GAO Report: Medicare Part D

To protect beneficiaries and the fiscal integrity of the program, the MMA requires Part D sponsors to implement programs to control for fraud and abuse in Part D. Subsequent regulations and guidance from CMS contain requirements and recommended measures for these programs. The five Part D sponsors in GAO’s review had not completely implemented all of CMS’s required compliance plan elements and selected recommended measures for Part D fraud and abuse programs. All Part D sponsors had completely implemented the requirements and selected recommendations for three of the seven required compliance plan elements. However, Part D sponsors varied in their implementation of the remaining required elements and selected recommended measures. Full Report - http://www.gao.gov/cgi-bin/getrpt?GAO-08-760 Highlights - http://www.gao.gov/highlights/d08760high.pdf