Major Management Challenges and Program Risks

Department of Health and Human Services Gao ID: GAO-01-247 January 1, 2001

This report, part of GAO's performance and accountability series, discusses the major management challenges and program risks facing the Department of Health and Human Services (HHS). HHS must improve its administration of the Medicare Program to ensure that it remains fiscally sustainable. GAO found that HHS must address several issues, including frequent changes in leadership and recruitment of qualified personnel. Because of Medicare's vulnerability to waste, fraud, and abuse, HHS must strengthen its internal controls for processing claims. Another key mission that GAO identified as high risk is HHS' oversight of nursing homes. Although HHS has taken significant steps towards correcting problems in the nation's nursing homes, many weaknesses persist. HHS must also ensure that manufacturers of medical products comply with safety and quality standards. Finally, HHS faces challenges in ensuring that federal funds are properly used to ensure the well being of families and children.



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