Reports

• New York Incorrectly Claimed Enhanced Federal Medicaid Reimbursement for Some Beneficiaries

  

• Pennsylvania Did Not Ensure That Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions

  

• Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2017 Average Sales Prices

  

• Group Health Incorporated Understated Its EmblemHealth Services Company, LLC, Employees Retirement Plan Medicare Segment Pension Assets as of January 1, 2015

  

• Group Health Incorporated Overstated Its Local 153 Pension Plan Medicare Segment Pension Assets as of January 1, 2015

  

• Group Health Incorporated Understated Its Cash Balance Pension Plan Medicare Segment Pension Assets as of January 1, 2011

  

• ACOs Strategies for Transitioning to Value-Based Care: Lessons From the Medicare Shared Savings Program

  

• Case Study: Indian Health Service Management of Rosebud Hospital Emergency Department Closure and Reopening

  

• New York Did Not Correctly Determine Medicaid Eligibility for Some Non-Newly Eligible Beneficiaries

  

• Kentucky Did Not Comply With Federal Waiver and State Requirements at 14 of 20 Adult Day Health Care Facilities Reviewed

  

• Problems Remain for Ensuring That All High Risk Medicaid Providers Undergo Criminal Background Checks

  

• Opioid Use Decreased in Medicare Part D, While Medication-Assisted Treatment Increased

  

• New Yorks Claims for Medicaid Nursing Home Transition and Diversion Waiver Program Services Generally Complied With Federal and State Requirements but Had Reimbursement Errors That Resulted in a Minimal Amount of Overpayments

  

• New York Claimed Federal Reimbursement for Some Payments to Health Home Providers That Did Not Meet Medicaid Requirements

  

• Hospice Deficiencies Pose Risks to Medicare Beneficiaries

  

• Safeguards Must Be Strengthened To Protect Medicare Hospice Beneficiaries From Harm

  

• Medicare Part D Rebates for Prescriptions Filled at 340B Contract Pharmacies

  

• Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2019

  

• Recommendation Followup: Delaware Is Reporting Medicaid Overpayments In Compliance With Federal Requirements

  

• Illinois Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs