Every year the U.S. Department of Health and Human Services (HHS) publishes the Office of Inspector General’s (OIG’s) Top Unimplemented Recommendations: Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs (https://oig.hhs.gov). In its recently published 2022 edition of almost 100 pages, it focused on 25 unimplemented recommendations that HHS viewed would most positively affect cost savings, public health and safety, as well as program effectiveness and efficiency, if implemented. The numbering of recommendations does not necessarily indicate prioritization. Some recommendations of this edition appear for the first time.

The two largest federal health programs, Medicare and Medicaid, provide health insurance coverages to over 43% of Americans. These programs are overseen by the Centers for Medicare & Medicaid Services (CMS). CMS provides direction and technical guidance for the administration of the federal effort to plan, develop, manage, and evaluate health care financing programs and policies, and OIG promotes changes that help CMS to improve such programs. Some of this is done through the annually published recommendations. In this article I provide highlights of what I believe are the most notable recommendations of this year’s edition.

  • CMS should take actions to ensure that incidents of potential abuse or neglect of Medicare and Medicaid beneficiaries are identified and reported.

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