Portfolio and Other Reports
The OIG Portfolio offers new and comprehensive recommendations to improve program vulnerabilities detected in prior audits, evaluations, and investigations. The Portfolio synthesizes OIG's body of work in a program area and identifies trends in payment, compliance, oversight, or fraud vulnerabilities requiring priority attention and action to protect the integrity of Department of Health & Human Services (HHS) programs and the beneficiaries they serve.
Investigative Advisory on Medicaid Fraud and Patient Harm Involving Personal Care Services
- An investigative advisory summarizing the fraud and patient harm that OIG's investigators have observed in Federal investigations involving Medicaid Personal Care Services (PCS) from November 2012 through August 2016.
OIG Online Portfolio: Home Health
- The Medicare home health benefit has long been recognized as a program area vulnerable to fraud, waste, and abuse. The benefit was established to provide skilled nursing care, home based assistance, and therapeutic services to qualifying homebound individuals. Home health care represents a significant component of Medicare expenditures. In calendar year 2015, Medicare reimbursed over 11,000 distinct home health agencies (HHAs) for almost 7 million episodes of home health care, totaling approximately $18.7 billion.
- Joint Strategic Oversight Plan on U.S. Government Activities: International Ebola Response and Preparedness, October 2015
An OIG Portfolio: Ensuring the Integrity of Medicare Part D, (OEI-03-15-00180)
- This portfolio presents an overview of Office of Inspector General (OIG) investigations, audits, evaluations, and legal guidance related to Part D. It synthesizes numerous OIG reports that have identified weaknesses in Part D program integrity, and provides updates on Departmental efforts to address these weaknesses. In particular, OIG has identified weaknesses in the use of data to identify vulnerabilities, as well as in the oversight by all parties responsible for protecting Part D: Part D plan sponsors, the Medicare Drug Integrity Contractor, and the Centers for Medicare & Medicaid Services (CMS). OIG has made recommendations to strengthen Part D program integrity, and progress has been made. However, Part D remains vulnerable to fraud, as evidenced by ongoing investigations. To fully protect Part D from fraud, waste, and abuse, CMS should take further action and implement OIG's unimplemented recommendations.
Personal Care Services: Trends, Vulnerabilities, and Recommendations for Improvement
OIG is committed to ensuring that adequate safeguards exist to prevent fraud, waste, and abuse in this important and growing benefit. Over the past 6 years, OIG issued 23 reports on the topic of PCS and conducted numerous investigations involving PCS fraud. Our latest product, an OIG Portfolio entitled Personal Care Services: Trends, Vulnerabilities, and Recommendations for Improvement, synthesizes this body of work and offers new and comprehensive recommendations to address vulnerabilities.
- OIG Review of Allegations of Interference in OHRP Compliance Determination for SUPPORT (OIG-12-14-04)
- Review Of The Food And Drug Administration's Computer Monitoring Of Certain Employees In Its Center For Devices And Radiological Health (OIG-12-14-01)
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FY 2016 Work Plan
OIG projects planned for 2016.
Significant OIG activities in 6-month increments.