Medicaid: Methods for Setting Nursing Home Rates Should be Improved.

Abstract

As a result of the Omnibus Reconciliation Act of 1980, states are required to give assurances to HHS' Health Care Financing Administration (HCFA) that their payment rates are reasonable and adequate to meet the costs incurred by efficiencly and economically operated nursing homes to provide care in conformity with applicable state and federal laws, regulations, and quality and safety standards. How effective have states been in establishing prospective payment systems that provide nursing homes an incentive to reduce costs without adversely affecting quality of care? In our review, we identified weaknesses in each phase of the rate-setting process described above. These weaknesses meant that HCFA lacked adequate assurances that the states' reimbursements rates were reasonable and adequate to meet the costs incurred by efficiently and economically operated nursing homes.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 1986
Accession Number
ADA167262

Entities

Organizations

  • United States Government Accountability Office

Tags

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  • Biomedical

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  • Acquisition
  • California
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  • Group Processes (Social Psychology)
  • Health Care
  • Health Services
  • Law
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  • Rural Areas
  • South Carolina
  • United States
  • Urban Areas

Fields of Study

  • Medicine
  • Political science

Readers

  • Medical or Health Care Field.
  • Systems Analysis and Design