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1. Adverse events in long-term-care hospitals: national incidence among Medicare beneficiaries


2. Air ambulance: data collection and transparency needed to enhance DOT oversight : report to the Committee on Transportation and Infrastructure, House of Representatives


4. CMS did not detect some inappropriate claims for durable medical equipment in nursing facilities


5. CMS validated hospital inpatient quality reporting program data, but should use additional tools to identify gaming


6. Data inadequacies undermine CMS's oversight of the inconsistency resolution process for the federal marketplace


8. Enhancements needed in the tracking and collection of Medicare overpayments identified by ZPICS and PSCS


9. Excluding noncovered versions when setting payment for two Part B drugs would have resulted in lower drug costs for Medicare and its beneficiaries


10. FDA categorization of investigational device exemption (IDE) devices to assist the Centers for Medicare and Medicaid Services (CMS) with coverage decisions: guidance for sponsors, clinical investigators, industry, institutional review boards, and Food and Drug Administration staff


11. Federal health insurance exchange: CMS needs to ensure complete, accurate data on terminations of coverage for nonpayment of premiums : report to Congressional requesters


12. A few states fell short in timely investigation of the most serious nursing home complaints: 2011-2015


13. Followup review: CMS's management of the quality payment program


15. Health care price transparency and price competition


16. Health care: telehealth and remote patient monitoring use in Medicare and selected federal programs : report to Congressional committees


17. Health insurance marketplaces: CMS needs to improve its oversight of state IT systems' sustainability and performance : report to Congressional requesters


18. Hospital value-based purchasing: CMS should take steps to ensure lower quality hospitals do not qualify for bonuses : report to Congressional committees


19. Improper payments: improvements needed in CMS and IRS controls over health insurance premium tax credit : report to Congressional committees


22. Medicaid demonstrations: federal action needed to improve oversight of spending : report to the Chairman, Committee on Finance, U.S. Senate


23. Medicaid managed care: CMS should improve oversight of access and quality in states' long-term services and supports programs : report to Congressional requesters


25. Medicaid managed care: improved oversight needed of payment rates for long-term services and supports : report to Congressional requesters


27. Medicaid personal care services: more harmonized program requirements and better data are needed : testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives


28. Medicaid program integrity: CMS should build on current oversight efforts by further enhancing collaboration with states : report to the Chairman, Committee on Finance, U.S. Senate


30. Medicaid: CMS needs better data to monitor the provision of and spending on personal care services : report to Congressional requesters


32. Medicaid: CMS should take additional steps to improve assessments of individuals' needs for home- and community-based services : report to Congressional requesters


35. Medicaid: further action needed to expedite use of national data for program oversight : report to Congressional requesters


36. Medicaid: opportunities for improving program oversight : testimony before the Subcommittee on Government Operations and the Subcommittee on Intergovernmental Affairs, Committee on Oversight and Government Reform, House of Representatives


38. Medicaid: states fund services for adults in institutions for mental disease using a variety of strategies : report to the Co-Chair, Caucus on International Narcotics Control, U.S. Senate


39. Medicare Advantage appeal outcomes and audit findings raise concerns about service and payment denials


40. Medicare Advantage program integrity: CMS's efforts to ensure proper payments and identify and recover improper payments : testimony before the Subcommittee on Oversight, Committee on Ways and Means, House of Representatives


42. Medicare Part B drug payments: impact of price substitutions based on 2014 average sales prices


43. Medicare Part B drug payments: impact of price substitutions based on 2015 average sales prices


44. Medicare Part B drug payments: impact of price substitutions based on 2016 average sales prices


45. Medicare Part B drug payments: impact of price substitutions based on 2017 average sales prices


46. Medicare advantage: CMS should use data on disenrollment and beneficiary health status to strengthen oversight : report to Congressional Requesters


47. Medicare and Medicaid: CMS needs to fully align its antifraud efforts with the fraud risk framework : report to Congressional addressees


48. Medicare fee-for-service: information on the first year of nationwide reduced payment rates for durable medical equipment : report to Congressional requesters