GAO’s recommendations database contains report recommendations that still need to be addressed.
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As of February 9, 2020, there are 4958 open recommendations, of which 422 are priority recommendations. Recommendations remain open until they are designated as Closed-implemented or Closed-not implemented.
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Recommendation: To reduce the incentive for facilities to restrict their service provision to avoid reaching the LVPA treatment threshold, the Administrator of CMS should consider revisions such as changing the LVPA to a tiered adjustment.
Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services Status: Open Priority recommendation
Comments: As of November 2018, CMS has not implemented this recommendation. CMS stated in October 2018 that the agency continues to monitor the performance of the LVPA following the revisions implemented in 2016, which were designed to more effectively target low volume facilities, to determine whether additional revisions are warranted. This recommendation remains open because CMS has not provided documentation that the agency has considered revisions such as the one we recommended. We will update the status of this recommendation upon receipt of additional information from CMS.