Aerolib OIG Tracker

HHS Inspector General Intelligence

oig.hhs.gov

2025-2030 Strategic Plan

Providing objective oversight to promote the economy, efficiency, effectiveness, and integrity of HHS programs.

$7.5B

Questionable Payments

Medicare Advantage 2023

$800M+

Overpayments Found

41 Audits Since 2019

$1B

Potential Savings

Per Year - Dual Enrollment

$596M

Enforcement Recoveries

Cigna + Brace Fraud 2024

Strategic Goals

Core Principles

Mission

Provide objective oversight to promote the economy, efficiency, effectiveness, and integrity of HHS programs.

Vision

Drive positive change in HHS programs and in the lives of the people served by these programs.

Values

Strive to be impactful, innovative, and people-focused in all oversight activities.

Priority Outcomes

Managed Care

$462B

54% of Medicare enrollees, critical oversight needed for risk adjustment payments

Nursing Homes

Quality

Safety oversight including inappropriate antipsychotic drug use monitoring

Grants & Contracts

Stewardship

Ensuring proper stewardship of HHS funding across all programs

OIG Intelligence Assistant

Ask me about the HHS-OIG Strategic Plan, enforcement actions, compliance recommendations, or any OIG oversight data visible in the side panels.

$7.5BQuestionable Payments

$800M+Overpayments Found

$1B/yrPotential Savings

12Recent Updates

Based on the HHS-OIG 2025-2030 Strategic Plan. Always verify with oig.hhs.gov

OIG Updates

12 of 12 updates

Aerolib OIG Tracker

Fight Fraud, Waste & Abuse

Promote Quality, Safety & Value

Advance Excellence & Innovation

OIG Intelligence Assistant

Medicare Advantage: Questionable Use of Health Risk Assessments Continues To Drive Up Payments

Audit of Risk Adjustment Payments Identifies Over $800 Million in Overpayments

Appalachian Regional Prescription Opioid Surge Takedown

Medicaid Managed Care Prior Authorization Denial Rates Exceed 25%

Cigna Group Settles for $172 Million Over Questionable Medicare Risk Adjustment Methods

Dual Enrollment Medicaid Capitation Payments Represent $1 Billion in Potential Savings

Medicare Brace Fraud: Two Individuals Convicted in Massive Scheme

Nursing Home Antipsychotic Drug Use Concerns

Top Unimplemented Recommendations Annual Report

Cybersecurity Threats to HHS Programs: Emerging Risk Assessment

General Compliance Program Guidance Updated for Healthcare Stakeholders

Data Analytics Initiative: Advanced Fraud Detection Capabilities