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123697 1 (1984-03-21)

handle is hein.gao/gaobactgu0001 and id is 1 raw text is: 




             UNITED STATES GENERAL  ACCOUNTING OFFICE

                     WASHINGTON,  D.C.  20548



                                          FOR RELEASE ON DELIVERY
                                          Expected at 10:00 a.m. EST
                                          Wednesday, March 21, 1984



                   STATEMENT OF MICHAEL  ZIMMERMAN

            ASSOCIATE DIRECTOR, HUMAN  RESOURCES DIVISION

                             BEFORE THE

                       SUBCOMMITTEE ON  HEALTH

                                AND

                     SUBCOMMITTEE ON OVERSIGHT

                 HOUSE COMMITTEE ON WAYS AND  MEANS

 ON THE EFFECTS OF CHANGES IN PROVIDER OWNERSHIP  ON CAPITAL COSTS


     Mr. Chairman and members of  the Subcommittees, we are pleased

to be here today to discuss how hospital mergers  can increase

Medicare and Medicaid payments  for capital costs.  Our review of

one large merger showed substantial  increases in capital costs

resulting from a change in ownership.  The Medicare  and Medicaid

programs will reimburse the new owner  for some of the increase in

costs.  Future acquisitions will also  increase Medicare and

Medicaid payments for capital costs unless  the present cost

reimbursement system is changed.  The Social Security Amendments  of

1983 (P.L. 98-21) provide for incorporating capital  costs into the

prospective payment system by October 1, 1986,  if a plan acceptable

to Congress is developed.                           I     l



                                                       123697

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