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GAO provided information on the Health Care Financing Administration's (HCFA) implementation of a recommendation that it develop guidelines to coordinate reporting on Medicaid and Medicare quality of care.
Recommendations for Executive Action
|Health Care Financing Administration||The Administrator, HCFA, should require PRO, state Medicaid agencies, and carriers to routinely exchange information about physicians who provide unnecessary or poor-quality care. This could be accomplished through regulation and by including provisions requiring such exchanges in PRO and carrier contracts, requiring similar provisions in Medicaid state plans, and giving guidance to those entities clarifying the conditions under which such exchanges are permitted.|