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      Recent Reports
    Medicare and Medicaid: Additional Actions Needed to Enhance Program Integrity and Save BillionsGAO-24-107487
      
	Published:  Apr 16, 2024


	Publicly Released: Apr 16, 2024
          Prescription Drugs: Selected States' Regulation of Pharmacy Benefit ManagersGAO-24-106898
      
	Published:  Mar 18, 2024


	Publicly Released: Apr 15, 2024
          Military Health Care: DOD Should Improve Its Process for Clinical Adverse Actions against ProvidersGAO-24-106107
      
	Published:  Apr 11, 2024


	Publicly Released: Apr 11, 2024
          Coast Guard Health Care: Information on Telehealth UsageGAO-24-106784
      
	Published:  Apr 10, 2024


	Publicly Released: Apr 10, 2024
          Indian Health Service: Opportunities Exist to Improve Clinician Screening Adherence and OversightGAO-24-106230
      
	Published:  Apr 08, 2024


	Publicly Released: Apr 08, 2024
          Health Centers: Revenue, Grant Funding, and Methods for Meeting Certain Access-To-Care Requirements
    GAO-24-106815
      Published: Mar 07, 2024
      Publicly Released: Apr 08, 2024
    
    

  
  View More ReportsOpen Recommendations
        Military Health Care: DOD Should Improve Its Process for Clinical Adverse Actions against ProvidersGAO-24-106107
      
						Apr 11, 2024
              Show
          6Open Recommendations

          Agency Affected
                                                  Recommendation
                                                  StatusDefense Health Agency
                                                                                        The Director of DHA should modify its monitoring reports or audit tools to capture information needed to effectively assess adherence to certain requirements, such as notification to other health care entities of a provider's summary suspension and state licensing board reporting. (Recommendation 1)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Defense Health Agency
                                                                                        The Director of DHA should strengthen its monitoring of MTFs' and DHA's timeliness in completing the steps in the clinical adverse action process. (Recommendation 2)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Defense Health Agency
                                                                                        The Director of DHA should clarify in the DHA procedures manual for clinical adverse actions that MTFs must summarily suspend providers at the initiation of all clinical adverse action cases. (Recommendation 3)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Defense Health Agency
                                                                                        The Director of DHA should clarify in the DHA procedures manual for clinical adverse actions the requirements for documenting the MTFs' final privileging authority decisions. This should include specifying that implementation of the privileging authority decision should be documented in a timely manner. (Recommendation 4)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Defense Health Agency
                                                                                        The Director of DHA should establish timeliness requirements for the DHA-level procedures in the clinical adverse action process, including the DHA audit, legal sufficiency review, clinical peer review, appeal panel meeting and recommendation, and final report authority decision. (Recommendation 5)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Office of the Assistant Secretary of Defense (Health Affairs)
                                                                                        The Assistant Secretary of Defense for Health Affairs should require DHA to report data on its adherence to clinical adverse action reporting requirements, such as the number of providers with reportable actions and the timeliness of reports, and should use this information to improve its oversight of DHA. (Recommendation 6)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
          Indian Health Service: Opportunities Exist to Improve Clinician Screening Adherence and OversightGAO-24-106230
      
						Apr 08, 2024
              Show
          3Open Recommendations

          Agency Affected
                                                  Recommendation
                                                  StatusIndian Health Service
                                                                                        The Director of IHS should develop a single, authoritative source that clearly defines the procedures and steps to meet national credentialing and privileging requirements. (Recommendation 1)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Indian Health Service
                                                                                        The Director of IHS should develop and implement a process to review and update the single, authoritative source of credentialing and privileging requirements, once developed, to ensure that it is updated in a timely manner to reflect any changes in those requirements. (Recommendation 2)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Indian Health Service
                                                                                        The Director of IHS should implement regular monitoring of areas' and facilities' adherence to IHS's credentialing and privileging requirements by headquarters officials. Such monitoring could include, headquarter officials conducting audits or reviews of a sample of credentialing and privileging files, and regular reviews of audits conducted by area offices and facilities. (Recommendation 3)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
          Veterans Community Care Program: Additional Information on VA Statutory Appointment Timeliness Measurements is NeededGAO-24-105308
      
						Mar 28, 2024
              Show
          2Open Recommendations

          Agency Affected
                                                  Recommendation
                                                  StatusDepartment of Veterans Affairs
                                                                                        The Secretary of VA should ensure VA engages with congressional oversight committees on its limitations in collecting data on referral acceptance dates to determine any potential refinements to the Isakson-Roe Act requirements or seek legislative relief as appropriate. (Recommendation 1)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Department of Veterans Affairs
                                                                                        The Secretary of VA should ensure that VA disclose, to any users of its Isakson-Roe Act bi-weekly updates to the community care appointment scheduling timeliness measurements, the quantity of referrals used to generate each measurement. (Recommendation 2)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
          Veterans Health Care: Improvements Needed in Patient Tracking for Non-Biological Implantable Medical DevicesGAO-24-106621
      
						Mar 27, 2024
              Show
          2Open Recommendations

          Agency Affected
                                                  Recommendation
                                                  StatusVeterans Health Administration
                                                                                        The Under Secretary of Health should ensure VHA includes requirements in its policies that non-biological orthopedic implantable medical devices be effectively tracked to the patient level and ensure that VHA national-level offices have access to the information from the tracking systems for oversight. (Recommendation 1)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Veterans Health Administration
                                                                                        The Under Secretary of Health should undertake an assessment across all clinical specialties to identify where other gaps exist in its ability to effectively track non-biological implantable medical devices to individual patients and take actions to address any identified gaps. Such actions should include ensuring appropriate policies are in place, requiring the use of data systems for tracking, and ensuring that VHA national-level officials have access to the information from the tracking systems for oversight. Actions may also include identifying one program office with ultimate responsibility for implantable medical device oversight at the national level, which could be one of the national offices such as NCPS or an interdisciplinary team such as VHA's Biological Implant Tracking Integrated Project Team. (Recommendation 2)
                                                                                        Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    
    

  
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