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Open Recommendations

Indian Health Service: Many Federal Facilities Are in Fair or Poor Condition and Better Data Are Needed on Medical Equipment

GAO-24-105723
Nov 08, 2023
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3 Open Recommendations
Agency Affected Recommendation Status
Indian Health Service The Director of IHS should assess the extent of the medical equipment data problems across all IHS areas and service units with federally operated facilities and develop and implement a plan to address any problems identified. The plan should include providing resources and guidance, as appropriate, to help ensure areas and service units have complete and reliable medical equipment data. (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.
Indian Health Service The Director of IHS should make the completion of data fields about the useful life or age of its medical equipment mandatory in the agency's inventory management system, consistent with IHS policy. This could include data fields such as "end of life" or "acquisition date." (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.
Indian Health Service The Director of IHS should ensure that headquarters officials regularly monitor area and services units' adherence to IHS medical equipment inventory management policy requirements. Such monitoring could include regularly reviewing area biomedical equipment governance committee meeting minutes and the agency's medical inventory equipment data to assess its completeness and accuracy. (Recommendation 3)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Mental Health Services: State Should Collect Ongoing Feedback to Ensure Overseas Employees' Needs Are Being Met

GAO-24-106082
Oct 26, 2023
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1 Open Recommendations
Agency Affected Recommendation Status
Department of State The Secretary of State should ensure that the Bureau of Medical Services' Chief Medical Officer collects ongoing feedback from overseas recipients of all State mental health services to determine whether these services are meeting their needs. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicaid Program Integrity: Opportunities Exist for CMS to Strengthen Use of State Auditor Findings and Collaboration

GAO-23-105881
Sep 21, 2023
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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should annually examine state auditors' Medicaid findings to identify trends across states and use this information to inform oversight activities and audit processes. (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 build on the agency's efforts to collaborate with state auditors on Medicaid oversight activities. These collaboration efforts should include continuing to identify potential updates to the Compliance Supplement, having regular discussions to address auditor training needs, annually sharing information on trends in audit findings and program risks, and increasing auditor awareness of actions taken to address single audit findings. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicare Part D: CMS Should Monitor Effects of Rebates on Plan Formularies and Beneficiary Spending

GAO-23-105270
Sep 05, 2023
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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should monitor the effect of rebates on plan sponsor formulary design and on Medicare and beneficiary spending to assess whether rebate practices are likely to substantially discourage enrollment by certain beneficiaries.
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.