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                    Most Recent Reports**1 - 20 of 6668 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...
      **Released on   Apr 15, 2024**
          Prescription Drugs: Selected States' Regulation of Pharmacy Benefit Managers
    GAO-24-106898
      Published:   Mar 18, 2024
. 
        Publicly Released:   Apr 15, 2024
.
    Private health plans contract with pharmacy benefit managers—companies that help oversee prescription drug benefits and control costs. We studied 5 states that have laws to regulate these companies. We found, for example, that all 5 states regulated the companies' drug pricing and pharmacy payments—including by limiting companies' use of manufacturer rebates and their ability to pay pharmacies less than health plans are charged. State regulators...
      **Released on   Apr 11, 2024**
          Military Health Care: DOD Should Improve Its Process for Clinical Adverse Actions against Providers
    GAO-24-106107
      Published:   Apr 11, 2024
. 
        Publicly Released:   Apr 11, 2024
.
    The Defense Health Agency investigates concerns about the quality and safety of care that individual health care providers deliver in DOD medical facilities. If DHA finds evidence for those concerns, it can prohibit providers from DOD facilities or limit the services they can provide. DHA must also report the provider to a federal database that hospitals and others can use to screen providers. But DHA...
      **Released on   Apr 10, 2024**
          Coast Guard Health Care: Information on Telehealth Usage
    GAO-24-106784
      Published:   Apr 10, 2024
. 
        Publicly Released:   Apr 10, 2024
.
    The Coast Guard began offering video and telephone telehealth appointments to its personnel in 2021 during the COVID-19 pandemic. In this Q&A , we reported that the benefits of the Coast Guard's telehealth program include increasing access to medical care for personnel located in remote locations. However, there are challenges. For instance, inconsistent internet connectivity aboard Coast Guard vessels could limit the use of telehealth...
      **Released on   Apr 8, 2024**
          Health Centers: Revenue, Grant Funding, and Methods for Meeting Certain Access-To-Care Requirements
    GAO-24-106815
      Published:   Mar 7, 2024
. 
        Publicly Released:   Apr 8, 2024
.
    Health centers provide primary care in places with a shortage of health care services. They served over 30 million people in 2022—regardless of their ability to pay. We reviewed health centers' revenue and more for 2018-2022. Annual revenue increased from $28.7 billion to $42.9 billion over this period. The Health Resources and Services Administration provided $34 billion in grants to support these centers over that...
          Indian Health Service: Opportunities Exist to Improve Clinician Screening Adherence and Oversight
    GAO-24-106230
      Published:   Apr 8, 2024
. 
        Publicly Released:   Apr 8, 2024
.
    The Indian Health Service provides health care to American Indians and Alaska Natives. To ensure that its patients are receiving quality care, IHS screens the clinicians it employs—e.g., doctors and nurse practitioners—to verify their professional qualifications. However, federal IHS facilities didn't always fully follow the requirements for verifying these qualifications. This is partly because IHS's guidance on how to do so is spread out across...
      **Released on   Mar 28, 2024**
          Veterans Community Care Program: Additional Information on VA Statutory Appointment Timeliness Measurements is Needed
    GAO-24-105308
      Published:   Mar 28, 2024
. 
        Publicly Released:   Mar 28, 2024
.
    VA's community care program refers eligible veterans to a health care provider in their community if they can't access care at a VA facility. VA has had challenges scheduling community care appointments in a timely way. So, Congress required VA to measure elapsed time between and across points in the care process, specifically when: Care is requested A referral is sent to a community care...
          Patient-Centered Outcomes Research Institute: Review of the Audit of the FY 2023 Financial Statements
    GAO-24-107260
      Published:   Mar 28, 2024
. 
        Publicly Released:   Mar 28, 2024
.
    The Patient-Centered Outcomes Research Institute is a federally funded, nonprofit corporation that was established to fund and evaluate research aimed at helping patients, doctors, and policymakers make better health care decisions. PCORI is required to have its financial statements audited annually, and we're required to review those audits. PCORI's auditor issued an unmodified (clean) opinion on its fiscal year 2023 financial statements, concluding that these...
      **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...
          Veterans Health Care: Improvements Needed in Patient Tracking for Non-Biological Implantable Medical Devices
    GAO-24-106621
      Published:   Mar 27, 2024
. 
        Publicly Released:   Mar 27, 2024
.
    What happens when there's a recall of a pacemaker, hip implant, or other implantable medical device—after it's already in a patient? If the patient is a veteran, the Veterans Health Administration needs to ensure that health care providers can contact them for follow-up care. But VHA's policies don't ensure that all such devices are effectively trackable. For example, if VHA needed to identify all patients...
      **Released on   Mar 25, 2024**
          Science & Tech Spotlight: At-Home Tools to Diagnose Alzheimer's, Parkinson's, and Related Diseases
    GAO-24-107306
      Published:   Mar 25, 2024
. 
        Publicly Released:   Mar 25, 2024
.
    Neurodegenerative diseases affect about 7 million people in the U.S., with cases expected to increase. This Spotlight covers cognitive assessment apps and wearable sensors designed for home use. They can collect data on patients' cognitive and motor abilities and help detect symptoms of Alzheimer's and other neurodegenerative diseases. Doctors can use data from these tools to diagnose diseases earlier and more accurately, and these tools...
          Clinical Research: FDA Should Evaluate Its Efforts to Recruit and Retain Its Inspection Workforce
    GAO-24-106383
      Published:   Feb 22, 2024
. 
        Publicly Released:   Mar 25, 2024
.
    The FDA oversees clinical trials and other research involving human subjects, mostly for drugs trying to get FDA approval. This includes conducting inspections in hospitals and other healthcare settings in the U.S. and abroad. Recruiting and retaining investigators for these inspections has been a challenge—partly due to low compensation and heavy travel. This has resulted in fewer inspections and a less experienced workforce. FDA has...
      **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   Mar 14, 2024**
          Medicaid Managed Care: Additional Federal Action Needed to Fully Leverage New Appeals and Grievances Data
    GAO-24-106627
      Published:   Mar 14, 2024
. 
        Publicly Released:   Mar 14, 2024
.
    Because states pay Medicaid managed care plans per enrollee—rather than per service—there can be financial incentives for plans to deny or limit needed services. As a safeguard, enrollees can appeal service denials and file grievances if dissatisfied. Starting in 2022, states were required to report some data on appeals and grievances to the Centers for Medicare & Medicaid Services annually. But CMS's oversight is limited...
      **Released on   Feb 29, 2024**
          VA Health Care: Organization of the Office of Mental Health and Suicide Prevention
    GAO-24-106023
      Published:   Feb 29, 2024
. 
        Publicly Released:   Feb 29, 2024
.
    In this Q&A report, we review how the Department of Veterans Affairs has organized its suicide prevention program. In 2017, VA combined its suicide prevention and mental health programs into one office. Officials said that this facilitated internal coordination, but that suicide prevention staff had less autonomy to make decisions. VA decided to move the suicide prevention program back into a separate office in 2023—in...
          Biomedical Research: Actions Needed to Adopt Collaboration Practices to Address Research Duplication
    GAO-24-106757
      Published:   Feb 29, 2024
. 
        Publicly Released:   Feb 29, 2024
.
    The federal government has long invested in biomedical research through different Department of Health and Human Services agencies. This report, the first in a series, looks at potential duplication of research efforts across four such agencies. The agencies have practices in place to avoid unnecessary research duplication. For example, agency staff regularly meet to share priorities and identify duplicative work. In addition, the newest health...
      **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 15, 2024**
          VA Health Care: Opportunities Exist to Further Meet Student Veterans' Mental Health Needs
    GAO-24-106620
      Published:   Feb 15, 2024
. 
        Publicly Released:   Feb 15, 2024
.
    Research suggests that student veterans are more likely to suffer from mental health challenges, including depression and anxiety, than other students. To help, the Veterans Health Administration partners with some colleges and universities to provide campus-based mental health care and other support for student veterans. As of October 2023, roughly a quarter of VHA's health care systems offered this program. It may be hard for...
      **Released on   Feb 8, 2024**
          Veterans Affairs: Improvements Needed in Estimating Funding for Potential Future Health Emergencies
    GAO-24-106359
      Published:   Feb 8, 2024
. 
        Publicly Released:   Feb 8, 2024
.
    Veterans Affairs received about $36.7 billion in supplemental funds for its COVID-19 pandemic response. VA used the funds to support services at VA medical facilities and for new efforts like expanding IT infrastructure for telehealth services. At the pandemic's start, the Veterans Health Administration requested funds to continue operations. But VHA didn't have the tools to develop a base estimate of potential costs for an...
    
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