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HRD-82-32 1 (1982-01-20)

handle is hein.gao/gaobabcuz0001 and id is 1 raw text is: 




BY THE COMPTROLLER GENERAL


Report To The Congress

OF THE UNITED STATES





Do Aged Medicare Patients Receive

More Costly Routine Nursing Services?

Evidence Inconclusive



Medicare now assumes that it is more costly
for hospitals to provide routine nursing ser-
vices to aged than to nonaged inpatients and
pays hospitals a premium. This is called the
Medicare routine nursing salary cost differen-
tial. However, the existence or nonexistence
of an actual cost differential is not conclu-
sively demonstrated by studies GAO ana-
lyzed.

GAO is reasonably confident that the meth-
odology it has developed will determine
whether there is a routine nursing cost differ-
ential on an industrywide basis and, if so,
estimate its size. However, GAO cannot be
certain that the methodology will produce
results precise enough to calculate hospital
reimbursements for routine nursing services.
To enable GAO to make the study, the
Congress would have to appropriate a sub-
stantial sum specifically for that purpose.





     ' v S7.III                                               11 73211111 1111





                                                                HRD-82-32
                 1CCO1JJANUARY 20, 1982

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