issues and Future Directions
HEHS-95-109: Published: Apr 13, 1995. Publicly Released: May 11, 1995.
Pursuant to a congressional request, GAO provided information on long-term care, focusing on: (1) the conditions that give rise to long-term care; (2) which groups require long-term care; (3) long-term care costs and strategies to contain them; and (4) its future demand.GAO found that: (1) long-term care is designed to help people with chronic conditions compensate for limitations in their ability...
VA Health Care: Challenges and Options for the Future
T-HEHS-95-147: Published: May 9, 1995. Publicly Released: May 9, 1995.
GAO discussed the future of the Department of Veterans Affairs (VA) health care program, focusing on: (1) actions needed to improve VA hospitals' efficiency; (2) challenges that threaten the long-term viability of the VA health care system; and (3) options for restructuring the VA health care system. GAO noted that: (1) VA lags far behind the private sector in improving hospital efficiency; (2) VA...
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...
Medicare: Tighter Rules Needed to Curtail Overcharges for Therapy in Nursing Homes
HEHS-95-23: Published: Mar 30, 1995. Publicly Released: Apr 19, 1995.
Pursuant to a congressional request, GAO reviewed billings for inappropriate or undelivered therapy services, focusing on overcharges to Medicare nursing home patients.GAO found that: (1) the providers responsible for overcharges for therapy services are often rehabilitation companies or nursing homes; (2) the problem of overcharging is national in scope and growing in magnitude; (3) markups on th...
Long-Term Care: Other Countries Tighten Budgets While Seeking Better Access
HEHS-94-154: Published: Aug 30, 1994. Publicly Released: Oct 3, 1994.
Pursuant to a congressional request, GAO reviewed the provision of long-term care services in Canada, Germany, Sweden, and the United Kingdom, focusing on the: (1) financing and cost-containment measures these countries use to control spending for long-term care; and (2) administrative and delivery approaches the countries use to expand the range of and access to long-term care services.GAO found...
Long-Term Care: Demography, Dollars, and Dissatisfaction Drive Reform
T-HEHS-94-140: Published: Apr 12, 1994. Publicly Released: Apr 12, 1994.
GAO discussed problems with current long-term care programs, and principles to guide reform efforts. GAO noted that: (1) demand for long-term care for chronically disabled persons is increasing among all age groups, not just the elderly, and is expected to continue to increase; (2) 1993 federal and state Medicaid expenditures for long-term care totalled $42 billion, and Medicaid expenditures for n...
VA Health Care: Potential for Offsetting Long-Term Care Costs Through Estate Recovery
HRD-93-68: Published: Jul 27, 1993. Publicly Released: Jul 27, 1993.
Pursuant to a congressional request, GAO reviewed the potential for the Department of Veterans Affairs (VA) to recoup the costs of providing nursing home and domiciliary care through an estate recovery program, focusing on: (1) the potential estimated savings; (2) program procedures that prevent undue hardships on affected veterans' family members; and (3) options for program administration.GAO fo...
Medicaid Estate Planning
HRD-93-29R: Published: Jul 20, 1993. Publicly Released: Jul 20, 1993.
Pursuant to congressional requests, GAO determined the: (1) prevalence of Medicaid estate planning for purposes of becoming Medicaid-eligible; (2) value of assets sheltered through Medicaid estate planning; and (3) extent to which states are enforcing Medicaid requirements concerning Medicaid estate planning. GAO found that: (1) half of the Medicaid applicants converted assets from one form to ano...
Long-Term Care Forum
HRD-93-1-SP: Published: Jul 13, 1993. Publicly Released: Jul 13, 1993.
GAO published a discussion paper on key issues in long-term care reform that were discussed at a GAO- and Kaiser Family Foundation-sponsored forum held July 13 and 14, 1993...