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Open Recommendations

Health Insurance: Enhanced Data Matching Could Help Prevent Duplicate Benefits and Yield Substantial Savings
GAO-25-106976
Nov 17, 2025
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3 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator for CMS, in coordination with the health insurance marketplaces, should design a process or modify its current one, including the development of policies and procedures, to help detect and prevent duplicate SSNs being used on multiple qualified health plan policies receiving APTC benefits within a marketplace or across the marketplaces simultaneously. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator for CMS should require that (1) all federally facilitated and state-based marketplaces submit qualified health plan enrollment data, including APTC information to PARIS, or another data-matching system, for interstate matching on a frequently recurring basis, such as quarterly, and (2) federally facilitated and state-based marketplaces resolve matches identified between APTC and CHIP or Medicaid to determine eligibility and terminate coverage, as appropriate. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator for CMS should require that all state Medicaid and CHIP agencies (1) submit all enrollment data to PARIS, or another data-matching system, for interstate matching on a frequently recurring basis, such as quarterly, and (2) review matches to verify Medicaid or CHIP eligibility and terminate coverage, as appropriate. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Veterans Health Care: Better Communication Needed to Integrate Management of Medical Facility and Community-Based Care
GAO-25-107212
Sep 30, 2025
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1 Open Recommendations
Agency Affected Recommendation Status
Veterans Health Administration The Under Secretary for Health should ensure IVC develops and implements a strategy for conducting clear, direct, and continuous two-way communication with relevant employees—including those at regional networks and medical facilities—and stakeholders as the office continues to evolve and makes changes to its central office organizational structure. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Military Personnel: More Guidance Could Help Address Service Member Gambling Problems
GAO-25-107700
Sep 22, 2025
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9 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should ensure that the Director of the Defense Health Agency (DHA) establishes a time frame for issuing the implementation guidance for DOD Instruction 1010.04 that defines all roles and responsibilities for gambling disorder prevention, identification, diagnosis, and treatment that are not explicitly assigned. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Army The Secretary of the Army should establish a time frame to review and update guidance as needed to implement requirements for gambling disorder prevention and identification outlined in DOD Instruction 1010.04, once DHA's implementation guidance is issued. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Navy The Secretary of the Navy should establish a time frame to review and update guidance as needed for the Navy and Marine Corps to implement requirements for gambling disorder prevention and identification outlined in DOD Instruction 1010.04, once DHA's implementation guidance is issued. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Air Force The Secretary of the Air Force should establish a time frame to review and update guidance as needed to implement requirements for gambling disorder prevention and identification as outlined in DOD Instruction 1010.04, once DHA's implementation guidance is issued. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure the Under Secretary of Defense for Personnel and Readiness includes in the next revision of DOD Instruction 1015.10 a requirement for the military services to have consistent responsible gaming guidance for their recreational machine programs. (Recommendation 5)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Army The Secretary of the Army should update the Army's MWR guidance to be consistent with and implement DOD's revision to DOD Instruction 1015.10, once completed, for responsible gaming. (Recommendation 6)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicare: National Coverage Determinations Are Generally Timely, but Improvements Are Needed
GAO-25-107623
Sep 09, 2025
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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should identify the causes of any delays in national coverage determinations and take actions, as appropriate, to better ensure that analyses are finalized within the specified time frames. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator of CMS should make available to the public the criteria it uses to prioritize its analyses of national coverage determination requests. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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