United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2002-06-13 monographic deposited born digital GA 1.13:GAO-02-431R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-02-431R P0b002ee1803788de f:d02431r DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-02-431R machine generated eng fdlp REPORT GAOREPORTS-GAO-02-431R GAO-02-431R Health care costs Health care services Nursing homes Comparative analysis Medicare Program Mississippi Ohio Washington Medicaid Program Correspondence A03626 Costs for nursing home care have almost doubled since 1990, from $53 billion to $92 billion in 2000. Much of that spending has been financed with public monies. Under the Medicare and Medicaid programs, the federal government financed 39 percent of the nation's nursing home spending in 2000, up from 28 percent in 1990. As federal outlays have grown, Congress has focused attention on the quality of care delivered and the level of staffing in nursing homes. Nursing home expenditures per resident day varied considerably across Ohio, Mississippi, and Washington--the three states covered in GAO's survey. Although the total level of spending varied, the average share devoted to resident-care activities such as nursing care and medical supplies was relatively stable. The share of spending devoted to buildings and equipment, by comparison, was more variable. Homes in Ohio and Washington that provided more nursing hours per resident day, especially nurses' aide hours, were less likely than homes providing fewer nursing hours to have repeated serious or potentially life-threatening quality problems. However, GAO found no clear relationship between a nursing home's spending per resident day and the number of serious quality problems. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-02-431R/html/GAOREPORTS-GAO-02-431R.htm GAO-02-431R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-02-431R Correspondence GAO-02-431R; Nursing Homes: Quality of Care More Related to Staffing than Spending; Health care costs Health care services Nursing homes Comparative analysis Medicare Program Mississippi Ohio Washington Medicaid Program