The Centers for Medicare and Medicaid Services is operating multiple programs, many of them mandated under the health reform law, to test new payment and treatment delivery models. But better coordination among the programs is needed, according to the Government Accountability Office in a new report.

At issue is the possibility of inefficient use of federal resources, the GAO contends, and the need for CMS to ensure it does not pay for the same service under multiple programs. CMS has initiated a process to make sure this does not occur, and GAO has recommended an expedited review to eliminate any areas of unnecessary duplication, to which CMS agreed.

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