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Health Care

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Open Recommendations

Veterans Health Care: Better Communication Needed to Integrate Management of Medical Facility and Community-Based Care
GAO-25-107212
Sep 30, 2025
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1 Open Recommendations
Agency Affected Recommendation Status
Veterans Health Administration The Under Secretary for Health should ensure IVC develops and implements a strategy for conducting clear, direct, and continuous two-way communication with relevant employees—including those at regional networks and medical facilities—and stakeholders as the office continues to evolve and makes changes to its central office organizational structure. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicaid Demonstrations: Action Needed to Address New Cost Concerns
GAO-25-107445
Sep 16, 2025
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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should revise the agency's section 1115 budget neutrality policy to stop treating costs for populations or services that could not have otherwise been covered under existing Medicaid authorities as hypothetical when setting demonstration spending limits. Instead, CMS should require the costs of those populations or services to be offset by other reductions in demonstration spending.
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicare: National Coverage Determinations Are Generally Timely, but Improvements Are Needed
GAO-25-107623
Sep 09, 2025
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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should identify the causes of any delays in national coverage determinations and take actions, as appropriate, to better ensure that analyses are finalized within the specified time frames. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator of CMS should make available to the public the criteria it uses to prioritize its analyses of national coverage determination requests. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medical Abortion: Action Needed to Ensure Compliance with Medicaid Drug Rebate Program
GAO-25-107911
Aug 26, 2025
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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should determine the extent to which states comply with federal Medicaid requirements regarding coverage of GenBioPro's Mifepristone Tablets, 200 mg, and take actions, as appropriate, to ensure compliance. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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