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
Views
OIG Recommendations Grouped by Report
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Virginia Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Payments to Piedmont Geriatric Hospital
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New York Claimed Nonhospital-Based Continuing Day Treatment Services That Were Not in Compliance With Federal and State Requirements
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Medicare Compliance Review of University of Cincinnati Medical Center for Calendar Years 2010 and 2011
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Vulnerabilities in Medicare's Interrupted-Stay Policy for Long-Term Care Hospitals
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The Medicare Contractors for Jurisdiction H Overpaid Providers for Selected Outpatient Drugs
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Compounded Drugs Under Medicare Part B: Payment and Oversight
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Vulnerabilities in the HHS Small Business Innovation Research Program
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Medicare and Beneficiaries Could Save Billions If CMS Reduces Hospital Outpatient Department Payment Rates for Ambulatory Surgical Center-Approved Procedures to Ambulatory Surgical Center Payment Rates
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Iowa Has Shifted Medicare Cost-Sharing for Dual Eligibles to the Federal Government
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New Jersey Claimed Excessive Medicaid Disproportionate Share Hospital Payments to Four Hospitals
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Update: Medicare Payments for End Stage Renal Disease Drugs
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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