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Open Recommendations

Medicaid Managed Care: Additional Federal Action Needed to Fully Leverage New Appeals and Grievances Data

GAO-24-106627
Mar 14, 2024
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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should require states to report on the outcomes of Medicaid managed care appeals (e.g., the extent to which they were decided in favor of enrollees) and number of denials. (Recommendation 1)
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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 implement its planned actions for analyzing the Medicaid managed care appeals and grievances data, using it for oversight, and making it publicly available. (Recommendation 2)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Biomedical Research: Actions Needed to Adopt Collaboration Practices to Address Research Duplication

GAO-24-106757
Feb 29, 2024
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1 Open Recommendations
Agency Affected Recommendation Status
Advanced Research Projects Agency for Health The Director of ARPA-H should finalize the ARPA-H Interagency Advisory Committee's charter to clearly define how the participating members agree to share information to avoid ARPA-H's unnecessary research duplication with that of HHS and other federal agencies.
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Autism Research and Support Services: Federal Interagency Coordination and Monitoring Efforts Could Be Further Strengthened

GAO-24-106446
Feb 28, 2024
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2 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of Health and Human Services should establish a process for clearly tracking and reporting progress made toward goals established by the IACC for federal autism activities, coordinating with federal partners as appropriate. Such progress tracking should describe where performance is lagging, and why desired results were not achieved, if any. (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 ensure that NIH documents the procedures the Office of National Autism Coordination uses, in its support of the IACC and the National Autism Coordinator, to help ensure federal autism activities are not unnecessarily duplicative. Such documentation should describe the roles and responsibilities of different entities, sources of information used, the time frames for conducting analyses, and how outcomes will be reported. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Maternal Health: HHS Should Improve Assessment of Efforts to Address Worsening Outcomes

GAO-24-106271
Feb 21, 2024
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2 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of Health and Human Services should ensure that the Office on Women's Health and Office of the Assistant Secretary for Planning and Evaluation performance strategy includes key performance management practices—including near-term goals with quantitative targets and time frames to define intended results and associated performance measures for the near-term goals—to assess the performance of HHS's maternal health efforts against the Maternal Health Blueprint's goals. (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 Director of CDC should ensure that the Perinatal Quality Collaborative program establishes quantitative targets for its near-term goals to provide a basis for comparing planned and actual results. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.