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HRD-83-72 1 (1983-07-12)

handle is hein.gao/gaobabnbo0001 and id is 1 raw text is: 

                  UNITED STATES' GENERAL ACCOUNTING OFFICE
                     1WASHINGTON, D.C. 20548

                     F  er .      -               i tsid, the -
HUMAN RESOURCES                            tI.:Ia~f
   DIVISION          O-. Via

   B-207300
                                          RELEASED
    The Honorable Bill Archer
    House of Representatives

    Dear Mr. Archer:

         Subject: Comments on the Legislative Intent              122087
                   of Medicare's Hospice Care Benefit
                   (GAO/HRD-83-72)

         Your June 2, 1983, letter asked us a number of questions
    concerning the recently enacted Medicare hospice care benefit.
    As agreed to with your office, this report will address the
    legislative intent behind the hospice reimbursement requirements
    contained in Medicare law, the payment cap set by the law, and
    the discretion the Department of Health and Human Services (HHS)
    has in setting the payment rate. Your other questions will be
    addressed at a later time.

    BACKGROUND

         There is no standard definition of what a hospice is or
    what services an organization must provide to be considered a
    hospice. However, it is generally agreed that the hospice
    concept in the United States is a program of care in which an
    organized interdisciplinary team systematically provides pallia-
    tive care (relief of pain and other symptoms) and supportive
    services to patients with terminal illnesses.1 The team also
    assists the patient's family in making the necessary adjustments
    to the patient's illness and death. A hospice's objective is to
    make the patient's remaining days as comfortable and meaningful
    as possible and to help the family cope with the stress.

         Section 122 of the Tax Equity and Fiscal Responsibility Act
    of 1982 (Public Law 97-248) (TEFRA) provided for Medicare cov-
    erage of hospice care as of November 1, 1983. The program is to
    terminate on October 1, 1986, unless the Congress takes action
    to reauthorize it. The law limits hospice care to beneficiaries
    having a life expectancy of 6 months or less. A beneficiary can



    iSee Hospice Care--A Growing Concept in the United States
    (HRD-79-50, Mar. 6, 1979) for a more detailed discussion.

                                                           (106250)

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