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Open Recommendations

Veterans Health Administration: Additional Actions Needed to Improve Oversight of Health Care System
GAO-25-106969
Dec 09, 2024
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4 Open Recommendations
Agency Affected Recommendation Status
Veterans Health Administration The Under Secretary for Health should develop a workforce plan for its oversight offices based on evaluating the staff needed to effectively conduct compliance, risk management, internal audit, and medical investigations functions. (Recommendation 1)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Veterans Health Administration The Under Secretary for Health should take steps to fully meet leading practices for managing risk as the Office of Integrity and Compliance implements the agency's risk management function. (Recommendation 2)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Veterans Health Administration The Under Secretary for Health should clearly define the purpose of VHA's internal audit function in an updated policy directive for the Office of Internal Audit. Such a policy should include a clear reporting structure and a defined oversight role with the types of audit activities and priorities for which the office is responsible. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Veterans Health Administration The Under Secretary for Health should take action to ensure the Audit, Risk, and Compliance Committee's ability to monitor oversight findings and to provide recommendations to VHA leadership to help inform potential system-wide improvements, as appropriate. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Health Insurance Marketplaces: CMS Has Limited Assurance That Premium Tax Credits Exclude Certain State Benefit Costs
GAO-25-107220
Dec 04, 2024
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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should conduct a risk assessment to determine whether its oversight approach is sufficient to ensure that APTCs exclude the costs of non-EHB mandated benefits or whether additional oversight is needed. CMS should make changes as appropriate based on the results of this assessment. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Military Health Care: Departments Should Update Policies for Providers in Operational Settings Like Field Hospitals and Aircraft Carriers
GAO-25-106445
Dec 04, 2024
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3 Open Recommendations
Agency Affected Recommendation Status
Department of the Navy The Surgeon General of the Navy should finalize and issue, as soon as possible, its policy outlining processes for provider privileging and clinical performance evaluations in operational settings to help ensure quality care for service members. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Air Force The Surgeon General of the Air Force should finalize and issue, as soon as possible, its policy outlining processes for provider privileging and clinical performance evaluations in operational settings to help ensure quality care for service members. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Army The Surgeon General of the Army should draft and issue, as soon as possible, a policy outlining processes for its provider privileging and clinical performance evaluations in operational settings to help ensure quality care for service members. This policy should include whether and to whom privileging authority will be delegated. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Drug Safety: FDA Should Implement Strategies to Retain Its Inspection Workforce
GAO-25-106775
Nov 13, 2024
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1 Open Recommendations
Agency Affected Recommendation Status
Food and Drug Administration The Commissioner of FDA should ensure that FDA develops and implements action plans that address attrition caused by issues with investigator travel, workload, and work-life balance. In doing so, ORA, CDER, and other relevant stakeholders should collaborate to identify strategies that balance current inspectional needs against the need to retain an experienced workforce and identify any necessary actions, resources, or new authorities. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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