Reports

• Medicare Allowable Amounts for Certain Orthotic Devices Are Not Comparable With Payments Made by Select Non-Medicare Payers

  

• U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, With Areas That Require Improvement

  

• THE CENTERS FOR MEDICARE & MEDICAID SERVICES COULD IMPROVE ITS PROCESSES FOR EVALUATING AND REPORTING PAYMENT RECOVERY SAVINGS ASSOCIATED WITH THE FRAUD PREVENTION SYSTEM

  

• New York State Claimed Federal Reimbursement for Unallowable Childcare Subsidies Paid to New York City

  

• The Minnesota State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries Deaths

  

• National Government Services, Inc., Did Not Claim Some Medicare Postretirement Benefit Plan Costs Through Its Incurred Cost Proposals

  

• National Government Services, Inc., Claimed Some Unallowable Medicare Nonqualified Plans Costs Through Its Incurred Cost Proposals

  

• National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals

  

• National Government Services, Inc., Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan Costs Through Its Incurred Cost Proposals

  

• CMS Paid Over $277 Million in Unallowable CHIPRA Bonus Payments Based on Incorrect Enrollment Data

  

• Testimony of Ann Maxwell

  

• Ohio Made Medicaid Capitation Payments That Were Duplicative or Were Improper Based on Beneficiary Eligibility Status or Demographics

  

• Opioid Use in Medicare Part D in Missouri

  

• Some Medicare Part D Beneficiaries Face Avoidable Extra Steps That Can Delay or Prevent Access to Prescribed Drugs

  

• Texas Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

  

• Medicares Oversight of Ambulatory Surgery Centers

  

• Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico Medicaid Managed Care

  

• Medicare Incorrectly Paid Providers for Emergency Ambulance Transports From Hospitals to Skilled Nursing Facilities

  

• The Centers for Medicare & Medicaid Services Could Use Comprehensive Error Rate Testing Data To Identify High-Risk Home Health Agencies

  

• Advisory Opinion 19-05