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Compendium of Unimplemented Recommendations

The Department of Health & Human Services (HHS) Office of Inspector General (OIG) Compendium of Unimplemented Recommendations (Compendium) summarizes significant monetary and nonmonetary recommendations that, when implemented, will result in cost savings and/or improvements in program efficiency and effectiveness. Implementation generally requires one or more of three types of actions: legislative, regulatory, or administrative. Some issues involve more than one type of action.

Each narrative in the Compendium contains for the pertinent reports the open recommendations, background, progress of implementation, report titles, numbers, and issue dates. Related reports and testimony are listed under "See Also" at the end of each section. OIG's audits and evaluations do not routinely project the annual cost savings that could be realized at program level from implementing the recommendations. However, reports are indicative of the extent to which policies and methodologies may be less than effective and in need of corrective action. Actual savings to be achieved depend on the scope of the legislative, regulatory, or administrative implementing actions.

The Compendium combines the former “Red Book” (unimplemented monetary recommendations) and “Orange Book” (unimplemented nonmonetary recommendations) into one publication. The “Red Book” focused on significant Office of Inspector General (OIG) cost-saving recommendations that had not been fully implemented. The “ Orange Book” focused on unimplemented recommendations to improve HHS programs.

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