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entitled 'Medicare: Program Remains at High Risk Because of Continuing 
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United States Government Accountability Office: 
GAO: 

Testimony: 

Before the Subcommittee on Oversight and Investigations, Committee on 
Energy and Commerce, House of Representatives: 

For Release on Delivery: 
Expected at 10:00 a.m. EST:
Wednesday, March 2, 2011: 

Medicare: 

Program Remains at High Risk Because of Continuing Management 
Challenges: 

Statement of Kathleen King:
Director, Health Care: 

GAO-11-430T: 

GAO Highlights: 

Highlights of GAO-11-430T, a testimony before the Subcommittee on 
Oversight and Investigations, Committee on Energy and Commerce, House 
of Representatives. 

Why GAO Did This Study: 

In the February 2011 High-Risk Series update, GAO continued 
designation of Medicare as a high-risk program because its complexity 
and susceptibility to improper payments, combined with its size, have 
led to serious management challenges. In 2010, Medicare covered 47 
million people and had estimated outlays of $509 billion. The Centers 
for Medicare & Medicaid Services (CMS) has estimated fiscal year 2010 
improper payments for Medicare fee-for-service and Medicare Advantage 
of almost $48 billion. 

This statement focuses on the nature of the risk in the program, 
progress made, and specific actions needed. It is based on GAO work 
developed by using a variety of methodologies—-including analyses of 
Medicare claims, review of policies, interviews, and site visits-—and 
information from CMS on the status of actions to address GAO 
recommendations. 

What GAO Found: 

As GAO reported in its 2011 High-Risk Series update, Medicare remains 
on a path that is fiscally unsustainable over the long term. This 
fiscal pressure heightens CMS’s challenges to reform and refine 
Medicare’s payment methods to achieve efficiency and savings, and to 
improve its management, program integrity, and oversight of patient 
care and safety. CMS has made some progress in these areas, but many 
avenues for improvement remain. 

Reforming and refining payments. Since January 2009, CMS has 
implemented payment reforms for Medicare Advantage and inpatient 
hospital and other services, and has taken other steps to improve 
efficiency in payments. The agency has also begun to provide feedback 
to physicians on their resource use, but the feedback effort could be 
enhanced. CMS has taken steps to ensure that some physician fees 
recognize efficiencies when certain services are furnished together, 
but the agency has not targeted the services with the greatest 
potential for savings. Other areas that could benefit from payment 
method refinements include oxygen and imaging services. 

Improving program management. CMS’s implementation of competitive 
bidding for medical equipment and supplies and its transfer of fee-for-
service claims workload to new Medicare Administrative Contractors 
have progressed, with some delays. Of greater concern is that GAO 
found pervasive internal control deficiencies in CMS’s management of 
contracts that increased the risk of improper payments. While the 
agency has taken actions to address some GAO recommendations for 
improving internal controls, it has not completely addressed 
recommendations related to clarifying the roles and responsibilities 
for implementing certain contractor oversight responsibilities, 
clearing a backlog of contacts that are overdue for closeout, and 
finishing its investigation of over $70 million in payments GAO 
questioned in 2007. 

Enhancing program integrity. CMS has implemented a national Recovery 
Audit Contractors (RAC) program to analyze paid claims and identify 
improper overpayments for recoupment, set performance measures to 
reduce improper payments, issued regulations to tighten provider 
enrollment, and created its Center for Program Integrity. However, the 
agency has not developed an adequate process to address 
vulnerabilities to improper payments identified by RACs, nor has it 
addressed three other GAO recommendations designed to reduce improper 
payments, including one to conduct postpayment reviews of claims 
submitted by home health agencies with high rates of improper billing. 
Overseeing patient care and safety. The agency’s oversight of the 
quality of nursing home care has increased significantly in recent 
years, but weaknesses in the survey methodology and guidance for 
surveillance could understate care quality problems. In addition, 
CMS’s current approach for funding state surveys of facilities 
participating in Medicare is ineffective. However, CMS has 
implemented, or is taking steps to implement, many recommendations GAO 
has made to improve nursing home oversight. 

What Remains to Be Done: 

CMS needs a plan with clear measures and benchmarks for reducing 
Medicare’s risk for improper payments, inefficient payment methods, 
and issues in program management and patient care and safety. Further, 
CMS’s effective implementation of recent laws will be critical to 
helping reduce improper payments. CMS also needs to take action to 
address GAO recommendations, such as to develop an adequate corrective 
action process, improve controls over contracts, and refine or better 
manage payment for certain services. 

View [hyperlink, http://www.gao.gov/products/GAO-11-430T] or key 
components. For more information, contact Kathleen M. King at (202) 
512-7114 or kingk@gao.gov. 

[End of section] 

Mr. Chairman and Members of the Subcommittee: 

I am pleased to be here today to discuss GAO's 2011 High-Risk Series 
update on the Medicare program.[Footnote 1] My testimony today will 
focus on information in our 2011 update on the nature of the risk in 
the Medicare program, progress made since our last high-risk update in 
2009, and the specific actions CMS needs to take to make additional 
progress. 

We have designated Medicare as a high-risk program because its 
complexity and susceptibility to improper payments, combined with its 
size, have led to serious management challenges. An improper payment 
is any payment that should not have been made or that was made in an 
incorrect amount (including overpayments and underpayments) under 
statutory, contractual, administrative, or other legally applicable 
requirements.[Footnote 2] In 2010, Medicare covered 47 million elderly 
and disabled beneficiaries and had estimated outlays of $509 billion. 
The Centers for Medicare & Medicaid Services (CMS)--the agency in the 
Department of Health and Human Services that administers Medicare--has 
estimated improper payments for Medicare of almost $48 billion for 
fiscal year 2010.[Footnote 3] However, this improper payment estimate 
did not include all of the program's risk since it did not include 
improper payments in its Part D prescription drug benefit, for which 
the agency has not yet estimated a total amount.[Footnote 4] 

CMS is responsible for implementing payment methods that encourage 
efficient service delivery, managing the program to serve 
beneficiaries and safeguard it from loss, and overseeing patient 
safety and care. However, CMS faces growing challenges in coming years 
resolving issues that put the program at risk, given the rapid growth 
expected in the number of Medicare beneficiaries and program spending. 

Our 2011 High-Risk Series update on Medicare is based on a body of 
work comprising more than 11 products that were developed by using a 
variety of methodologies, including analyses of Medicare claims, 
review of relevant policies and procedures, interviews with agency 
officials and other stakeholders, and site visits.[Footnote 5] It also 
includes information CMS has provided on the status of its actions to 
address recommendations made in these and prior reports on Medicare. 
Our work was performed in accordance with generally accepted 
government auditing standards. Those standards require that we plan 
and perform the audit to obtain sufficient, appropriate evidence to 
provide a reasonable basis for our findings and conclusions based on 
our audit objectives. We believe that the evidence obtained provides a 
reasonable basis for our findings and conclusions based on our audit 
objectives. 

2011 High-Risk Series Update on the Medicare Program: 

As we report in our 2011 High-Risk Series update, Medicare remains on 
a path that is fiscally unsustainable over the long term. This fiscal 
pressure heightens the need for CMS to reform and refine Medicare's 
payment methods to achieve efficiency and savings, and to improve its 
management, program integrity, and oversight of patient care and 
safety. CMS has made some progress in these areas, but many avenues 
for improvement remain. 

Reforming and Refining Payments: 

Since January 2009, CMS has implemented payment reforms for Medicare 
Advantage (Part C) and inpatient hospital, home health, and end-stage 
renal disease services. The agency has also begun to provide feedback 
to physicians on their resource use and is developing a value-based 
payment method for physician services that accounts for the quality 
and cost of care. Efforts to provide feedback and encourage efficiency 
are crucial because physician influence on use of other services is 
estimated to account for up to 90 percent of health care spending. 

In addition, CMS has taken steps to ensure that some physician fees 
recognize efficiencies when certain services are furnished together, 
but the agency has not targeted the services with the greatest 
potential for savings. Under the budget neutrality requirement, the 
savings that have been generated have been redistributed to increase 
physician fees for other services. Therefore, we recommended in 2009 
that Congress consider exempting savings from adjusting physician fees 
to recognize efficiencies from budget neutrality to ensure that 
Medicare realizes these savings. 

Our examination of payment rates for home oxygen also found that 
although these rates have been reduced or limited several times, 
further savings are possible. As we reported in January 2011, if 
Medicare used the methodologies and payment rates of the lowest-paying 
private insurer of eight private insurers studied, it could have saved 
about $670 million of the estimated $2.15 billion it spent on home 
oxygen in 2009. Additionally, we found that Medicare bundles its 
stationary equipment rate payment for oxygen refills, but refills are 
required only for certain types of equipment, so a supplier may still 
receive payment for refills even if the equipment does not require 
them. Therefore, we suggested that Congress should consider reducing 
home oxygen payment rates and recommended that CMS remove payment for 
portable oxygen refills from payment for stationary equipment, and 
thus only pay for refills for the equipment types that require them. 

Our work has also shown that payment for imaging services[Footnote 6] 
may benefit from refinements. Specifically, CMS could add more front- 
end approaches to better ensure appropriate payments, such as 
requiring physicians to obtain prior authorization from Medicare 
before ordering an imaging service. CMS also has opportunities to 
improve the way it adjusts physician payments to account for 
geographical differences in the costs of providing care in different 
localities. We have recommended that the agency examine and revise the 
physician payment localities it uses for this purpose by using an 
approach that is uniformly applied to all states and based on the most 
current data. CMS agreed to consider the recommendation but was 
concerned about its redistributive effects. The agency subsequently 
initiated a study of physician payment locality adjustments. The study 
is ongoing, and CMS has not implemented any change. 

Improving Program Management: 

CMS's implementation of competitive bidding for medical equipment and 
supplies and its new Medicare Administrative Contractors (MAC) have 
progressed, with some delays. Congress halted the first round of 
competitive bidding and required CMS to improve its implementation. In 
regard to contracting reform, because of delays resulting from bid 
protests filed in connection with the procurement process, CMS did not 
meet the target that it set for 2009 and 2010 in transferring workload 
to MACs. As of December 2010, CMS transferred Medicare fee-for-service 
claims workload to the new MACs in all but six jurisdictions. For 
those six jurisdictions, CMS is transferring claims workload in two 
jurisdictions and has ongoing procurement activity for the remainder. 
Some new MACs had delays in paying providers' claims, but overall, 
CMS's contractors continued to meet the agency's performance targets 
for timeliness of claims processing in 2009. 

Regarding Medicare Advantage, CMS has not complied with statutory 
requirements to mail information on plan disenrollment to 
beneficiaries, but it did take steps to post this information on its 
Web site. In addition, the agency took enforcement actions for 
inappropriate marketing against at least 73 organizations that 
sponsored Medicare Advantage plans from January 2006 to February 2009. 

Of greater concern is that we found pervasive internal control 
deficiencies in CMS's management of its contracting function that put 
billions of taxpayer dollars at risk of improper payments or waste. We 
recommended that CMS take actions to address them. Recently, CMS has 
taken several actions to address the recommendations and correct 
certain deficiencies we had noted, such as revising policies and 
procedures and developing a centralized tracking mechanism for 
employee training. However, CMS has not made sufficient progress to 
complete actions to address recommendations related to clarifying the 
roles and responsibilities for implementing certain contractor 
oversight responsibilities, clearing a backlog of contacts that are 
overdue for closeout, and finishing its investigation of over $70 
million in payments we questioned in 2007. 

Enhancing Program Integrity: 

New directives, implementing guidance, and legislation designed to 
help reduce improper payments will affect CMS's efforts over the next 
few years. The administration issued Executive Order 13520 on reducing 
improper payments in 2009 and related implementing guidance in 2010. 
In addition, the Improper Payments Elimination, and Recovery Act of 
2010 amended the Improper Payments Information Act of 2002 and 
established additional requirements related to accountability, 
recovery auditing, compliance and noncompliance determinations, and 
reporting. 

CMS has already taken action in some areas--for example, as required 
by law, it implemented a national Recovery Audit Contractors (RAC) 
program in 2009 to analyze paid claims and identify overpayments for 
recoupment. CMS has set a key performance measure to reduce improper 
payments for Parts A and B (fee-for-service) and Part C and is 
developing measures of improper payments for Part D. CMS was not able 
to demonstrate sustained progress at reducing its fee-for-service 
error rate because changes made to improve the methodology for 
measurement make current year estimates noncomparable to any issued 
before 2009. Its 2010 fee-for-service payment error rate of 10.5 
percent will serve as the baseline for setting targets for future 
reduction efforts. However, with a 2010 Part C improper payment rate 
of 14.1 percent, the agency met its target to have its 2010 improper 
payment rate lower than 14.3 percent. For Part D, the agency is 
working to develop a composite improper payment rate, and for 2010 has 
four non-addable estimates, with the largest being $5.4 billion. Other 
recent CMS program integrity efforts include issuing regulations 
tightening provider enrollment requirements and creating its Center 
for Program Integrity, which is responsible for addressing program 
vulnerabilities leading to improper payments. 

However, having corrective action processes to address the 
vulnerabilities that lead to improper payments is also important to 
effectively managing them. CMS did not develop an adequate process to 
address the vulnerabilities to improper payments identified by the 
RACs and we recommended that it do so. Further, our February 2009 
report indicated that Medicare continued to pay some home health 
agencies for services that were not medically necessary or were not 
rendered. To help address the issue, we recommended that postpayment 
reviews be conducted on claims submitted by home health agencies with 
high rates of improper billing identified through prepayment review 
and that CMS require that physicians receive a statement of home 
health services that beneficiaries received based on the physicians' 
certification. In addition, we recommended that CMS require its 
contractors to develop thresholds for unexplained increases in billing 
by providers and use them to develop automated prepayment controls as 
a way to reduce improper payments. CMS has not implemented these four 
recommendations. The agency indicated it had taken other actions; 
however, we believe these actions will not have the same effect. 

CMS's oversight of Part D plan sponsors' programs to deter fraud and 
abuse has been limited. However, CMS has taken some actions to 
increase it. For example, CMS officials indicated that they had 
conducted expanded desk audits and were implementing an oversight 
strategy. 

Overseeing Patient Care and Safety: 

CMS's oversight of the quality of nursing home care has increased 
significantly in recent years, but weaknesses in surveillance remain 
that could understate care quality problems. Under contract with CMS, 
states conduct surveys at nursing homes to help ensure compliance with 
federal quality standards, but a substantial percentage of state 
nursing home surveyors and state agency directors identified 
weaknesses in CMS's survey methodology and guidance. In addition to 
these methodology and guidance weaknesses, workforce shortages and 
insufficient training, inconsistencies in the focus and frequency of 
the supervisory review of deficiencies, and external pressure from the 
nursing home industry may lead to understatement of serious care 
problems. CMS established the Special Facility Focus (SFF) Program in 
1998 to help address poor nursing home performance. The SFF Program is 
limited to 136 homes because of resource constraints, but according to 
our estimate, almost 4 percent (580) of the roughly 16,000 nursing 
homes in the United States could be considered the most poorly 
performing. CMS's current approach for funding state surveys of 
facilities participating in Medicare is ineffective, yet these surveys 
are meant to ensure that these facilities provide safe, high-quality 
care. We found serious weaknesses in CMS's ability to (1) equitably 
allocate more than $250 million in federal Medicare funding to states 
according to their workloads, (2) determine the extent to which 
funding or other factors affected states' ability to accomplish their 
workloads, and (3) guarantee appropriate state contributions. These 
weaknesses make assessing the adequacy of funding difficult. 

However, CMS has implemented many recommendations that we have made to 
improve oversight of nursing home care. Of the 96 recommendations made 
by GAO from July 1998 through March 2010, CMS has fully implemented 
45, partially implemented 4, is taking steps to implement 29, and did 
not implement 18. Examples of key recommendations implemented by CMS 
include (1) a new survey methodology to improve the quality and 
consistency of state nursing home surveys and (2) new complaint and 
enforcement databases to better monitor state survey activities and 
hold nursing homes accountable for poor care. 

What Remains to Be Done: 

When legislative and administrative actions result in significant 
progress toward resolving a high-risk problem, we remove the high-risk 
designation from the program. The five criteria for determining 
whether the high-risk designation can be removed are (1) a 
demonstrated strong commitment to, and top leadership support for, 
addressing problems; (2) the capacity to address problems; (3) a 
corrective action plan; (4) a program to monitor corrective measures; 
and (5) demonstrated progress in implementing corrective measures. 

CMS has not met our criteria for removing Medicare from the High-Risk 
List--for example, the agency is still developing its Part D improper 
payment estimate and has not yet been able to demonstrate sustained 
progress in lowering its fee-for-service and Part C improper payment 
estimates. CMS needs a plan with clear measures and benchmarks for 
reducing Medicare's risk for improper payments, inefficient payment 
methods, and issues in program management and patient care and safety. 

One important step relates to our recommendation to develop an 
adequate corrective action process to address vulnerabilities to 
improper payments. Without a corrective action process that uses 
information on vulnerabilities identified by the agency, its 
contractors, and others, CMS will not be able to effectively address 
its challenges related to improper payments. CMS has implemented 
certain recommendations of ours, such as in the area of nursing home 
oversight. However, further action is needed on our recommendations to 
improve management of key activities. To refine payment methods to 
encourage efficient provision of services, CMS should take action to: 

* ensure the implementation of an effective physician profiling system; 

* better manage payments for services, such as imaging; 

* systematically apply payment changes to reflect efficiencies 
achieved by providers when services are commonly furnished together; 
and: 

* refine the geographic adjustment of physician payments by revising 
the physician payment localities using an approach uniformly applied 
to all states and based on current data. 

* In addition, further action is needed by CMS to establish policies 
to improve contract oversight, better target review of claims for 
services with high rates of improper billing, and improve the 
monitoring of nursing homes with serious care problems. 

Mr. Chairman, this concludes my prepared statement. I would be happy 
to answer any questions you or other members of the subcommittee may 
have. 

Contacts and Acknowledgments: 

For further information about this statement, please contact Kathleen 
M. King at (202) 512-7114 or kingk@gao.gov. Contact points for our 
Offices of Congressional Relations and Public Affairs may be found on 
the last page of this statement. Sheila Avruch, Assistant Director; 
Kelly Demots; and Roseanne Price were key contributors to this 
statement. 

[End of section] 

Related GAO Products: 

High-Risk Series: An Update. [hyperlink, 
http://www.gao.gov/products/GAO-11-278]. Washington, D.C.: February 
2011. 

Medicare Home Oxygen: Refining Payment Methodology Has Potential to 
Lower Program and Beneficiary Spending. [hyperlink, 
http://www.gao.gov/products/GAO-11-56]. Washington, D.C.: January 21, 
2011. 

Medicare Recovery Audit Contracting: Weaknesses Remain in Addressing 
Vulnerabilities to Improper Payments, Although Improvements Made to 
Contractor Oversight. [hyperlink, 
http://www.gao.gov/products/GAO-10-143]. Washington, D.C.: March 31, 
2010. 

Medicare Contracting Reform: Agency Has Made Progress with 
Implementation, but Contractors Have Not Met All Performance 
Standards. [hyperlink, http://www.gao.gov/products/GAO-10-71]. 
Washington, D.C.: March 25, 2010. 

Nursing Homes: Addressing the Factors Underlying Understatement of 
Serious Care Problems Requires Sustained CMS and State Commitment. 
[hyperlink, http://www.gao.gov/products/GAO-10-70]. Washington, D.C.: 
November 24, 2009. 

Medicare: CMS Working to Address Problems from Round 1 of the Durable 
Medical Equipment Competitive Bidding Program. [hyperlink, 
http://www.gao.gov/products/GAO-10-27]. Washington, D.C.: November 6, 
2009. 

Centers for Medicare and Medicaid Services: Deficiencies in Contract 
Management Internal Control Are Pervasive. [hyperlink, 
http://www.gao.gov/products/GAO-10-60]. Washington, D.C.: October 23, 
2009. 

Medicare Physician Payments: Fees Could Better Reflect Efficiencies 
Achieved When Services Are Provided Together. [hyperlink, 
http://www.gao.gov/products/GAO-09-647]. Washington, D.C.: July 31, 
2009. 

Medicare: Improvements Needed to Address Improper Payments in Home 
Health. [hyperlink, http://www.gao.gov/products/GAO-09-185]. 
Washington, D.C.: February 27, 2009. 

Medicare Advantage: Characteristics, Financial Risks, and 
Disenrollment Rates of Beneficiaries in Private Fee-for-Service Plans. 
[hyperlink, http://www.gao.gov/products/GAO-09-25]. Washington, D.C.: 
December 15, 2008. 

Medicare Part B Imaging Services: Rapid Spending Growth and Shift to 
Physician Offices Indicate Need for CMS to Consider Additional 
Management Practices. [hyperlink, 
http://www.gao.gov/products/GAO-08-452]. Washington, D.C.: June 13, 
2008. 

Medicare: Focus on Physician Practice Patterns Can Lead to Greater 
Program Efficiency. [hyperlink, 
http://www.gao.gov/products/GAO-07-307]. Washington, D.C.: April 30, 
2007. 

[End of section] 

Footnotes: 

[1] GAO, High-Risk Series: An Update, [hyperlink, 
http://www.gao.gov/products/GAO-11-278] (Washington, D.C.: February 
2011). 

[2] This definition includes any payment to an ineligible recipient, 
any payment for an ineligible good or service, any duplicate payment, 
any payment for a good or service not received (except where 
authorized by law), and any payment that does not account for credit 
for applicable discounts. Pub. L. No. 111-204, § 2(e), 124 Stat. 2224, 
2227 (2010) (codified at 31 U.S.C. § 3321 note). 

[3] Department of Health and Human Services, Fiscal Year 2010 Agency 
Financial Report, (Washington, D.C.: November 2010). 

[4] Medicare consists of four parts. Medicare Parts A and B are known 
as original Medicare or Medicare fee-for-service. Part A covers 
hospital and other inpatient stays. Medicare Part B covers hospital 
outpatient, physician, and other services. Part C is Medicare 
Advantage, under which beneficiaries receive benefits through private 
health plans. Part D is the Medicare prescription drug benefit. 

[5] For more detailed information on the methodologies used in our 
work, please consult the list of GAO products at the end of this 
statement. 

[6] Medical imaging is a noninvasive process used to obtain pictures 
of the internal anatomy or function of the anatomy using one of many 
different types of imaging equipment and media for creating the image. 
Examples of imaging services include x-rays, computed tomography, and 
magnetic resonance imaging scans. 

[End of section] 

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