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 2007-10-16 monographic deposited born digital 14 p. GA 1.13:GAO-08-154T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-154T P0b002ee180395981 f:d08154t DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-08-154T machine generated eng fdlp REPORT GAOREPORTS-GAO-08-154T GAO-08-154T Accountability Audit reports Auditing procedures Corporate audits Financial analysis Financial records Financial statement audits Financial statements Health care programs Internal controls Medicare Reporting requirements Medicare Advantage Program Testimony A77371 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. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-154T/html/GAOREPORTS-GAO-08-154T.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-154T/pdf/GAOREPORTS-GAO-08-154T.pdf GAO-08-154T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-154T Testimony GAO-08-154T; Medicare Advantage: Required Audits of Limited Value; Accountability Audit reports Auditing procedures Corporate audits Financial analysis Financial records Financial statement audits Financial statements Health care programs Internal controls Medicare Reporting requirements Medicare Advantage Program Volume 111 Page 251 111 Stat. 251 Volume 117 Page 2066 117 Stat. 2066