	Improper Payments Remain a Government-Wide Challenge

		Improper Payment Estimates Increased in Fiscal Year 2014

Government-wide, improper payment estimates totaled $124.7 billion in  fiscal year 2014, a significant increase of approximately $19 billion from  the prior year’s estimate of $105.8 billion. The estimated improper  payments for fiscal year 2014 were attributable to 124 programs spread  among 22 agencies. When excluding the Department of Defense’s (DOD) Defense Finance  and Accounting Service Commercial Pay program, the reported  government-wide error rate was 4.5 percent of program outlays in fiscal  year 2014, compared to 4.0 percent reported in fiscal year 2013. The  increase in the 2014 estimate is attributed primarily to increased error  rates in three major programs: the Department of Health and Human  Services’ (HHS) Medicare Fee-for-Service, HHS’s Medicaid, and the  Department of the Treasury’s (Treasury) Earned Income Tax Credit. These three programs accounted for $80.9 billion in improper payment  estimates, or approximately 65 percent of the government-wide total for  fiscal year 2014. OMB  has established guidance for federal agencies on reporting, reducing, and  recovering improper payments as required by IPIA, as amended, and on  protecting privacy while reducing improper payments with the Do Not Pay  initiative. In our report  on the Fiscal Year 2014 Financial Report of the United States  Government, we identified the issue of improper payments as a material  weakness in internal control because the federal government is unable to  determine the full extent to which improper payments occur and  reasonably assure that appropriate actions are taken to reduce them. We found that not all agencies had developed improper payment  estimates for all of the programs and activities they identified as  susceptible to significant improper payments. We recommended that the Department of Energy  In addition to the challenges that we and the IGs reported, some agencies  reported in their fiscal year 2014 performance and accountability reports  or agency financial reports that program design issues could hinder  efforts to estimate or recapture improper payments. While agencies continue to face challenges, there are a number of  strategies that can help agencies in reducing improper payments,  including analyzing the root causes of improper payments to identify and  implement effective preventive and detective controls. Detective controls are critical for identifying improper payments that have already  been made, but strong preventive controls can serve as the frontline  defense against improper payments. One example of preventive controls  is up-front eligibility verification through data sharing, which allows entities  that make payments to compare information from different sources to  help ensure that payments are appropriate. Use of Death Information Can Help Prevent Improper Payments, but Agencies Face Challenges in Obtaining Accurate and More Complete Data

		Programs Can Use Death Information to Help Prevent Improper Payments

Because of its mission, SSA is uniquely positioned to collect and manage  death data at the federal level, and these data can be helpful in  preventing improper payments to deceased individuals or those who use  deceased individuals’ identities. The Social Security Act requires that SSA share  its full death file, to the extent feasible, with agencies that provide  federally funded benefits, provided that the arrangement meets statutory  requirements. However, SSA may not  include death data received from states in the DMF.reported on the value of using SSA’s death data―the full death file, if  possible, or the DMF―to guard against improper payments to deceased  individuals or those who use deceased individuals’ identities. For  example, we have reported on payments to deceased individuals that  could have been prevented by using SSA’s death data in the following  areas. Disaster assistance. Farm programs. Rural housing. Challenges Exist in Maintaining and Sharing Death Information

While verifying eligibility using SSA’s death data can be an effective tool  to help prevent improper payments to deceased individuals, SSA faces  challenges in maintaining accurate death data, and other federal  agencies face challenges in accessing these data. An agency that does not access SSA’s  full death file can instead access the publicly available DMF. While we  appreciate that agencies may request the full death file for a variety of  intended uses, and we support SSA’s efforts to ensure compliance with  all applicable legal requirements, we continue to believe that developing  this guidance could help to ensure consistency in SSA’s future decision  making, as well as enhance agencies’ ability to obtain the data in a timely  and efficient manner  Further, in November 2013, we found that SSA’s projected  reimbursement amounts for the reasonable cost of sharing death data  varied for different agencies, sometimes because of legal requirements,  but SSA did not share with agencies how these amounts were  determined. Improper Payments: DOE’s Risk Assessments Should Be Strengthened. Social Security Death Data: Additional Action Needed to Address Data  Errors and Federal Agency Access.
Why GAO Did This Study

As the steward of taxpayer dollars, the federal government is accountable for how it spends hundreds of billions of taxpayer dollars annually. The Improper Payments Information Act of 2002, as amended, requires federal executive branch agencies to (1) review all programs and activities, (2) identify those that may be susceptible to significant improper payments, (3) estimate the annual amount of improper payments for those programs and activities, (4) implement actions to reduce improper payments and set reduction targets, and (5) report on the results of addressing the foregoing requirements. In general, reported improper payment estimates include payments that should not have been made, were made in the incorrect amount, or were not supported by sufficient documentation.
Implementing strong preventive controls can serve as the frontline defense against improper payments. One example of a preventive control is verifying eligibility through data sharing, which can allow agencies that make payments to compare information―such as death data― from different sources to help ensure that payments are appropriate before they are made.
This testimony addresses (1) issues related to government-wide improper payments and (2) use of death data to help prevent improper payments to deceased individuals. This testimony is primarily based on GAO's body of work related to improper payments and SSA's death data, as well as information obtained from agency financial reports.

What GAO Found

Government-wide, improper payment estimates totaled $124.7 billion in fiscal year 2014, a significant increase of approximately $19 billion from the prior year's estimate of $105.8 billion. The estimated improper payments for fiscal year 2014 were attributable to 124 programs spread among 22 agencies. The reported government-wide error rate was 4.5 percent of program outlays in fiscal year 2014 compared to 4.0 percent reported in fiscal year 2013. The increase in the 2014 estimate is attributed primarily to increased error rates in three major programs: the Department of Health and Human Services' (HHS) Medicare Fee-for-Service and Medicaid programs, and the Department of the Treasury's Earned Income Tax Credit program. These three programs accounted for $80.9 billion in improper payment estimates, or approximately 65 percent of the government-wide total for fiscal year 2014.
Agencies continue to face challenges in reducing improper payments. In GAO's report on the Fiscal Year 2014 Financial Report of the United States Government , GAO identified the federal government's inability to determine the full extent to which improper payments occur and reasonably assure that appropriate actions are taken to reduce them as a material weakness in internal control. Some agencies reported in their fiscal year 2014 agency financial reports that program design issues hindered efforts to estimate or recover improper payments. For example, HHS reported that statutory limitations prevent the agency from requiring states to estimate improper payments for its Temporary Assistance for Needy Families program. Further, inspectors general at 10 agencies identified noncompliance with improper payment requirements in fiscal year 2013. GAO has reported that strategies for reducing improper payments include analyzing the root causes of improper payments and developing strong preventive and detective controls. Recent laws and guidance support some of these strategies, including the Do Not Pay initiative, a web-based, centralized data-matching service that could help prevent certain improper payments.
Sharing death data can help prevent improper payments to deceased individuals or those who use deceased individuals' identities, but the Social Security Administration (SSA) faces challenges in maintaining these data, and other agencies face challenges in obtaining them. The Social Security Act requires that SSA share its full death file, to the extent possible, with agencies that provide federally funded benefits, provided that the arrangement meets statutory requirements. An agency that does not access SSA's full death file can instead access the publicly available Death Master File, a subset of the full death file that does not include state-reported death data. GAO has reported on payments to deceased individuals that could have been prevented by using SSA's death data in programs related to disaster assistance, farming, and rural housing. While verifying eligibility using SSA's death data can be an effective tool to help prevent improper payments to deceased individuals or those who use their identities, agencies may not be obtaining accurate data because of weaknesses in how these data are received and managed by SSA. In November 2013, GAO reported that SSA needed to take action to address data errors and agency access issues, including assessing the risks that errors in death data pose. GAO also recommended that SSA ensure appropriate agency access by developing written guidance on eligibility requirements for access to the full death file.