HCFA

Medicare Program--Provisions of the Balanced Budget Refinement Act of 1999 and Hospital Inpatient Payments and Rates and Costs of Graduate Medical Education Gao ID: OGC-00-57 August 15, 2000

Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on hospital inpatient payments and rates and costs of graduate medical education. GAO noted that: (1) the interim rule implements provisions of the Medicare, Medicaid, and State Children's Health Insurance Program Balanced Budget Refinement Act of 1999 relating to Medicare payments to hospitals for inpatient services; (2) these provisions relate to reclassification of hospitals from urban to rural status, reclassification of certain hospitals for purposes of payment during federal fiscal year 2000, critical access hospitals, payments to hospitals excluded from the hospital inpatient prospective payment system, and payments for indirect and direct graduate medical education costs; and (3) HCFA complied with applicable requirements in promulgating the rule.



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