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Offices, Department of Health and Human Services, Executive (31 - 40 of 197 items)
TANF Electronic Benefit Cards: Some States Are Restricting Certain TANF Transactions, but Challenges Remain
GAO-12-535: Published: Jul 20, 2012. Publicly Released: Jul 27, 2012.
Six of the 10 states reviewed by GAO took steps aimed at preventing certain Temporary Assistance for Needy Families (TANF) transactions determined to be inconsistent with the purpose of TANF, despite no federal requirement to do so at the time. Restrictions are based on selected states laws, executive orders, and other regulations, and generally cover certain locations or certain types of pu...
National Medicaid Audit Program: CMS Should Improve Reporting and Focus on Audit Collaboration with States
GAO-12-814T: Published: Jun 14, 2012. Publicly Released: Jun 14, 2012.
We found that, compared to the initial test audits and the more recent collaborative audits, the majority of the MIG audits conducted under NMAP were less effective because they used Medicaid Statistical Information System (MSIS) data. MSIS is an extract of states claims data and is missing key elements, such as provider names, that are necessary for identifying audit targets. Since fiscal y...
Group Purchasing Organizations: Federal Oversight and Self-Regulation
GAO-12-399R: Published: Mar 30, 2012. Publicly Released: Apr 30, 2012.
GPOs are subject to certain federal laws that HHS, DOJ, and FTC are responsible for enforcing. According to HHS Office of Inspector General (HHS-OIG) officials, since 2004, the office has not routinely exercised its authority to request and review disclosures related to GPOs contract administrative fees, but it has collected information on GPOs contract administrative fees while conduc...
Medicare: Implementation of Financial Incentive Programs under Federal Fraud and Abuse Laws
GAO-12-355: Published: Mar 30, 2012. Publicly Released: Apr 30, 2012.
Certain financial incentive programs are permitted within the framework of federal fraud and abuse laws, but stakeholders GAO spoke with reported that the laws, regulations, and agency guidance have created challenges for program design and implementation. The Stark law and anti-kickback statute, which restrict financial relationships among providers, have statutory and regulatory exceptions and s...
Private Health Insurance: Estimates of Individuals with Pre-Existing Conditions Range from 36 Million to 122 Million
GAO-12-439: Published: Mar 27, 2012. Publicly Released: Apr 26, 2012.
Hypertension was the most commonly reported medical condition among adults that could result in a health insurer denying coverage, requiring higher-than-average premiums, or restricting coverage. GAOs analysis found that about 33.2 million adults age 19-64 years old, or about 18 percent, reported hypertension in 2009. Individuals with hypertension reported average annual expenditures related...
Medicare: Important Steps Have Been Taken, but More Could Be Done to Deter Fraud
GAO-12-671T: Published: Apr 24, 2012. Publicly Released: Apr 24, 2012.
The Centers for Medicare & Medicaid Services (CMS)the agency that administers Medicarehas made progress in implementing several key strategies GAO identified in prior work as helpful in protecting Medicare from fraud; however, some actions that could help combat fraud remain incomplete.Provider Enrollment: GAOs previous work found persistent weaknesses in Medicares enrollme...
Comparative Effectiveness: Agency for Healthcare Research and Quality's Process for Awarding Recovery Act Funds and Disseminating Results
GAO-12-332: Published: Feb 29, 2012. Publicly Released: Mar 30, 2012.
AHRQ used its standard, competitive review processes and criteria to select the recipients of CER grants and contracts using Recovery Act funds. Specifically, to select the recipients of Recovery Act CER grants, AHRQ used its standard review process that includes peer review of grant applications, the development of funding recommendations by a team of senior officials within AHRQ, and final fundi...
Improper Payments: Remaining Challenges and Strategies for Governmentwide Reduction Efforts
GAO-12-573T: Published: Mar 28, 2012. Publicly Released: Mar 28, 2012.
Federal agencies reported an estimated $115.3 billion in improper payments in fiscal year 2011, a decrease of $5.3 billion from the prior year reported estimate of $120.6 billion. According to the Office of Management and Budget (OMB), the $115.3 billion estimate was attributable to 79 programs spread among 17 agencies. Ten programs accounted for about $107 billion or 93 percent of the total estim...
National Preparedness: Countermeasures for Thermal Burns
GAO-12-304R: Published: Feb 22, 2012. Publicly Released: Feb 22, 2012.
The SNS contains supportive care items for thermal burns, such as bandages, pain medications, intravenous fluids, and topical antimicrobial cream needed for the immediate treatment of burn injuries to reduce the risk of infection and stabilize injured individuals. HHS officials told us that the goal of the SNS is to supplement state and local supplies used for immediate care in the initial respons...
Early Child Care and Education: HHS and Education Are Taking Steps to Improve Workforce Data and Enhance Worker Quality
GAO-12-248: Published: Feb 15, 2012. Publicly Released: Feb 15, 2012.
The paid early child care and education (ECCE) workforce was made up of approximately 1.8 million workers in a range of positions, most of whom had relatively low levels of education and income, according to Censuss 2009 American Community Survey (ACS) data. For example, nearly half of all child care workers had a high school degree or less as did 20 percent of preschool teachers. Average ye...