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 May 15, 2025
1,185
Unimplemented
recommendations
2,961
Implemented and Closed
recommendations since FY 2017
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OIG Recommendations Grouped by Report
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Comparing Average Sales Prices and Average Manufacturer Prices for Medicare Part B Drugs: An Overview of 2012
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CMS Regularly Reviews Part C Reporting Requirements Data, But Its Followup and Use of the Data Are Limited
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Less Than Half of Part D Sponsors Voluntarily Reported Data on Potential Fraud and Abuse
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Medicare and Beneficiaries Could Realize Substantial Savings If the DRG Window Were Expanded
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State Medicaid Program Efforts to Control Costs for Disposable Incontinence Supplies
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Local Coverage Determinations Create Inconsistency in Medicare Coverage
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The ESRD Beneficiary Grievance Process
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Not All Recommended Fraud Safeguards Have Been Implemented in Hospital EHR Technology
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Medicare Hospital Outlier Payments Warrant Increased Scrutiny
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The First Level of the Medicare Appeals Process, 2008-2012: Volume, Outcomes, and Timeliness
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New York State Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies
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Medicare Could Collect Billions If Pharmaceutical Manufacturers Were Required To Pay Rebates for Part B Drugs
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New York Claimed Hospital-Based Continuing Day Treatment Services That Were Not in Compliance With Federal and State Requirements
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Most Critical Access Hospitals Would Not Meet the Location Requirements If Required To Re-enroll in Medicare
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Medicare's Currently Not Collectible Overpayments
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Replacement Schedules for Medicare Continuous Positive Airway Pressure Supplies
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Indiana Improperly Claimed Federal Reimbursement for All Reviewed Medicaid Inpatient Psychiatric Hospital Service Payments to Evansville State Hospital
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Missouri Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Hawthorn Children's Psychiatric Hospital
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The University of Colorado Denver Did Not Always Claim Selected Costs Charged Directly to Department of Health and Human Services Awards in Accordance With Federal Regulations
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Indiana Improperly Claimed Federal Reimbursement for Most Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Evansville Psychiatric Children's Center