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Title
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CRS86610ENRpage03
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info:fedora/mu:61767
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ABSTRACT The charts and graphs in this report provide a brief look at U.S. farm operations, their importance to the U.S. economfi; recent financial problems on the farm, and Federal agriculture program spending. They were compiled from selected publications of the U;$. Department of Agriculture and the General Accounting Office.
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Title
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U.S. agricultural statistics at a glance: Selected USDA and GAO charts
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Date
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1986
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Summary
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The charts and graphs in this report provide a brief look at U.S. farm operations, their importance to the U.S. economy, recent financial problems on the farm, and Federal agriculture program spending. They were compiled from selected publications of the U.S. Department of Agriculture and the General Accounting Office.
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Title
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CRS85894Apage13
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info:fedora/mu:80920
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l this section. cns-11 (1) When it is necessary for a person to reside as a medicaid patient in s a licensed skilled nursing facility or licensed intermediate care facility as. . ., such person's relatives as described in this section shall be responsibile to the extent of their ability to repay the department of health and welfare for the cost of necessary medical or remedial care provided
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Title
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CRS85894Apage09
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info:fedora/mu:80920
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to third parties who may, thus, sue for reimburse“ A 15/C ment of support furnished. Several have criminal sanctions, e.g. Kentucky ,(Ky. Rev. Stat; § 530.050) and North Carolina (N.C. Gen. Stat. § 14-326,1). Some states condition the responsibility of the adult children upon their having been , supported in their minor years by the needy parent: Indiana law applies only to ithe adult child "who has
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CRS85894Apage12
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info:fedora/mu:80920
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cas-1o conceived out of wedlock] as to expenses described therein. If the relation pprior in order shall not be able, the next in order shall be liable, and several relations of the same order shall, if able, contribute according to their means. Del. Code Ann. tit. 13 § 503. (a) The duties of support specified in § 501 and § 504 of this title shall be performed according to the following order
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CRS85894Apage21
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info:fedora/mu:80920
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cns-19 West Virginia iThe relatives of an indigent person, who are of sufficient ability, shall be liable to support such person in the manner required by the depart- ment of welfare [department of human services] and to pay the expenses of burial when he dies, in the following order: (1) The children. (2) The father. (3) The brothers and sisters. (4) The mother. The commissioner may proceed
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Title
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CRS85894Apage15
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info:fedora/mu:80920
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...................... 101 72 ‘ 58 s 50 36 29 2 14 0 0 O 740 to 869.... ................ .. 130 101 86 79 65 9 58 43 29 14 0 870 to 1024.................... 144 1309 115 108 94 86 72 ‘ 58 43 29 1025‘u>1179 ............... w 144 144 144 144 130 123 108 94 79 65 1180 to 1339 ................ .. 144 144 144 144 144 144 144 130 115 101 1340 and up ............ ..,. 144 144 144 144 144 144 144 144 130 Miss. CodeAnn. § 43
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CRS87258EPWpage40
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info:fedora/mu:47009
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medical practice differences from State-to-State. V flj Wennberg, J. E. Dealing with medical practice variations a proposal for action. Health Affairs. v. 3, no. 2. Summer, 1984. pp. 6-32; i~ i *
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CRS87258EPWpage28
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info:fedora/mu:47009
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CRS-22 TABLE 1. (continued) Comparison of 1984 Scope of work To 1986 Scope of Work Review Area 1984 1986 Validation of Objectivesi Hospital No- tices Specialityi ihospital Review Admission Pattern Monitoring Intensified Review Community Outreach Not in contracts. 100 percent where patient or physician disagrees. 100 per- cent where patient is liable. 10 percent of remaining. Proposed by each PRO
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CRS87258EPWpage16
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info:fedora/mu:47009
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CRS*l0 III. MAJOR PROGRAM FEATURES if A. General Overview Hospitals are required to enter into agreements with Peer Review Organi- zations (PROS) as a condition for receiving payments under Medicare's prospective payment system for inpatient hospital services. PROs review the services provided to Medicare patients to assure that services are medically necessary, provided_ in the appropriate
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CRS87258EPWpage34
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info:fedora/mu:47009
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the limited or basic levels) suggest Problems in quality of care, the level of review could be increased to the third level, "intensified reviewi"iiUnder this level, the samples of cases reviewed would be increased even more; for exampley 100 percent of all cases having any of 13 conditions, 6 percent of alladmissions, and 100 percent of all readmissionsg i yt HMOs and CMPS would move from one
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CRS87258EPWpage32
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info:fedora/mu:47009
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that risk-contracting plans may reduce their utilization and costs such that the quality of care provided willdecline. In order to qualify for a risk contract, the HMO or CMP must have an on-going internal quality assurance program. Prior to the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), sthere was no specific legislation requirement for any independent, outside review of services
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Title
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CRS87258EPWpage21
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info:fedora/mu:47009
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working days for all other cases. A beneficiary has further appeal rights, including an administrative hearing ibefore an Administrative Law Judge (where the reconsideration determination is adverse and the amount in controversy is at least $200), and judicial review _(where the decision in the administrative hearing is adverse and the amount in controversy is at least $2,000). The beneficiary must file
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CRS87258EPWpage27
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info:fedora/mu:47009
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during contract period). Not in contracts. S Objectives. Based on PRO data from first 90 days of generic quality screen review. HCFA-identified outliers. Broader objectives. 3 percent random sample (includes 1 and 2 dayst stays). Pacemakers plus 4 pro~ cedures proposed by PRO. 100/percent preadmis* sion (see above). Same but lower level of review. Allrreadmissionsrwihin 15 days. Same. DRC 468
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