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Featured Topics

Below are compilations of OIG's existing work related to a specific subject matter area. They are updated as new material is published.


OIG recognizes Protecting HHS Data, Systems, and Beneficiaries from Cybersecurity Threats as a top management and performance challenge facing HHS. In partnering with various HHS agencies to address this challenge, OIG has formed a multidisciplinary Cybersecurity Team comprised of auditors, evaluators, investigators and attorneys focused on combatting cybersecurity threats within HHS and the healthcare industry.

Emergency Response

HHS OIG is one of many agencies the Federal Emergency Management Agency (FEMA) calls upon to respond to major disasters. As part of the Government's coordinated emergency response efforts, a team of OIG's special agents may deploy to provide leadership, equipment, expertise, security, and other support.

Combatting the Opioid Epidemic

Addressing the opioid epidemic is a top priority for OIG. OIG's efforts fall in three areas: (1) identifying opportunities to improve the efficiency and effectiveness of HHS programs, (2) identifying and holding accountable those engaged in fraud (3) empowering and collaborating with partners through data sharing and education.

Group Homes

In response to media stories and a congressional request about abuse and neglect of developmentally disabled residents in group homes, OIG launched a series of audits that found that these residents often experienced serious injuries and medical conditions that resulted in emergency room visits. And we also found that up to 99 percent of these critical incidents were not reported to the appropriate law enforcement or state agencies, as required.

Affordable Care Act Reviews

OIG is focused on promoting the economy, efficiency, and effectiveness of Affordable Care Act (ACA) programs across HHS. We are conducting reviews of the health insurance marketplaces and related programs, as well as reviews of other health reform programs in Medicare, Medicaid, and the public health programs. (Last Updated: February 2017)

Drug Pricing and Reimbursement

This webpage pulls together the Office of Inspector General's (OIG) body of work since 2010 plus several older relevant items that relate to drug pricing and reimbursement in HHS programs. It features planned work, completed reports, industry guidance, and enforcement actions. It does not cover OIG's body of work focused on questionable or fraudulent billing for prescription drugs. (Last Updated: January 2017)

Home Health

The Medicare home health benefit has long been recognized as a program area vulnerable to fraud, waste, and abuse. The benefit was established to provide skilled nursing care, home based assistance, and therapeutic services to qualifying homebound individuals. Home health care represents a significant component of Medicare expenditures. In calendar year 2015, Medicare reimbursed over 11,000 distinct home health agencies (HHAs) for almost 7 million episodes of home health care, totaling approximately $18.7 billion. (Last Updated: January 2017)

Hospital Compliance Reviews

These reviews are part of a series of hospital compliance reviews that focus on hospitals with claims that may be at risk for overpayments. Reviews began in 2011 and are ongoing. (Last Updated: December 2016)

Indian Health and Human Services

The Department of Health and Human Services (HHS) and its many agencies carry out health and human services programs for American Indians and Alaska Natives (AII/ANs) throughout the U.S. See an overview of the Office of Inspector General's (OIG) body of work as it relates to the Indian health and human services.

President's Emergency Plan for AIDS Relief (PEPFAR) Funds

President's Emergency Plan for AIDS Relief (PEPFAR) funds support international programs for acquired immunodeficiency syndrome (AIDS) prevention, treatment, and care. CDC received PEPFAR funds from the annual HHS appropriation and the Foreign Operations appropriation. See the PEPFAR reviews. (Last Updated: March 2017)

Spotlight Articles

The below articles discussed OIG's work on various topics; they are no longer being updated.

Medicaid: State Policies That Result in Inflated Federal Costs
A photo of money blowing away Since the Medicaid program was established, the costs and responsibilities for administering it have been shared between the States and the Federal Government. However, a number of OIG reports have cited examples of State policies that distort the cost-sharing arrangement, causing the Federal Government to pay more than its share of Medicaid expenditures.
A photo of illegal diabetes test strip solicitation found in the D.C. metro system
Diabetes Test Strips
Fraud and waste associated with the billing of diabetes supplies has become so prevalent that OIG is taking a multi-pronged approach to fight it - focusing on prevention efforts as well as calling upon a wide arsenal of enforcement actions.
An elderly woman in thought
Fighting Fraud at Community Mental Health Centers
Lethal Weapon. Tootsie. Ghostbusters. Batman. You may think these are great movies—some might argue they're classics—but do they qualify as psychotherapy?
Pill bottle containing money
Bad Bargains for Federal Health Programs
In a time of budget-cutting and fiscal crises, it's more important than ever to be sure that Federal money is put to good use. Yet according to a 2012 Institute of Medicine report, 30% of all U.S. health spending is wasted.
Spilled pills
Drug Diversion
Spotlight | Podcast
It is becoming so pervasive that the Centers for Disease Control and Prevention has formally labeled it an "epidemic." It is one of our nation's fastest growing public health problems, and it takes a hefty toll on individuals, families, taxpayers, and society. What is the crisis? Prescription drug abuse.
The profile of an elderly woman in thought
Skilled Nursing Facilities
Spotlight | Podcast
Consider this scenario: a patient with a bedsore is admitted into a nursing facility. During her stay, she develops three more bedsores. The facility fails to track and treat each wound properly, further complicating and prolonging her healing. Unfortunately, it is not hypothetical - OIG found this and many other examples of substandard care while conducting a recent review of skilled nursing facilities (SNF [pronounced "sniff"]).
A calculator, pen, laptop, and spreadsheet
Grants Management and Oversight
Did you know that the Department of Health and Human Services (HHS) is the largest grant-making organization in the Federal Government? In fiscal year (FY) 2011 alone, HHS awarded over 82,000 grants totaling approximately $385 billion.
Personal Care Services: Trends, Vulnerabilities, and Recommendations for Improvement
Spotlight | Podcast
Nurse caring for elderly man Though bathing, light housework, or meal preparation may not be readily associated with the Medicaid program, these types of services - called personal care services (PCS) - allow many elderly people and those with disabilities or chronic or temporary conditions to remain in their homes and maintain basic quality of life.
A person in a hospital bed
Adverse Events in Hospitals
Spotlight | Podcast
Patients admitted to the hospital generally expect that the medical care they receive will improve their health, not worsen it. Unfortunately, that isn't always the case.
A machete found near a playground
Head Start Health and Safety
Poison ivy, a gas-powered hedge trimmer, toxic chemicals, rusty nails, a machete... What do all of these items have in common? OIG auditors found them all in reach of children at Head Start locations.
Pill bottles containing money and pillsMedicare and Medicaid Prescription Drug Rebates
Did you know that the net amount Medicare Part D sponsors pay for the top 100 brand-name drugs is substantially higher than what Medicaid pays?
10-28-2011Indian Health Services
Indian Health Services
Nearly 2 million American Indians and Alaska Natives are beneficiaries of health care services provided by the Indian Health Service, an agency of the Department of Health and Human Services.
Empty warehouseIndependent Diagnostic Testing Facilities
How can medical facilities bill Medicare for services on the day when OIG evaluators visited their location and discovered they're closed or don't
even exist?
Woman in hospital bedHospice Care Claim Problems
Hospice care is an important and personal service for terminally ill Medicare beneficiaries, yet it doesn't escape the problems of fraud, waste, and abuse.
Power WheelchairsAgents confiscating wheelchair Medicare spent $95 million on claims for power wheelchairs that were either medically unnecessary or lacked sufficient documentation to determine medical necessity during the first half of 2007. A series of OIG reports examines Medicare power wheelchair claims.
06-07-2011Doctor speaking with patients
Medicaid Personal Care Services
Are taxpayers footing the bill for improper Medicaid claims for personal care services? The answer is yes, according to the Office of Inspector General (OIG) of the Department of Health and Human Services.

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201