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                    Most Recent Reports**1 - 20 of 3155 Reports**
	
	

	
	  **Released on   Apr 16, 2024**
          Medicare and Medicaid: Additional Actions Needed to Enhance Program Integrity and Save Billions
    GAO-24-107487
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    Both Medicare and Medicaid are susceptible to payment errors—over $100 billion worth in 2023. Known as "improper payments," these are payments that are either made in an incorrect amount or should not have been made at all. We testified about our numerous recommendations to CMS and Congress that reduced improper payments, enhanced program integrity, and saved billions of dollars in Medicare and Medicaid. Other recommendations...
          Fraud Risk Management: 2018-2022 Data Show Federal Government Loses an Estimated $233 Billion to $521 Billion Annually to Fraud, Based on Various Risk Environments
    GAO-24-105833
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    No area of the federal government is immune to fraud. We estimated that the federal government could lose between $233 billion and $521 billion annually to fraud. Given the scope of this problem, a government-wide approach is required to address it. The Office of Management and Budget, working with agencies and the oversight community, should develop guidance to improve fraud-related data—providing a more uniform approach...
      **Released on   Mar 27, 2024**
          Maternal and Infant Health: HHS Should Strengthen Processes for Measuring Program Performance
    GAO-24-106605
      Published:   Mar 27, 2024
. 
        Publicly Released:   Mar 27, 2024
.
    The U.S. has the highest rates of maternal and infant death of developed countries. The Healthy Start program tries to address this with 3 goals: Reduce infant death rates Improve maternal health Reduce racial and ethnic disparities in health outcomes The Department of Health and Human Services collects data to measure the program's progress on reducing infant deaths and improving maternal health. HHS said it...
      **Released on   Mar 18, 2024**
          SUPPLEMENTAL MATERIAL FOR GAO-24-106446: Strengthening Coordination and Monitoring of Autism Activities in the Federal Government
    GAO-24-107314
      Published:   Mar 18, 2024
. 
        Publicly Released:   Mar 18, 2024
.
    The National Institutes of Health helps coordinate federal agencies' activities that promote the health and well-being of people with autism. We reported that NIH has followed several practices to help these agencies work well together. But it could be doing more, and we recommend ways to help. This is an "Easy Read" version of our report. Easy Read is a way some groups make their...
      **Released on   Feb 28, 2024**
          Autism Research and Support Services: Federal Interagency Coordination and Monitoring Efforts Could Be Further Strengthened
    GAO-24-106446
      Published:   Feb 28, 2024
. 
        Publicly Released:   Feb 28, 2024
.
    We also published an " Easy Read " version of this report. Easy Read is a way of making written information easier to understand. We published the Easy Read version to make our report more accessible to certain people with autism and other intellectual and developmental disabilities. To promote the health and well-being of people with autism, the National Institutes of Health helps coordinate the...
      **Released on   Feb 21, 2024**
          Maternal Health: HHS Should Improve Assessment of Efforts to Address Worsening Outcomes
    GAO-24-106271
      Published:   Feb 21, 2024
. 
        Publicly Released:   Feb 21, 2024
.
    Hundreds of women in the U.S. die each year from complications related to pregnancy and childbirth—a crisis exacerbated by COVID-19 . The Department of Health and Human Services is working to address the crisis and meet long-term goals such as increasing women's access to high-quality maternal care. As of September 2023, HHS hasn't determined how it'll measure progress toward achieving its maternal health goals. Following...
      **Released on   Feb 7, 2024**
          Homelessness: Barriers to Obtaining ID and Assistance Provided to Help Gain Access
    GAO-24-105435
      Published:   Feb 7, 2024
. 
        Publicly Released:   Feb 7, 2024
.
    People experiencing homelessness may need ID to secure jobs, stable housing, and federal benefits. But, they may not have the money, supporting documents, or residential address they need to get an ID. State efforts to address these barriers include offering reduced-fee IDs. Federal efforts include funding local homelessness assistance providers who can help people get documents or pay for ID applications. Further, public housing agencies...
      **Released on   Jan 25, 2024**
          Grants Management: Action Needed to Ensure Consistency and Usefulness of New Data Standards
    GAO-24-106164
      Published:   Jan 25, 2024
. 
        Publicly Released:   Jan 25, 2024
.
    The federal government spent roughly $1.2 trillion on grants in 2022. But it's hard to track and manage this spending because agencies collect data in different ways. The Grant Reporting Efficiency and Agreements Transparency (GREAT) Act may help—setting standards for agency data collection throughout the government. The Office of Management and Budget and the Department of Health and Human Services identified 540 data elements—such as...
      **Released on   Jan 16, 2024**
          Public Health Preparedness: HHS Emergency Agency Needs to Strengthen Workforce Planning
    GAO-24-106108
      Published:   Jan 16, 2024
. 
        Publicly Released:   Jan 16, 2024
.
    The Administration for Strategic Preparedness and Response (ASPR)'s workforce planning problems are ongoing. These issues were part of the reason why we added the Department of Health and Human Services' leadership in public health emergencies to our High Risk list in 2022. In this report, we recommend ways for ASPR to address the problems and improve emergency response, such as: Setting specific goals and performance...
      **Released on   Jan 10, 2024**
          Child Trafficking: Addressing Challenges to Public Awareness and Survivor Support
    GAO-24-106038
      Published:   Dec 11, 2023
. 
        Publicly Released:   Jan 10, 2024
.
    This Q&A report reviews issues—like public misperception and insufficient support—that impact child trafficking survivors. Trafficked children detained by law enforcement may not be seen as victims, and so may not get counseling or other services. Also, service providers and others told us there isn't enough support available for certain groups of trafficked children, such as victims of forced labor. The Departments of Justice and Health...
      **Released on   Dec 21, 2023**
          Medical Device Cybersecurity: Agencies Need to Update Agreement to Ensure Effective Coordination
    GAO-24-106683
      Published:   Dec 21, 2023
. 
        Publicly Released:   Dec 21, 2023
.
    Cybersecurity vulnerabilities that threaten medical devices aren't commonly exploited but still pose risks to hospital networks—and patients, according to a federal study. The Food and Drug Administration has primary responsibility for medical device cybersecurity. FDA formally collaborates with the Cybersecurity and Infrastructure Security Agency on security guidance for device manufacturers, public alerts about current vulnerabilities, and more. However, the agencies' formal agreement is 5 years...
      **Released on   Dec 14, 2023**
          Grants Management: HHS Has Taken Steps to Modernize Government-wide Grants Management
    GAO-24-106008
      Published:   Dec 14, 2023
. 
        Publicly Released:   Dec 14, 2023
.
    Health and Human Services is the largest grantmaking agency in the federal government and oversees grants management tools used by other agencies. It has been streamlining grants management processes through the following programs: Relnvent Grants Management , an effort to improve grants administration within HHS via 7 initiatives, such as a grants management training and certification program Recipient Data Insights , a tool that helps...
      **Released on   Dec 12, 2023**
          Artificial Intelligence: Agencies Have Begun Implementation but Need to Complete Key Requirements
    GAO-24-105980
      Published:   Dec 12, 2023
. 
        Publicly Released:   Dec 12, 2023
.
    Artificial intelligence is rapidly changing the world and could improve government operations. For example, federal agencies can use AI to analyze drone photos and large datasets. But safeguards are needed to manage AI risks. Federal law and guidance have several requirements for agencies implementing AI, but they haven't all been met. For example, there's no government-wide guidance on how agencies should acquire and use AI...
          Private Health Insurance: Roll out of Independent Dispute Resolution Process for Out-Of-Network Claims Has Been Challenging
    GAO-24-106335
      Published:   Dec 12, 2023
. 
        Publicly Released:   Dec 12, 2023
.
    Individuals with private health insurance can receive "surprise bills" for the difference between what a provider charged and what their insurance paid. A 2021 law prohibits surprise billing for some services, and directed the Departments of Health and Human Services, Labor, and Treasury to give providers and insurers a forum to resolve disputes about how much insurers should pay for out-of-network care. But the rollout...
          Health Care Funding: Federal Funding for Certain Organizations Providing Health-Related Services, 2019 through 2022
    GAO-24-106215
      Published:   Nov 17, 2023
. 
        Publicly Released:   Dec 12, 2023
.
    We reviewed federal funding for various organizations, including certain health centers, Planned Parenthood Federation of America, and International Planned Parenthood Federation. The organizations included in our review provide health care and related services, such as family planning and sexual and reproductive health services. These organizations received federal funds through cooperative agreements, public health coverage programs, and grants—including COVID-19 related funding. For example, health centers received...
      **Released on   Nov 16, 2023**
          Dietary Guidelines for Americans: Strengthening Interagency Collaboration Could Help Inform Nutrition Research and Future Guidelines
    GAO-24-106130
      Published:   Oct 18, 2023
. 
        Publicly Released:   Nov 16, 2023
.
    Every five years the Departments of Agriculture and Health and Human Services produce the Dietary Guidelines for Americans. These guidelines provide advice on what to eat and drink to meet nutrient needs, promote health, and prevent disease. USDA and HHS co-chair a committee that identifies nutrition research priorities—which may inform the 2025-2030 guidelines. The committee's work has supported some research tools, like nutrition research databases...
          Federal Real Property: Agencies Should Provide More Information About Increases in Deferred Maintenance and Repair
    GAO-24-105485
      Published:   Nov 16, 2023
. 
        Publicly Released:   Nov 16, 2023
.
    We've reported that federal agencies have deferred the maintenance and repairs on their buildings, creating a backlog of these needs. The estimated cost of 4 agencies' backlogs increased more than 80% over FY 2017-2022. Officials at the agencies attributed this to factors including funding constraints, cost increases, and the age and quantity of agencies' physical assets. Agencies' budget documents include information on maintenance needs. But...
      **Released on   Oct 27, 2023**
          Freely Associated States: Agencies Should Enhance Procedures to Address Millions of Dollars in Questionable Spending
    GAO-23-106160
      Published:   Sep 27, 2023
. 
        Publicly Released:   Oct 27, 2023
.
    Micronesia, the Marshall Islands, and Palau receive millions of dollars in U.S. grants from federal agencies. Each country must get an annual audit of its use of these funds. Within 6 months, the granting agency must decide how the country should address any audit findings—including questions about grant spending. Then the agency must work with the country to resolve these questions. The Departments of Health...
      **Released on   Oct 26, 2023**
          Mental Health Services: State Should Collect Ongoing Feedback to Ensure Overseas Employees' Needs Are Being Met
    GAO-24-106082
      Published:   Oct 26, 2023
. 
        Publicly Released:   Oct 26, 2023
.
    U.S. employees and their families overseas often work and live in stressful environments with limited or no access to local mental health services. While the State Department and U.S. Agency for International Development offer some mental health services, providers and patients we surveyed identified challenges in delivering or accessing them. For example, providers reported increased workloads amid growing demand for services. State has collected feedback...
      **Released on   Sep 21, 2023**
          COVID-19 Provider Relief Fund: HRSA Continues to Recover Remaining Payments Due from Providers
    GAO-23-106083
      Published:   Sep 21, 2023
. 
        Publicly Released:   Sep 21, 2023
.
    The Provider Relief Fund spent $135 billion to help health care providers with COVID -related expenses and lost revenue during the pandemic. Most of the relief payments—about $85 billion—went to hospital-based health systems and hospital-affiliated providers. To confirm that payments were accurate, the Health Resources and Services Administration took steps to review provider eligibility and if funds were used appropriately. In doing so, it found...
    
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