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Medicaid and Nursing Home Care: Cost Increases and the Need for Services are Creating Problems for the States and the Elderly

机译:医疗补助和养老院护理:成本增加和服务需求为国家和老年人带来了问题

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Nursing home care is the most expensive component of Medicaid: the majority of the Nation's elderly who are in nursing homes rely on this Federal and State program to pay for their care. GAO finds, however, that the availability of nursing home services varies widely from State to State. Some elderly are unable to gain access to nursing homes, and others appear to use them unnecessarily. GAO finds two conflicting trends in the national data on nursing homes. The first involves a growing need for services: the elderly who now reside in nursing homes are becoming increasingly disabled and dependent while the number who may need to enter them in the next decade is likely to increase. The second is that most States are trying to keep their Medicaid costs down by limiting reimbursement or the supply of beds or both. Recent policy changes may sharpen this conflict.

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