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By TopicsAuditing and Financial Management
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  (1)GAO’s reports and testimonies give Congress, federal agencies, and the public timely, fact-based, non-partisan information that can improve government operations and save taxpayers billions of dollars.Jump To:
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                    Most Recent Reports**1 - 10 of 10 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...
          Counternarcotics: DOD Should Improve Coordination and Assessment of Its Activities
    GAO-24-106281
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    According to the U.S. government, illicit drugs and the criminal organizations that produce and traffic them are a significant threat. DOD leads federal efforts to monitor the air and water transport of drugs like cocaine and fentanyl into the U.S. DOD set up a joint operation area including the western U.S. border and parts of Latin America. But 3 of DOD's regional components' areas of...
          Homeland Security: DHS Internal Entities Facilitate Information Sharing in Key Areas and Collaborate as Needed
    GAO-24-106896
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    Nine formal groups within the Department of Homeland Security routinely share information to advise leaders, guide internal policies, and identify potential threats. We found no unnecessary duplication among the groups, but some of their purposes and activities had the potential for overlap. Agency officials said groups collaborate to avoid duplication. For example, the Homeland Security Intelligence Council—composed of less-senior staff than the Counter Threats Advisory...
          Restrictive Housing: Actions Needed to Enhance BOP and ICE Management and Oversight
    GAO-24-107494
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    We testified about our prior work related to use of restrictive housing, formerly referred to as "solitary confinement," in federal prison and detention facilities. In some cases, this includes isolating 1-2 people in cells for nearly 24 hours per day. The Bureau of Prisons uses restrictive housing for about 8% of its prison population each year—about 11,000 people in FY 2023. U.S. Immigration and Customs...
          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   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...
          Persistent Chemicals: Navy Efforts to Address PFAS at Joint Base Pearl Harbor-Hickam
    GAO-24-106812
      Published:   Apr 15, 2024
. 
        Publicly Released:   Apr 15, 2024
.
    PFAS—a group of synthetic chemicals called per- and polyfluoroalkyl substances—are used in firefighting foams and other products. Some PFAS are linked to environmental contamination and human health problems. This Q&A covers our work on the Department of Defense's detection and treatment of PFAS contamination at Joint Base Pearl Harbor-Hickam in Hawaii. In 2022, 1,300 gallons of firefighting foam was accidentally released there. As of February...
          F-35 Sustainment: Costs Continue to Rise While Planned Use and Availability Have Decreased
    GAO-24-106703
      Published:   Apr 15, 2024
. 
        Publicly Released:   Apr 15, 2024
.
    The F-35 aircraft is DOD's most advanced and costly weapon system. DOD currently has about 630 F-35s, plans to buy about 1,800 more, and intends to use them through 2088. We reported in this Q&A that DOD's projected costs to sustain the F-35 fleet keep increasing—from $1.1 trillion in 2018 to $1.58 trillion in 2023. Yet DOD plans to fly the F-35 less than originally...
      **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...
          Economic Development: Additional Training Could Help Small Lenders Implement Technology
    GAO-24-106226
      Published:   Mar 28, 2024
. 
        Publicly Released:   Apr 11, 2024
.
    People in low- and moderate-income communities can't always access loans through traditional banks. Community Development Financial Institutions are organizations that provide financial services to fill this gap. Our survey of these institutions found that many small CDFIs don't have the technology to best serve their customers, manage operations, and conduct outreach. The Department of the Treasury receives funding to support CDFIs and has increased the...
    
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