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HRD-79-52 1 (1979-07-19)

handle is hein.gao/gaobaazmw0001 and id is 1 raw text is: REPORT BY THE Co troller General OF THE UNITED STATES RESTRECT7D ~-L t2c tn r'clisr cutsdee the Genes'21 Accocu,~ C~ th b j of Z.Peciflc approval 13y th e Cf it i; u o C o n ig re s so n af R e la tio n s . Problems With Evaluating The LD Cost Effectiveness Of Professional Standards Review Organizations Professional Standards Review Organizations are designed to assure that health care services provided under Medicare and Medicaid are delivered as effectively, efficiently, and economically as possible. GAO reviewed nine estimates of cost savings for Professional Standards Review Organiza- tions totaling $21.4 million plus 67,000 pa- tient days of care and found that they were overstated by $16.7 million and 33,900 pa- tient days of care, primarily because of defi- ciencies in the data used. In addition, defi- ciencies in the methods used make the re- maining savings highly questionable. Data the Department of Health, Education, and Welfare used in its 1977 and 1978 evalua- tions of Professional Standards Review Orga- nizations included information on hospitals that should not have been included and omit- ted information that should have been in- cluded. GAO reviewed 5 of the 18 Profession- al Standards Review Organizations included in the 1977 evaluation and was told by officials at these organizations and at hospitals under their review that a variety of factors caused changes in hospital use. ZD S97 1 5 109975 HRD-79-52 JULY 19, 1979 - ' - ,,:Ji

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