United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2005-08-17 monographic deposited born digital 69 p. GA 1.13:GAO-05-873 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-873 P0b002ee180375640 f:d05873 DGPO 2010-08-12 2011-03-24 GAOREPORTS-GAO-05-873 machine generated eng fdlp REPORT GAOREPORTS-GAO-05-873 GAO-05-873 Claims processing Contract administration Contract oversight Cost analysis Federal procurement Medicare Procurement planning Reporting requirements Strategic planning Cost estimates Other Written Product A33338 The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) significantly reformed contracting for the administration of claims for Part A, Medicare's hospital insurance, and Part B, which covers outpatient services such as physicians' care. The MMA required the Centers for Medicare & 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's cost and savings estimates are sound enough to support decisions on implementation. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-873/html/GAOREPORTS-GAO-05-873.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-873/pdf/GAOREPORTS-GAO-05-873.pdf GAO-05-873 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-873 Other Written Product GAO-05-873; Medicare Contracting Reform: CMS's Plan Has Gaps and Its Anticipated Savings Are Uncertain; Claims processing Contract administration Contract oversight Cost analysis Federal procurement Medicare Procurement planning Reporting requirements Strategic planning Cost estimates Volume 117 Page 2066 117 Stat. 2066 Public Law 108-173