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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. In OIG’s view, these top recommendations for HHS programs, if implemented, would have the greatest impact in terms of cost savings, program effectiveness and efficiency, and public health and safety. Learn more

Summary of All Recommendations

Updated Monthly · Last updated on November 14, 2025

1,188

Unimplemented
recommendations

3,135

Implemented and Closed
recommendations since FY 2017

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OIG's Top Unimplemented Recommendations

Showing 21–22 of 22 recommendations Sorted by oldest release date
  • Centers for Medicare and Medicaid Services
    $190.1M
    Potential Savings

    Medicare Improperly Paid Acute-Care Hospitals an Estimated $190 Million Over 5 Years for Outpatient Services Provided to Hospice Enrollees
    25-A-09-011.01
    We recommend that the Centers for Medicare & Medicaid Services take the following actions, which could have saved Medicare an estimated $190.1 million in payments made to acute-care hospitals for outpatient services provided to hospice enrollees and could have saved enrollees an estimated $43.6 million in deductibles and coinsurance that may have been incorrectly collected from them or from someone on their behalf during our audit period: Improve system edit processes to help reduce improper payments for outpatient services provided by acute-care hospitals to hospice enrollees.
    $190.1M
    Potential Savings

    Status
    Open Unimplemented
    Issued to CMS
    11/12/2024
    Audit Report
    A-09-23-03024
  • Centers for Medicare and Medicaid Services
    $7.7B
    Potential Savings

    Medicare Could Save Billions With Comparable Access for Enrollees if Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System
    25-A-05-036.01
    We recommend that CMS seek a legislative change that will allow it to reimburse CAHs at rates that align with those paid to alternative facilities when it determines that similar care is available at alternative facilities.
    $7.7B
    Potential Savings

    Status
    Open Unimplemented
    Issued to CMS
    12/31/2024
    Audit Report
    A-05-21-00018