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Recommendations Tracker
HHS-OIG provides independent and objective oversight that promotes economy, efficiency, and effectiveness in HHS programs and operations. To drive this positive change, we produce reports and identify recommendations for improvement. We have developed this public-facing page for tracking all of our open recommendations.
Use the “Top Unimplemented” View below to read OIG’s Top Unimplemented Recommendations—a subset that we think, if implemented, would have the most impact (learn more). Notable differences from our previous Top Unimplemented Recommendations report include:
- The list is comprised of individual recommendations from OIG reports, not rolled up by topic.
- No arbitrary cap is imposed on the number of recommendations included.
- Status updates as recommendations are implemented.
Summary of All Recommendations
Updated Monthly · Last updated on November 15, 2024
1,306
Unimplemented
recommendations
2,698
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
-
Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity: An OIG Portfolio
18-E-02-030.01CMS should analyze claims data to inform the survey process.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/22/2024
- Legislative Related
- No
18-E-02-030.02CMS should analyze deficiency data to inform the survey process.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/12/2020
- Legislative Related
- No
18-E-02-030.03CMS should seek statutory authority to establish additional, intermediate remedies for poor hospice performance.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/29/2021
- Legislative Related
- Yes
18-E-02-030.04CMS should develop other claims-based information and include it on Hospice Compare.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/22/2024
- Legislative Related
- No
18-E-02-030.05CMS should work with its partners, such as hospitals and caregiver groups, to make available consumer-friendly information explaining the hospice benefit to beneficiaries and their families and caregivers.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 10/18/2023
- Next Update Expected
- 12/04/2024
- Legislative Related
- No
18-E-02-030.06CMS should ensure that a physician is involved in the decisions to start and continue general inpatient care.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 10/17/2024
- Next Update Expected
- 11/14/2025
- Legislative Related
- No
18-E-02-030.07CMS should analyze claims data to identify hospices that engage in practices or have characteristics that raise concerns.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 09/14/2021
- Next Update Expected
- 10/10/2020
- Legislative Related
- No
18-E-02-030.08CMS should take appropriate actions to follow up with hospices that engage in practices or have characteristics that raise concerns.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 09/14/2021
- Next Update Expected
- 05/08/2021
- Legislative Related
- No
18-E-02-030.09CMS should increase oversight of general inpatient care claims and focus particularly on general inpatient care provided in SNFs, given the higher rate at which these stays were inappropriate.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 09/14/2021
- Next Update Expected
- 05/08/2021
- Legislative Related
- No
18-E-02-030.10CMS should implement a comprehensive prepayment review strategy to address lengthy general inpatient care stays so that beneficiaries do not have to endure unnecessarily long periods of time in which their pain and symptoms are not controlled.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- 05/24/2024
- Next Update Expected
- 05/30/2025
- Legislative Related
- No
18-E-02-030.11CMS should develop and execute a strategy to work directly with hospices to ensure that they are providing drugs covered under the hospice benefit as necessary and that the cost of drugs covered under the benefit are not inappropriately shifted to Part D.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- 05/24/2024
- Next Update Expected
- 05/30/2025
- Legislative Related
- No
18-E-02-030.12CMS should assess the current payment system to determine what changes may be needed to tie payments to beneficiaries' care needs and quality of care to ensure that services rendered adequately serve beneficiaries' needs.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- 05/24/2024
- Next Update Expected
- 05/30/2025
- Legislative Related
- No
18-E-02-030.13CMS should adjust payments based on these analyses, if appropriate, to ensure that the payment system is aligned with beneficiary needs and quality of care.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- 05/24/2024
- Next Update Expected
- 05/30/2025
- Legislative Related
- No
18-E-02-030.14CMS should include on Hospice Compare deficiency data from surveys, including information about complaints filed and resulting deficiencies.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 10/17/2023
- Next Update Expected
- 12/04/2024
- Legislative Related
- No
18-E-02-030.15CMS should modify the payments for hospice care in nursing facilities.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- 04/29/2024
- Next Update Expected
- 07/01/2024
- Legislative Related
- Yes