For the nine Medicaid managed-care organizations (MCOs) we reviewed, the Medicaid program would not have realized savings in 2014 if the California Department of Health Care Services (State agency) had required its MCOs to meet a minimum medical loss ratio (MLR) standard, similar to the Federal standards for private health insurers and Medicare Advantage plans, and had required remittances when that standard was not met. Although the State agency did not require its MCOs to achieve a minimum MLR standard, the State agency achieved savings similar to the savings it would have achieved with an MLR requirement by placing limits on the administrative costs that MCOs could incur. Because the MLRs we calculated for the nine MCOs were greater than 85 percent during 2014, the MCOs would not have had to issue remittances to the State agency.
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
|---|---|---|---|---|---|
| Department of Health & Human Services | Review of California Medicaid Managed-Care Program Potential Savings With Minimum Medical Loss Ratio | Audit |
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View Report | |
| Federal Labor Relations Authority | Audit of the Federal Labor Relations Authority Charge Card Program and Risk Assessment for Fiscal Year 2016 | Audit | Agency-Wide | View Report | |
| National Science Foundation | Management Challenges for NSF in FY 2017 | Top Management Challenges | Agency-Wide | View Report | |
| Department of the Interior | Investigation of Construction Firm Misrepresenting Itself as a Service Disabled Veteran Owned Small Business | Investigation | Agency-Wide | View Report | |
| Amtrak (National Railroad Passenger Corporation) | TWO EMPLOYEES TERMINATED AND EIGHT OTHERS SUSPENDED FOR VIOLATIONS OF AMTRAK POLICIES | Investigation |
|
View Report | |
| Department of Energy | Audit Coverage of Cost Allowability for Fermi Research Alliance LLC During Fiscal Years 2012 Through 2014 Under Department of Energy Contract No. DE-AC02-07CH11359 | Other |
|
View Report | |
| Department of Housing and Urban Development | Union County, NJ’s HOME Investment Partnerships Program Was Not Always Administered in Compliance with Program Requirements | Audit |
|
View Report | |
| Department of Homeland Security | DHS Lacks Oversight of Component Use of Force (Redacted) | Audit | Agency-Wide | View Report | |
| Department of Homeland Security | Perth Amboy, New Jersey, Effectively Managed FEMA Grant Funds Awarded for Hurricane Sandy Damages | Disaster Recovery Report |
|
View Report | |
| Internal Revenue Service | The Office of Chief Counsel Accurately Administered User Fees but Could Improve Its User Fee Refund Process | Audit | Agency-Wide | View Report | |
