United States Government Accountability Office
4 indexed reports
Additional Actions Needed to Enhance Program Integrity and Save Billions
While CMS has made significant progress in reducing improper payments and implementing GAO recommendations, ongoing efforts and additional actions are necessary to further enhance program integrity, p...
Medicaid Program Integrity Opportunities for CMS to Strengthen Use of State Auditor Findings and Collaboration
While CMS has taken steps to improve collaboration with state auditors and analyze audit findings, there remains significant room for improvement in using these findings to enhance Medicaid program ov...
Medicaid CMS Oversight and Guidance Could Improve Recovery Audit Contractor Program
CMS's oversight of the Medicaid RAC program has been inconsistent, with missed opportunities to recover overpayments and improve program effectiveness. Implementing recommended policies and conducting...
Medicaid Managed Care Improvements Needed to Better Oversee Payment Risks
The GAO found that Medicaid managed care faces significant payment risks and oversight challenges. CMS's efforts to improve program integrity have been delayed and insufficient, risking continued paym...