Medicare:
Reporting on the Health Care Fraud and Abuse Control Program for Fiscal Years 1998 and 1999
AIMD-00-51R: Published: Dec 13, 1999. Publicly Released: Dec 13, 1999.
Additional Materials:
- Full Report:
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Pursuant to a legislative requirement, GAO reviewed the Health Care Fraud and Abuse Control (HCFAC) program, focusing on : (1) the amounts deposited to the Federal Hospital Insurance Trust Fund pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the sources of such amounts; (2) the amounts appropriated from the trust fund for HCFAC program and the justification for the expenditures of such amounts; (3) expenditures from the trust fund for HCFAC activities not related to Medicare; (4) any savings to the trust fund, as well as other savings, resulting from expenditures from the trust fund for the HCFAC program; and (5) other aspects of the operation of the trust fund.
GAO noted that: (1) the Departments of Health and Human Services (HHS) and Justice (DOJ) together administer the HCFAC program and are required to issue a report to Congress on January 1 of each year concerning HCFAC program activities for the preceeding fiscal year (FY); (2) they are required to report on: (a) amounts appropriated to the Federal Hospital Insurance Trust Fund pursuant to HIPAA and the source of those amounts; and (b) amounts appropriated from the trust fund for the HCFAC program and the justification for the expenditure of such amounts; (3) HHS and DOJ have issued two joint reports, covering fiscal years 1997 and 1998; (4) the next joint report, covering the FY 1999 HCFAC program, is due on January 1, 2000; (5) the joint report covering FY 1999 HCFAC program activity, which is not required to be issued until January 1, 2000, will contain information GAO needs to perform its review; (6) after receiving the joint report covering FY 1999, GAO will need time to determine what, if any, additional information is needed as well as to obtain and review that information; and (7) therefore, GAO will be unable to meet its reporting deadline of January 1, 2000, and in all likelihood, its 2002 and 2004 commitments as well.
Jan 14, 2021
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Medicaid:
Data Completeness and Accuracy Have Improved, Though Not All Standards Have Been MetGAO-21-196: Published: Jan 14, 2021. Publicly Released: Jan 14, 2021.
Jan 4, 2021
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Medicare Severe Wound Care:
Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on QualityGAO-21-92: Published: Jan 4, 2021. Publicly Released: Jan 4, 2021.
Dec 22, 2020
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Defense Health Care:
Efforts to Ensure Beneficiaries Access Specialty Care and Receive Timely and Effective CareGAO-21-143: Published: Dec 22, 2020. Publicly Released: Dec 22, 2020.
Dec 16, 2020
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Medicaid Long-Term Services and Supports:
Access and Quality Problems in Managed Care Demand Improved OversightGAO-21-49: Published: Nov 16, 2020. Publicly Released: Dec 16, 2020.
Dec 14, 2020
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Drug Pricing Program:
HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B RequirementsGAO-21-107: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020. -
Substance Use Disorder:
Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant ProgramGAO-21-58: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020.
Dec 10, 2020
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Indian Health Service:
Actions Needed to Improve Oversight of Provider Misconduct and Substandard PerformanceGAO-21-97: Published: Dec 10, 2020. Publicly Released: Dec 10, 2020. -
Clinical Labs:
Studies Suggest Biopsy Specimen Misidentification and Contamination Errors Are InfrequentGAO-21-59: Published: Nov 10, 2020. Publicly Released: Dec 10, 2020.
Dec 7, 2020
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Medicaid:
CMS Needs More Information on States' Financing and Payment Arrangements to Improve OversightGAO-21-98: Published: Dec 7, 2020. Publicly Released: Dec 7, 2020.
Dec 1, 2020
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Military Health Care:
Defense Health Agency Processes for Responding to Provider Quality and Safety ConcernsGAO-21-160R: Published: Dec 1, 2020. Publicly Released: Dec 1, 2020.
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