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GAO Report: Medicare High Risk Issue

n 2016, Medicare was projected to cover approximately 57 million people with estimated expenditures of about $696 billion. The Centers for Medicare & Medicaid Services (CMS), which administers Medicare, faces many challenges related to implementing payment methods that encourage efficient service delivery including implementing changes to payment models outlined in the Patient Protection and Affordable Care Act and the Medicare Access and CHIP Reauthorization Act of 2015, managing the program to serve beneficiaries well, and safeguarding the program from loss due to fraud, waste, and abuse.

The three Key approach to this issue will be:

  • Reforming and refining payment methods to encourage efficient service delivery
  • Improving program management for efficiency and better service to beneficiaries
  • Enhancing program integrity to safeguard Medicare from loss

For details check out the report written by the US Government Accountability Office
http://www.gao.gov/key_issues/medicare_payment_management_integrity/issue_summary

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