Medicare Advantage: Required Audits of Limited Value

Medicare Advantage: Required Audits of Limited Value Metadata

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Title

Main Title Medicare Advantage: Required Audits of Limited Value

Creator

Author: United States. Government Accountability Office.

Creator Type: Organization

Publisher

Name: United States. Government Accountability Office.

Place of Publication: Washington D.C.

Date

Creation: 2007-10-16

Language

English

Description

Content Description: Testimony issued by the Government Accountability Office with an abstract that begins "In fiscal year 2006, the Centers for Medicare & Medicaid Services (CMS) estimated it spent over $51 billion on the Medicare Advantage program, which serves as an alternative to the traditional feefor- service program. Under the Medicare Advantage program, CMS approves private companies to offer health plan options to Medicare enrollees that include all Medicare-covered services. Many plans also provide supplemental benefits. The Balanced Budget Act (BBA) of 1997 requires CMS to annually audit the financial records supporting the submissions (i.e., adjusted community rate proposals (ACRP) or bids) of at least onethird of participating organizations. BBA also requires that GAO monitor the audits. This testimony provides information on (1) the ACRP and bid process and related audit requirement, (2) CMS' efforts related to complying with the audit requirement, and (3) factors that cause CMS' audit process to be of limited value."

Subject

Library of Congress Subject Headings: Government accountability -- United States.
Keyword: health care
Keyword: auditing and financial management
Keyword: medicare advantage
Keyword: testimony

Coverage

Place Name: United States

Collection

Name: Government Accountability Office Reports

Code: GAORT

Institution

Name: UNT Libraries Government Documents Department

Code: UNTGD

Rights

Rights License: pd

Resource Type

Text

Format

Text

Identifier

Report No.: GAO-08-154T
Accession or Local Control No: 118121
URL: http://gao.gov/products/GAO-08-154T
Archival Resource Key: ark:/67531/metadc291067