OIG posts report, podcast, civil penalty case summaries and news about enforcement actions - 8/5

Good morning to all from Washington, DC. Today OIG posts a report, a podcast updates the civil monetary penalty case summaries and provides news about enforcement actions. As always, you can use the links provided to go directly to the new material.   ------------------------------------------------------------------------------     Observations Noted During the OIG Review of CMS's Implementation of the Health Insurance Exchange-Data Services Hub (A-18-13-30070) http://go.usa.gov/jygW   This memorandum report provides the results of our review of the Centers for Medicare & Medicaid Services' (CMS) implementation of the Data Services Hub (Hub), which is intended to support Health insurance exchanges, from a security perspective. To determine the status of the implementation of the Hub, we assessed the information technology security controls that CMS is implementing for the Hub, adequacy of the testing activities being performed during its development, and the coordination between CMS and Federal and State agencies during the development of the Hub.   CMS is working with very tight deadlines to ensure that security measures for the Hub are assessed, tested, and implemented by the expected initial open enrollment date for health insurance exchanges of October 1, 2013. If there are additional delays in completing the security assessment and testing, CMS may have limited information on the security risks and controls before the exchanges open.   Health insurance exchanges are State-based competitive marketplaces where individuals and small businesses will be able to purchase private health insurance. The Hub will help facilitate the access of data by exchanges; enable verification of coverage eligibility; provide a central point for the Internal Revenue Service when it asks for coverage information; provide data for oversight of the exchanges; provide data for paying insurers; and provide data for use in Web portals for consumers.   CMS stated that it is confident that the Hub will be operationally secure before October 1, 2013. ------------------------------------------------------------------------------   OIG Monthly Update Podcast http://go.usa.gov/jy4T   Mike Kane, Office of External Affairs, discusses OIG's Exclusions database upgrade, reports and enforcement actions released in July 2013. ------------------------------------------------------------------------------   Updated Civil Monetary Penalty Case Summaries   False and Fraudulent Claims http://go.usa.gov/jy2Y Managed Care http://go.usa.gov/jy2B Patient Dumping http://go.usa.gov/jy2Q   ------------------------------------------------------------------------------   State Enforcement Actions Updated http://go.usa.gov/jPZ3 ------------------------------------------------------------------------------   That’s all we have for today. If we can be of any further assistance, please send an Email to public.affairs@oig.hhs.gov  I hope your week has started well.   Marc Wolfson – Office of External Affairs OIG’s privacy policy can be found at http://oig.hhs.gov/notices/privacy-notice.asp Follow us on Twitter: http://twitter.com/OIGatHHS Inquiries? Contact us: Public.Affairs@oig.hhs.gov Manage your OIG subscriptions: update your preferences or unsubscribe Questions about this service? Support@GovDelivery.com This email was sent to buzzhairs.health@blogger.com using GovDelivery, on behalf of the U.S. Dept. of Health & Human Services · 200 Independence Avenue SW · Washington DC 20201 · 1-877-696-6775