Inherent Program Risks and Management Challenges Require Continued Federal Attention

T-HEHS-97-89: Published: Mar 4, 1997. Publicly Released: Mar 4, 1997.

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GAO discussed efforts to fight fraud and abuse in the Medicare program.

GAO noted that: (1) it is not surprising that because of the program's size, complexity, and rapid growth, Medicare is a charter member of GAO's high risk series; (2) in this year's report on Medicare, GAO is pleased to note that both the Congress and the Health Care Financing Administration, the Department of Health and Human Services' agency responsible for running Medicare, have made important legislative and administrative changes addressing chronic payment safeguard problems that GAO and others have identified; and (3) however, because of the significant amount of money at stake, GAO believes that the government will need to exercise constant vigilance and effective management to keep the program protected from financial exploitation.

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