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    Subject Term: "Electronic data interchange"

    4 publications with a total of 7 open recommendations
    Director: Seto J. Bagdoyan
    Phone: (202) 512-6722

    1 open recommendations
    Recommendation: To further improve efforts to limit improper payments, including fraud, in the Medicaid program, the Acting Administrator of CMS should provide guidance to states on the availability of automated information through Medicare's enrollment database--the Provider Enrollment, Chain and Ownership System (PECOS)--and full access to all pertinent PECOS information, such as ownership information, to help screen Medicaid providers more efficiently and effectively.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open

    Comments: HHS considers this recommendation closed because they provide states with training and direct access to PECOS on an ongoing basis. Additionally, CMS also makes Medicare Enrollment data available to states through custom data extracts. We do not consider this action sufficient to close the recommendation, to provide states information on the availability of automated information through PECOS. For example, custom extracts do not constitute automated information containing all information in PECOS states need to screen providers in Medicaid. Additionally, the states the we interviewed for our study were not aware that custom extracts were available. CMS should provide guidance to state Medicaid programs that this information is available until fully automated access to PECOS is available. We reached out to CMS about the status of this recommendation. As of May 2017, we have not received a response. We will continue to monitor progress on this recommendation.
    Director: Mark Goldstein
    Phone: (202) 512-2834

    2 open recommendations
    Recommendation: To help FCC determine whether its efforts to provide consumers with broadband performance information are effective and meeting consumers' needs, and whether additional efforts--such as a standardized label suggested by FCC's transparency working group--could benefit consumers, FCC should conduct or commission research on the effectiveness of FCC's efforts to provide consumers with broadband performance information and make the results of this research publicly available.

    Agency: Federal Communications Commission
    Status: Open

    Comments: In written comments provided on the draft report, FCC indicated that it concurred with this recommendation. However, as of August 2017, FCC has not taken steps to address this recommendation.
    Recommendation: To help FCC determine whether its efforts to provide consumers with broadband performance information are effective and meeting consumers' needs, and whether additional efforts--such as a standardized label suggested by FCC's transparency working group--could benefit consumers, FCC should establish performance goals and measures under the agency's relevant strategic objectives that allow it to monitor and report on the impact and effectiveness of its efforts.

    Agency: Federal Communications Commission
    Status: Open

    Comments: FCC noted that its fiscal year 2015-2018 strategic plan has strategic objectives related to providing consumers with broadband performance information; however, these objectives lack performance goals that define desired outcomes for FCC's efforts to provide consumers with broadband performance information as well as performance measures to monitor the effectiveness of FCC's efforts.
    Director: Linda T. Kohn
    Phone: (202) 512-7114

    2 open recommendations
    Recommendation: To address challenges that affect the ability of providers to electronically exchange health information, the Secretary of Health and Human Services should direct CMS and ONC to develop and prioritize specific actions that HHS will take consistent with the principles in HHS's strategy to advance health information exchange.

    Agency: Department of Health and Human Services
    Status: Open

    Comments: As of August 28, 2014, HHS provided some information indicating that it had begun the process of developing milestones with time frames for its actions toward advancing exchange, and that it plans to make them publicly available. Because HHS has only just begun the process and has not provided documentation, these actions are in progress and therefore not complete. We will follow up in fiscal year 2015 to gather additional information to determine if the actions fully address the recommendation.
    Recommendation: To address challenges that affect the ability of providers to electronically exchange health information, the Secretary of Health and Human Services should direct CMS and ONC to develop milestones with time frames for the actions to better gauge progress toward advancing exchange, with appropriate adjustments over time.

    Agency: Department of Health and Human Services
    Status: Open

    Comments: As of August 28, 2014, HHS provided some information indicating that it had begun the process of developing milestones with time frames for its actions toward advancing exchange, and that it plans to make them publicly available. Because HHS has only just begun the process and has not provided documentation, these actions are in progress and therefore not complete. We will follow up in fiscal year 2015 to gather additional information to determine if the actions fully address the recommendation.
    Director: Jeszeck, Charles A
    Phone: (202) 512-7215

    2 open recommendations
    Recommendation: The Secretary of Labor and the Secretary of the Treasury should consider requiring pension plan sponsors to provide participants with an opportunity to opt out of all forms of electronic delivery, including (but not limited to) disclosures sent by default electronic delivery and disclosures posted on a secure continuous access website.

    Agency: Department of Labor
    Status: Open

    Comments: In 2013, DOL stated that it was appropriate to consider the merits of broader rights to opt out of electronic delivery and would want to consult with the Treasury Department/IRS on the agencies' different opt-out standards. In FY14, the agency reiterated that dfferent opt-out standards may be appropriate for general plan information versus individual account or other personal information and would consult with Treasury/IRS. They will consider this matter as part of any future rulemaking that modifies or amends the current regulatory safe harbor. In FY15, Labor stated that different opt-out standards may be appropriate for general plan information versus individual account or other personal information, but that was an issue for Labor to consider in consultation with the Treasury Department/IRS should Labor pursue future rulemaking that modifies or amends the current regulatory safe harbor. In July 2016, DOL confirmed that the agency continues to plan to take the above action. As of July 2017, DOL indicated that no decisions had been made concerning future rulemaking in this area.
    Recommendation: The Secretary of Labor and the Secretary of the Treasury should consider requiring pension plan sponsors to send a periodic paper notice to participants reminding them of their right to change their preferred delivery method at any time and the steps they must take to make these changes.

    Agency: Department of Labor
    Status: Open

    Comments: In FY13, DOL stated that it was appropriate to obtain further input on requiring some periodic paper reminder notice. In FY14, the agency reported that the sort of periodic notice described by GAO could be a safeguard against malfunctions in the electronic communication system and act as a reminder that important plan information is being provided through electronic media. DOL will consider and obtain further input on requiring a periodic paper reminder of as part of any future rulemaking that modifies or amends the current regulatory safe harbor. In FY15, Labor stated that the agency intends to consider and obtain further input on requiring a periodic paper reminder should we pursue future rulemaking that modifies or amends the current regulatory safe harbor. In July 2016, DOL confirmed that the agency continues to plan to take the above action. As of July 2017, DOL indicated that no decisions had been made concerning future rulemaking in this area.