Reports

• Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposal

  

• Blue Cross Blue Shield of South Carolina Overstated Its Excess Plan Partial Medicare Segment Pension Assets as of January 1, 2022

  

• Blue Cross Blue Shield of South Carolina Overstated Its Supplemental Executive Retirement Plan III Medicare Allowable Segment Pension Assets as of January 1, 2022

  

• Alabama Did Not Always Verify Selected Nursing Homes’ Compliance With Background Check Requirements

  

• CGS Administrators, LLC, Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan III Costs Through Its Incurred Cost Proposals

  

• Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the First Quarter of 2025

  

• CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals

  

• CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Excess Plan Costs Through Its Incurred Cost Proposals

  

• During Hurricanes Fiona and Ian, HHS Helped Minimize Disruptions to Medical Services at Select Health Care Facilities

  

• Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2023 Average Sales Prices

  

• Florida Did Not Fully Comply With Federal Reporting and Oversight Requirements for Its Opioid Response Grant

  

• Analysis of Selected Nursing Facilities’ Use of Medicaid Reimbursement for Direct Care Compensation

  

• Medicare Could Have Saved an Estimated $17.7 Million if CMS’s Oversight Had Prevented At-Risk Payments for Anesthesia Administered During Spinal Pain Management Procedures

  

• Hospitals Reported Few Captured Patient Harm Events to CMS and States

  

• Hospitals Did Not Capture Half of Patient Harm Events, Limiting Information Needed to Make Care Safer

  

• CMS Should Take Additional Actions To Help Hospitals Prepare for a Future Emerging Infectious Disease Outbreak

  

• North Carolina Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety and Infection Control

  

• Pennsylvania Made More Than $8.7 Million in Unallowable Capitation Payments for Enrollees With Multiple Medicaid Identification Numbers

  

• Wisconsin Physicians Service Government Health Administrators Reopened and Corrected Cost Report Final Settlements for Desk Reviews Only With Obvious Errors To Correct Payments Made to Medicare Providers

  

• Kentucky Did Not Meet All of the Requirements for the COVID-19 Screening Testing Program at K-12 Schools