The Centers for Medicare and Medicaid Services came under fire at a House Energy and Commerce Health Subcommittee hearing held March 4 that highlighted the Medicare program's continuing problems in combating waste, fraud and abuse. Specifically, the congressional hearing called out CMS lack of oversight of contractors who manage the Medicare program and administer more than a half a trillion dollars in benefits annually.
In conjunction with the hearing, the Department of Health and Human Services' Office of Inspector General released two new reports on CMS oversight of its Medicare Part C (Medicare Advantage) and Part D (Prescription Drug) contractors. One OIG report found that while CMS regularly reviews Part C reporting requirements data, its follow-up and use of the data are limited. The second OIG report revealed that more than half of Part D plans did not voluntarily report fraud and abuse data.
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