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<classification authority="sudocs">GA 1.13:GAO-05-873</classification>
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 <subject>Claims processing</subject>
 <subject>Contract administration</subject>
 <subject>Contract oversight</subject>
 <subject>Cost analysis</subject>
 <subject>Federal procurement</subject>
 <subject>Medicare</subject>
 <subject>Procurement planning</subject>
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 <title>Medicare Contracting Reform: CMS&apos;s Plan Has Gaps and Its Anticipated Savings Are Uncertain</title>
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<abstract>The Medicare Prescription Drug, Improvement, and Modernization
Act of 2003 (MMA) significantly reformed contracting for the	 
administration of claims for Part A, Medicare&apos;s hospital	 
insurance, and Part B, which covers outpatient services such as  
physicians&apos; care. The MMA required the Centers for Medicare &amp;	 
Medicaid Services (CMS)--the agency within the Department of	 
Health and Human Services (HHS) that administers Medicare--to	 
conduct full and open competition for all of its claims 	 
administration contracts and to transfer the work to Medicare	 
administrative contractors (MAC) by October 2011. The MMA	 
required the Secretary of HHS to submit a report to the Congress 
and GAO on the plan for implementing Medicare contracting reform 
and for GAO to evaluate the plan. To address this mandate, GAO	 
reviewed the extent to which (1) the plan provides an appropriate
framework for implementing Medicare contracting reform and (2)	 
the plan&apos;s cost and savings estimates are sound enough to support
decisions on implementation.</abstract>
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 <topic>Medicare</topic>
 <topic>Procurement planning</topic>
 <topic>Reporting requirements</topic>
 <topic>Strategic planning</topic>
 <topic>Cost estimates</topic>
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  <partNumber>Volume 117 Page 2066</partNumber>
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 <identifier type="Statute citation">117 Stat. 2066</identifier>
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  <title>United States Public Law 173 (108th Congress)</title>
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