Tag: GAO

GAO Recommends Greater Stakeholder Engagement in the VA’s Modernization Effort

As part of the process for the Department of Veterans Affairs (VA) to modernize its commercial electronic health record (EHR) system, the Government Accountability Office (GAO) issued a report evaluating the VA’s EHR system configuration process an...

GAO Releases 50 State Report on Medicaid Administrative Challenges

On June 1, 2020, the Government Accountability Office (GAO) published a report identifying current federal policies that create program administrative challenges for state Medicaid officials. This report details the responses from Medicaid program le...

GAO Announces New MedPAC Commissioners and Chair

On May 21, 2020, the Government Accountability Office (GAO) appointed three new Commissioners and reappointed two Commissioners to the Medicare Payment Advisory Commission (MedPAC). The new MedPAC Commissioners are Michael Chernew, PhD, Betty Rambur,...

GAO Identifies Fiscal Sustainability Concerns with Medicare and Other Trust Funds

Many federal programs, including Medicare and Social Security are funded through trust funds and other dedicated funds. Medicare is funded through the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. T...

GAO Requests Nominations for MedPAC Commissioners

On January 14, 2020, the Government Accountability Office (GAO) published a request for nominations for the Medicare Payment Advisory Commission (MedPAC). Nominations and resumes are due February 14, 2020, and can be sent to MedPACappointments@gao.go...

GAO Appoints Charles DeShazer, MD to PTAC

On October 15, 2019, the Government Accountability Office (GAO) announced the appointment of Charles DeShazer, MD to the Physician-Focused Payment Model Technical Advisory Committee (PTAC). Dr. DeShazer is Senior Vice President and Chief Medical Offi...

GAO Report Finds Changes Needed in Order for CMS to Assess the Effectiveness of its Quality Measurement Activities

On Thursday, September 19, 2019, the Government Accountability Office released a report on quality measurement activities of the Centers for Medicare and Medicaid Services (CMS) titled, “CMS Could More Effectively Ensure Its Quality Measurement Act...

GAO Announces New PCORI Board Members

The U.S. Government Accountability Office (GAO) named the new Chair and Vice-Chair for the board of the Patient-Centered Outcomes Research Institute (PCORI). Christine Goertz, DC, Ph.D. will serve a three-year term as the Chair of the board and Sharo...

GAO Releases Report on Managing High Cost Medicaid Beneficiaries

The Government Accountability Office (GAO) released a report on identifying, predicting, and managing high-cost beneficiaries in Medicaid. The GAO interviewed seven states that were able to successfully predict beneficiary healthcare expenditures. So...

GAO Requests HITAC Nominations

The Government Accountability Office (GAO) is accepting nominations for two open positions on the Health Information Technology Advisory Committee (HITAC).  The GAO is seeking individuals with technical expertise on health care quality, system funct...

GAO Releases Report on Medicare Spending on Codes for Comprehensive Care Planning Services

The U.S. Government Accountability Office (GAO) recently released a report on Medicare physician spending on longitudinal comprehensive care planning (LCCP) services. This report, which was required by a provision of the Bipartisan Budget Act of 2018...

GAO Appoints MedPAC Members

On May 23, 2019, the Government Accountability Office appointed two new members to the Medicare Payment Advisory Commission (MedPAC) and reappointed four current members. The new members are Lawrence Casalino, MD, PhD, and Amol Navathe, MD, PhD. The ...

GAO Recommends CMS Improve Transparency Policy for Section 1115 Waivers

On May 17, the Government Accountability Office (GAO) publicly released its report Medicaid Demonstrations: Approvals of Major Changes Need Increased Transparency. Medicaid demonstrations, established through the Section 1115 waiver...

MACPAC Chair and Vice Chair Appointed

On May 20, 2019, Gene L. Dodaro, head of the US Government Accountability Office, appointed two new members to the Medicaid and CHIP Payment and Access Commission (MACPAC), as well as the Commission’s Chair and Vice Chair. The newly appointed membe...

GAO Finds Significant Medicare & Medicaid Overpayments in Laboratory and Other Services

The Government Accountability Office (GAO) recently unveiled a report criticizing the Center for Medicare and Medicaid (CMS)’s oversight of its medical documentation requirements. Finding over $23 billion dollars in inappropriate Medicare Fee-for-S...

Quality and Safety of Nursing Home Care Under Scrutiny

The quality and beneficiary safety of nursing home care is under scrutiny on multiple fronts. The Government Accountability Office (GAO) concluded in a recent report that the Centers for Medicare and Medicaid Services (CMS) must address gaps in the f...

GAO Report Considers Advantages of Voluntary vs Mandatory Payment Models

On Tuesday, January 22, 2019, the Government Accountability Office (GAO) released Voluntary and Mandatory Episode-Based Payment Models and Their Participants. Using an analysis of Centers for Medicare and Medicaid Services (CMS) data, evaluation repo...

Congressional Inquiry on Insurance Fee Spending

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GAO Releases Report on Challenges to Electronically Matching Patients' Records Across Providers

The Government Accountability Office (GAO) released a report required by the 21st Century Cures Act detailing the challenges to electronically matching patients’ records across providers. Health care providers are increasingly sharing pa...

Medicare Laboratory Tests: Implementation of New Rates May Lead to Billions in Excess Payments

GAO Makes PTAC Appointments

On October 18, 2018 the Government Accountability Office (GAO) announced the appointment of two new members to the Physician-Focused Payment Model Technical Advisory Committee (PTAC). The newly appointed members are Angelo Sinopoli, MD

GAO Makes Appointments to PCORI Governing Board

The U.S. Government Accountability Office (GAO) announced the appointment of seven new members to the Governing Board of the Patient-Centered Outcomes Research Institute (PCORI). The newly appointed members are Kara Ayers, PhD, Ass...

GAO Recommends that DOD Use Common Key Quality Measures

The National Defense Authorization Act for fiscal year 2016 (NDAA 2016) directed the Department of Defense (DOD) to align its measures of health care quality used in the Military Health System (MHS) to improve beneficiary experience and reduce variat...

GAO Report Considers Small and Rural Practices' Experiences in MIPS

The Government Accountability Office (GAO) was asked to review certain aspects of small and rural practices participation in legacy incentive programs and the Merit-based Incentive Payment System (MIPS). The GAO interviewed 23 stakeholders and CMS of...

GAO Accepting PTAC Nominations

The Government Accountability Office (GAO) is currently accepting letters of nomination and resumes for appointments to the Physician-Focused Payment Model Technical Advisory Committee (PTAC).  Nominations should be submitted by July 20, 2018.  The...

GAO Report on CMS Innovation Center, Model Implementation and Performance

The Government Accountability Office (GAO) released a report on the Center for Medicare and Medicaid Innovation (Innovation Center) and their work to test payment and delivery options.  As of March 1, 2018, the Innov...