Report Materials
In a prior report the General Accounting Office (GAO) made six recommendations to improve identification of other forms of insurance that should pay for Medicare beneficiaries' medical services before Medicare. Our follow-up review found that HHS has taken appropriate action on five of the recommendations with which it had agreed. Specifically, the Health Care Financing Administration (HCFA): increased Medicare secondary payer (MSP) savings goals for intermediaries and has increased the Contractor Performance Evaluation Program standards for MSP performance; established the MSP outreach program to improve hospital performance in primary payer billings; revised the Hospital Manual to require hospitals to obtain complete information on beneficiaries' other insurance sources; revised the regulations to extend the MSP provision of the law to all forms of no-fault insurance coverage; and resubmitted its earlier legislative proposal to require primary payers to notify HCFA about individuals who are enrolled in insurance programs to which Medicare is a secondary payer and to notify the Secretary about pending claims from Medicare beneficiaries.
Notice
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.