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Open Recommendations

COVID-19: Sustained Federal Action Is Crucial as Pandemic Enters Its Second Year

GAO-21-387
Mar 31, 2021
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28 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of Health and Human Services should make the Department's different sources of publicly available COVID-19 data accessible from a centralized location on the internet. This could improve the federal government's communication with the public about the ongoing pandemic. See Health Care Indicators enclosure. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Health and Human Services The Secretary of Health and Human Services should finalize and implement a post-payment review process to validate COVID-19 Uninsured Program claims and to help ensure timely identification of improper payments, including those resulting from potential fraudulent activity, and recovery of overpayments. See Relief for Health Care Providers enclosure. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Health and Human Services The Secretary of Health and Human Services should ensure that the Director of the Centers for Disease Control and Prevention collects data specific to the COVID-19 vaccination rates in nursing homes and makes these data publicly available to better ensure transparency and that the necessary information is available to improve ongoing and future vaccination efforts for nursing home residents and staff. See Nursing Homes enclosure. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Health and Human Services The Secretary of Health and Human Services should ensure that the Administrator of the Centers for Medicare & Medicaid Services, in consultation with the Centers for Disease Control and Prevention, requires nursing homes to offer COVID-19 vaccinations to residents and staff and design and implement associated quality measures. See Nursing Homes enclosure. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Office of the Under Secretary for Health The Department of Veterans Affairs Under Secretary for Health should develop metrics to assess the number of vaccines administered by vaccine rollout phase to better assess progress and make any necessary adjustments as needed. See Veterans Health Care enclosure. (Recommendation 5)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Office of the Under Secretary for Health The Department of Veterans Affairs Under Secretary for Health should develop preliminary vaccination targets for when it will move from one vaccination phase to another; or within one phase, from one group of veterans to another. See Veterans Health Care enclosure. (Recommendation 6)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicaid: CMS Needs to Implement Risk-Based Oversight of Puerto Rico's Procurement Process

GAO-21-229
Feb 05, 2021
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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare and Medicaid Services The Administrator of CMS should take steps to implement ongoing, risk-based oversight of Medicaid procurement processes in Puerto Rico; such actions could include performing an assessment of competitive and noncompetitive procurement processes to identify risks and address them by promoting competition, as appropriate for the efficient operation of the Medicaid program. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

DOD Health Care: DOD Should Monitor Implementation of Its Clinical Practice Guidelines

GAO-21-237
Feb 05, 2021
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1 Open Recommendations
Agency Affected Recommendation Status
Defense Health Agency The Director of DHA should collaborate with the Surgeons General of the military services to develop and implement a systematic process to monitor MTFs' implementation of VA/DOD CPGs. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicaid Long-Term Services and Supports: Access and Quality Problems in Managed Care Demand Improved Oversight

GAO-21-49
Dec 16, 2020
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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare and Medicaid Services The Administrator of CMS should develop and implement a national strategy for monitoring MLTSS programs and ensuring that states and MCOs resolve identified problems. Among other things, this strategy should address state implementation of beneficiary protection and monitoring requirements. (Recommendation 1)
Open
CMS did not concur with our recommendation and did not report taking any actions as of March, 2021. We will continue to monitor any actions the agency has taken in response to this recommendation, and will provide updates as needed.
Centers for Medicare and Medicaid Services The Administrator of CMS should assess the nature and prevalence of MLTSS access and quality problems across states. (Recommendation 2)
Open
CMS did not concur with our recommendation and did not report taking any actions as of March, 2021. We will continue to monitor any actions the agency has taken in response to this recommendation, and will provide updates as needed.
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