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HHS-OIG Impact | Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services

<!DOCTYPE html> <html class="no-js" lang="en"> <head> <meta charset="utf-8" /> <meta name="viewport" content="width=device-width, initial-scale=1" /> <meta http-equiv="x-ua-compatible" content="ie=edge"> <link rel="icon" type="image/ico" href="/static/img/favicon.c3505f52f923.ico"> <meta name="twitter:card" content="summary"> <meta name="twitter:title" content="HHS-OIG Impact"> <meta name="twitter:description" content=""> <meta name="twitter:image" content="https://oig.hhs.gov/static/img/oig-logo.177475b5e761.jpg"> <meta name="twitter:site" content="@oigathhs"> <meta name='twitter:image:alt' content='U.S. Department of Health and Human Services Office of the Inspector General' /> <meta property="og:url" content="https://oig.hhs.gov/about-oig/hhs-oig-impact/"> <meta property="og:title" content="HHS-OIG Impact"> <meta property="og:description" content=""> <meta property="og:site_name" content="Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services"> <meta property="og:image" content="https://oig.hhs.gov/static/img/oig-logo.177475b5e761.jpg"> <meta property="og:image:width" content="760"> <meta property="og:image:height" content="760"> <meta property='og:image:alt' content='U.S. Department of Health and Human Services Office of the Inspector General' /> <meta property='og:type' content='website' /> <title>HHS-OIG Impact | Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services</title> <meta name="description" content=""> <meta property="article:published_time" content="2024-03-15T15:02:20.673545-04:00" /> <meta property="article:modified_time" content="2024-03-18T06:48:52.997588-04:00" /> <script> const docElem=window.document.documentElement,loadingClass="usa-js-loading";function addLoadingClass(){docElem.className+=` ${loadingClass}`}function revertClass(){docElem.className=docElem.className.replace(loadingClass,"")}if("querySelector"in window.document&&"addEventListener"in window){addLoadingClass();const e=setTimeout(revertClass,8e3);let s=100;const n=()=>{setTimeout(()=>{s+=1,"undefined"!=typeof uswdsPresent?(clearTimeout(e),setTimeout(revertClass,100)):s>0&&n()},100)};n()} </script> <!-- Google tag (gtag.js) --> <script async src="https://www.googletagmanager.com/gtag/js?id=G-W5DCJS81Y5"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-W5DCJS81Y5'); </script> <link rel="stylesheet" type="text/css" href="/static/scss/theme.1c9919631dd6.css" /> <link rel="stylesheet" type="text/css" href="/static/css/oig_hhs_gov_pep.02d59dd75544.css"> </head> <body class=""> <a class="usa-skipnav" href="#main-content">Skip to main content</a> <section class="usa-banner" aria-label="Official government website"> <div class="usa-accordion"> <header class="usa-banner__header"> <div class="usa-banner__inner"> <div class="grid-col-auto"> <img class="usa-banner__header-flag" src="/static/img/us_flag_small.be327dc2791d.png" alt="U.S. flag"> </div> <div class="grid-col-fill tablet:grid-col-auto"> <p class="usa-banner__header-text">An official website of the United States government</p> <p class="usa-banner__header-action print-display-none" aria-hidden="true">Here鈥檚 how you know</p> </div> <button class="usa-accordion__button usa-banner__button" aria-expanded="false" aria-controls="gov-banner"> <span class="usa-banner__button-text">Here鈥檚 how you know</span> </button> </div> </header> <div class="usa-banner__content usa-accordion__content" id="gov-banner"> <div class="grid-row grid-gap-lg"> <div class="usa-banner__guidance tablet:grid-col-6"> <img class="usa-banner__icon usa-media-block__img" src="/static/img/icon-dot-gov.42b4ac468597.svg" role="img" alt="" aria-hidden="true"> <div class="usa-media-block__body"> <p> <strong>Official websites use .gov</strong> <br /> A <strong>.gov</strong> website belongs to an official government organization in the United States. </p> </div> </div> <div class="usa-banner__guidance tablet:grid-col-6"> <img class="usa-banner__icon usa-media-block__img" src="/static/img/icon-https.73abd86624ca.svg" role="img" alt="" aria-hidden="true"> <div class="usa-media-block__body"> <p> <strong>Secure .gov websites use HTTPS</strong> <br /> A <strong>lock</strong> ( <span class="icon-lock"><svg xmlns="http://www.w3.org/2000/svg" width="52" height="64" viewBox="0 0 52 64" class="usa-banner__lock-image" role="img" aria-labelledby="banner-lock-title banner-lock-description" focusable="false"><title id="banner-lock-title">Lock</title><desc id="banner-lock-description">A locked padlock</desc><path fill="#000000" fill-rule="evenodd" d="M26 0c10.493 0 19 8.507 19 19v9h3a4 4 0 0 1 4 4v28a4 4 0 0 1-4 4H4a4 4 0 0 1-4-4V32a4 4 0 0 1 4-4h3v-9C7 8.507 15.507 0 26 0zm0 8c-5.979 0-10.843 4.77-10.996 10.712L15 19v9h22v-9c0-6.075-4.925-11-11-11z" /></svg></span> ) or <strong>https://</strong> means you鈥檝e safely connected to the .gov website. 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Compete for Jobs Act </a> </li> <li class="usa-nav__submenu-item"> <a href="/careers/office-of-investigations-positions/"> Office of Investigations Positions </a> </li> </ul> </li> </ul> <div class="usa-nav__secondary usa-search usa-search--small"> <form id="secondary_search_form" action="https://search.usa.gov/search" accept-charset="UTF-8" method="get" class="float-none text-middle desktop:margin-right-3"> <input name="utf8" type="hidden" value="&#x2713;" /> <div role="search"> <label class="usa-sr-only" for="secondary_query">Search</label> <input id="secondary_query" type="search" name="query" autocomplete="off" class="usagov-search-autocomplete ui-autocomplete-input"> <input type="hidden" name="affiliate" id="secondary_affiliate" value="hhs_oig"> <button class="usa-button" type="submit"> <img src="/static/img/usa-icons-bg/search--white.cebf50fee031.svg" class="usa-search__submit-icon" alt="Search"> </button> </div> </form> <div class="buttons margin-top-3 desktop:margin-top-0"> <a class="usa-button usa-button--secondary bg-secondary-dark hover:bg-secondary-darker padding-x-2 padding-y-1 margin-right-0" href="https://oig.hhs.gov/fraud/report-fraud/"> Submit a Complaint </a> </div> </div> </div> </nav> <div class="usa-overlay"></div> </header> <main class="main" id="main-content"> <div class="grid-container usa-section"> <div class="grid-row grid-gap"> <div class="sidebar print-display-none desktop:grid-col-3 order-last desktop:order-first desktop:margin-bottom-5"> <ul class="usa-sidenav margin-bottom-2"> <li class="usa-sidenav__item"> <a href="/about-oig/" class="" > About OIG Overview </a> </li> <li class="usa-sidenav__item"> <a href="/about-oig/leadership/" class="" > Leadership </a> <ul class="usa-sidenav__sublist"> <li class="usa-sidenav__item"> <a href="/about-oig/leadership/inspectors-general/" class="">List of Previous Inspectors General</a> </li> </ul> </li> <li class="usa-sidenav__item"> <a href="/about-oig/organization-chart/" class="" > Organization Chart </a> </li> <li class="usa-sidenav__item"> <a href="/about-oig/strategic-plan/" class="" > Strategic Plan </a> </li> <li class="usa-sidenav__item"> <a href="/about-oig/oig-budget/" class="" > OIG Budget </a> </li> <li class="usa-sidenav__item"> <a href="/about-oig/hhs-oig-impact/" class="usa-current" > HHS-OIG Impact </a> </li> <li class="usa-sidenav__item"> <a href="/about-oig/contact-us/" class="" > Contact Us </a> </li> <li class="usa-sidenav__item"> <a href="/about-oig/downloadable-resources-and-applications/" class="" > Downloadable Resources and Applications </a> </li> </ul> </div> <div class="grid-col-fill margin-bottom-2 desktop:margin-bottom-5"> <article class="usa-prose pep-prose"> <h1>HHS-OIG Impact</h1> <section> <p data-block-key="x94se">Impact briefs highlight the significance of HHS-OIG鈥檚 oversight work.聽Impact briefs also provide accessible insights into the transformative effects the agency has on the U.S. Department of Health and Human Services and its programs. Whether it鈥檚 driving innovation, shaping policy discussions, or catalyzing positive change for the American people, these briefs showcase the value of HHS-OIG efforts.</p> </section> <ul class="usa-card-group usa-section"> <li class='usa-card mobile:grid-col-12 usa-card--flag usa-card--header-first card--thumbnail-list'> <div class="usa-card__container"> <header class="usa-card__header"> <h2 class="usa-card__heading"> <a href="/about-oig/hhs-oig-impact/medicare-advantage-fraud/">Medicare Advantage Fraud</a> </h2> <div class="font-body-sm margin-top-1"> <span class="text-base-dark padding-right-105">July 8, 2024</span> </div> </header> <div class="usa-card__media"> <div class="usa-card__img"> <div class="card-badge"> <img alt="Medicare Advantage Fraud Impact Brief" class="height-auto" height="150" sizes="(min-width: 40rem) 12.5rem, 100vw" src="/media/images/impact-brief-cigna-ma-fraud_pep.69cfaa29.fill-200x150.png" srcset="/media/images/impact-brief-cigna-ma-fraud_pep.69cfaa29.fill-200x150.png 200w, /media/images/impact-brief-cigna-ma-fraud_pep.69cfaa29.fill-640x480.png 600w" style="max-width: 600px" width="200"> </div> </div> </div> <div class="usa-card__body"> <p> HHS-OIG鈥檚 work contributed to a $172M settlement with Cigna for alleged fraud, a comprehensive Corporate Integrity Agreement, and increased oversight of managed care. </p> </div> </div> </li> <li class='usa-card mobile:grid-col-12 usa-card--flag usa-card--header-first card--thumbnail-list'> <div class="usa-card__container"> <header class="usa-card__header"> <h2 class="usa-card__heading"> <a href="/about-oig/hhs-oig-impact/medicare-advantage-prior-authorization/">Medicare Advantage Prior Authorization</a> </h2> <div class="font-body-sm margin-top-1"> <span class="text-base-dark padding-right-105">March 18, 2024</span> </div> </header> <div class="usa-card__media"> <div class="usa-card__img"> <div class="card-badge"> <img alt="Medicare Advantage Impact Brief" class="height-auto" height="150" sizes="(min-width: 40rem) 12.5rem, 100vw" src="/media/images/ma-impact-brief-preview.5bf52ecd.fill-200x150.png" srcset="/media/images/ma-impact-brief-preview.5bf52ecd.fill-200x150.png 200w, /media/images/ma-impact-brief-preview.5bf52ecd.fill-640x480.png 640w" style="max-width: 693px" width="200"> </div> </div> </div> <div class="usa-card__body"> <p> HHS-OIG鈥檚 work on this issue drew national attention to the problem spurring the Centers for Medicare &amp; Medicaid Services, the Industry, and Congress to action. </p> </div> </div> </li> </ul> </article> </div> </div> </div> </main> <footer class="usa-footer usa-footer--big"> <script> var usasearch_config = { siteHandle:"hhs_oig" }; var script = document.createElement("script"); script.type = "text/javascript"; script.src = "//search.usa.gov/javascripts/remote.loader.js"; document.getElementsByTagName("head")[0].appendChild(script); </script> <div class="grid-container usa-footer__return-to-top"> <a href="#">Return to top</a> </div> <div class="usa-footer__primary-section"> <div class="grid-container"> <div class="grid-row grid-gap"> <div class="tablet:grid-col-8"> <nav class="usa-footer__nav" aria-label="Footer navigation"> <div class="grid-row grid-gap-4"> <div class="grid-col"> <section class="usa-footer__primary-content usa-footer__primary-content--collapsible"> <h2 class="usa-footer__primary-link">Related Information</h2> <ul class="usa-list usa-list--unstyled"> <li class="usa-footer__secondary-link"><a href="/about-oig/contact-us/">Contact Us</a></li> <li class="usa-footer__secondary-link"><a href="/oig-policies/">OIG Policies</a></li> <li class="usa-footer__secondary-link"><a href="https://oig.hhs.gov/faqs/">FAQs</a></li> <li class="usa-footer__secondary-link"><a href="https://www.npdb.hrsa.gov/">NPDB</a></li> <li class="usa-footer__secondary-link"><a href="https://www.hhs.gov/">HHS.gov</a></li> <li class="usa-footer__secondary-link"><a href="https://www.ignet.gov/">IGnet</a></li> <li class="usa-footer__secondary-link"><a href="https://www.usa.gov/">USA.gov</a></li> <li class="usa-footer__secondary-link"><a href="https://oig.hhs.gov/foia/">FOIA</a></li> <li class="usa-footer__secondary-link"><a href="https://get.adobe.com/reader/">Download Reader</a></li> </ul> </section> </div> <div class="grid-col"> <section class="usa-footer__primary-content usa-footer__primary-content--collapsible"> <h2 class="usa-footer__primary-link">Publications</h2> <ul class="usa-list usa-list--unstyled"> <li class="usa-footer__secondary-link"><a href="/about-oig/strategic-plan/">Strategic Plan</a></li> <li class="usa-footer__secondary-link"><a href="/about-oig/oig-budget/">OIG Budget</a></li> <li class="usa-footer__secondary-link"><a href="/reports/all/?report-type=TMC&amp;hhs-agency=#results">Top Management &amp; 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