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Medicare: Program Safeguard Activities Expand, but Results Difficult to Measure

HEHS-99-165 Published: Aug 04, 1999. Publicly Released: Aug 04, 1999.
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Highlights

Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) efforts to safeguard Medicare payments, focusing on: (1) how Medicare program safeguard activities have changed from fiscal years (FY) 1995 to 1999 and what changes are planned for FY 2000; (2) HCFA's actions to better manage its program safeguard activities, which respond to key findings from GAO's previous audit reports and those of the Department of Health and Human Services Office of Inspector General (OIG); and (3) the initial effects of the Medicare Integrity Program (MIP) on controlling Medicare fraud and abuse, including the adequacy of HCFA's data for measuring the effectiveness of its program safeguard activities.

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Claims processingContract oversightErroneous paymentsFraudHealth care programsHealth insurance cost controlInternal controlsMedicarePerformance measuresProgram abuses