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MWD-76-30 1 (1975-09-17)

handle is hein.gao/gaobaaaqh0001 and id is 1 raw text is: 


     2<               UNITED STATES GENERAL ACCOUNTING OFFICE

                               WASHINGTON, D.C. 20548                       .

MANPOWER AND WELFARE
     DIVISION                                        September 17, 1975

         B-164031 (3)



       - The Honorable Edward I. Koch

         House of Representatives

         Dear Mr. Koch:

              This is in response to your letter of June 19, 1975, referring
         to a proposed bill, H.R. 4772 The National Home Health Care Act of
         1975, and requesting. that we provide you with information on the
         comparative costs for equivalent services of home health care and
         institutionalization in nursing homes or hospitals.  We have
         furnished your,-staff with studies and material prepared by others
         on home health care.     I

              We reviewed 32 publications and documents dealing with home
         health care, which included reviews of programs, analyses of cost
         effectiveness as compared with institutionalization, testimony
         before congressional committees, and various studies. Enclosure I
         contains a listing of the material. We have provided your staff
         with copies of the material, and also a copy of our report of
         July 9, 1974, entitled Home Health Care Benefits Under Medicare
         and Medicaid.

              Enclosure 2 contains January 1975 HEW Medicaid statistics.
        This data shows that the $7.9 million in-home health care benefits
        paid during that month represented less than 1 percent of the total
        State and Federal 1,Medicaid expenditures of about $1 billion.

             At a meeting with you on July 17, 1975, you asked for information
         on the number of people who have used all of their home health visit
         benefits under NMdicare. At our request, the Social Security Adminis-
         tration (SSA), provided the data contained in enclosure 3.

             These data sho;.; the number of people who have used home health
        visits under the Hospital Insurance portion of .edicare (Part A) in
        terms of the most recent benefit period for which data was available.


                                                             MWD-76-30
                            ;o         o                   •

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