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GAO-08-175R 1 (2007-10-19)

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T I   IAccountability * Integrity * Reliability
United States Government Accountability Office
Washington, DC 20548

          B-310573


          October 19, 2007

          The Honorable Max Baucus
          Chairman
          The Honorable Charles E. Grassley
          Ranking Minority Member
          Committee on Finance
          United States Senate

          The Honorable Charles B. Rangel
          Chairman
          The Honorable Jim McCrery
          Ranking Minority Member
          Committee on Ways and Means
          House of Representatives

          Subject: Department of Health and Human Services, Centers for Medicare and
                  Medicaid Services: Medicare Program; Inpatient Hospital Deductible and
                  Hospital and Extended Care Services Coinsurance Amounts for Calendar
                  Year 2008

          Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a
          major rule promulgated by the Department of Health and Human Services, Centers
          for Medicare and Medicaid Services (CMS), entitled Medicare Program; Inpatient
          Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts
          for Calendar Year 2008 (RIN: 0938-AO61). We received the rule on October 5, 2007.
          It was published in the Federal Register as a notice on October 5, 2007. 72 Fed. Reg.
          57,035.

          The notice announces the inpatient hospital deductible and the hospital and
          extended care service coinsurance amounts for services furnished in calendar year
          2008 under Medicare's Hospital Insurance program (Medicare Part A). The statute
          specifies the formulae used to determine these amounts.

          The inpatient hospital deductible will be $1,024. The daily coinsurance amounts for
          CY 2008 will be: (a) $256 for the 61st through 90' day of hospitalization in the benefit
          period; (b) $512 for lifetime reserve days; and (c) $128 for the 21st through 100th day
          of extended care services in a skilled nursing facility in a benefit period.


GAO-08-175R

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