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IPE-84-1 1 (1983-10-21)

handle is hein.gao/gaobabeid0001 and id is 1 raw text is: BY THE U.S. GENERAL ACCOUNTING OFFICE Report To The Chairman Of The Subcommittee On Health And The Environment, Committee On Energy And Commerce House Of Representatives Medicaid And Nursing Home Care: Cost Increases And The Need For Services Are Creating Problems For The States And The Elderly Njursing home care is the most expensive component of Medicaid: the rrraajority of the Nation's elderly who are in nursing homes rely on this F'deral and State program to pay for their care. GAO finds, however, that t te availability of nursing home services varies widely from State to State. 5ome elderly are unable to gain access to nursing homes, and others appear to use them unnecessarily. AO finds two conflicting trends in the national data on nursing homes. he first involves a growing need for services: the elderly who now reside i nursing homes are becoming increasingly disabled and dependent While the number who may need to enter them in the next decade is likely tp increase. The second is that most States are trying to keep their Medicaid costs down by limiting reimbursement or the supply of beds or ia0th. ecent policy changes may sharpen this conflict. The new Federal Medi- are hospital reimbursement system may unintentionally increase the Oroblems of Medicaid patients waiting in hospitals for nursing home beds. ederal and State cost containment efforts may diminish the quality of Oursing home care. Moreover, there are gaps in basic data on program ifferences across the States, the use of and need for services nationally, nd the actual number of hospitalized patients awaiting nursing home eds. These gaps undermine efforts to predict the effects of policy -hanges on Medicaid expenditures and on the provision of nursing home pare to the Nation's elderly. .V,D c I I~ 122865 GAO/IPE-84-1 OCTOBER 21, 1983

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