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

nlm:nlmuid-101757486-pdf

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

nlm:nlmuid-101727033-pdf

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

nlm:nlmuid-101738059-pdf

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

nlm:nlmuid-101737750-pdf

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

nlm:nlmuid-101737746-pdf

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

nlm:nlmuid-101737930-pdf

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

nlm:nlmuid-101737981-pdf

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

nlm:nlmuid-101719990-pdf

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

nlm:nlmuid-101765832-pdf

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

nlm:nlmuid-101737931-pdf

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

nlm:nlmuid-101737984-pdf

15. Health care price transparency and price competition

nlm:nlmuid-101317651-pdf

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

nlm:nlmuid-101713378-pdf

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

nlm:nlmuid-101727124-pdf

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

nlm:nlmuid-101726983-pdf

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

nlm:nlmuid-101727023-pdf

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

nlm:nlmuid-101713380-pdf

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

nlm:nlmuid-101727129-pdf

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

nlm:nlmuid-101704057-pdf

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

nlm:nlmuid-101713411-pdf

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

nlm:nlmuid-101713370-pdf

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

nlm:nlmuid-101704049-pdf

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

nlm:nlmuid-101746275-pdf

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

nlm:nlmuid-101746260-pdf

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

nlm:nlmuid-101765943-pdf

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

nlm:nlmuid-101727123-pdf

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

nlm:nlmuid-101738161-pdf

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

nlm:nlmuid-101727106-pdf

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

nlm:nlmuid-101737916-pdf

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

nlm:nlmuid-101737976-pdf

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

nlm:nlmuid-101738128-pdf

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

nlm:nlmuid-101757611-pdf

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

nlm:nlmuid-101713386-pdf

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

nlm:nlmuid-101746254-pdf

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

nlm:nlmuid-101766000-pdf