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 December 17, 2025
1,189
Unimplemented
recommendations
3,163
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
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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
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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