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At the completion of an investigation, review, or other project, the Office may issue a letter or report detailing findings, identifying corrective actions, and outlining recommendations to prevent future problems. After issuing a report, the Office may maintain an oversight role to ensure that the agency or municipality implements a suitable corrective action plan and takes any other measures called for in the report. The Office also reports suspected criminal activity to the appropriate authorities, including the Massachusetts Attorney General’s Office and the U.S. Attorney’s Office. In addition, the Inspector General meets regularly with the Inspector General Council to discuss the Office’s activities. To view updates on cases, see the Recent Investigation Outcomes web page.
The Office has examined 12 programs from across the country – public and private health insurers, a worker’s compensation program, a hospital-based program, and a health system – that have implemented an array of interventions to address substance use disorder. The goal of the Office’s review was to identify promising practices that MassHealth might replicate and that could lead to public healthcare cost-savings. To the extent possible, this examination included the health outcomes of these practices in an effort to determine what interventions have the potential to prevent substance misuse and abuse in the first instance. Effective prevention would, in turn, save public healthcare funds by, for example, reducing the need to treat substance use disorder; reducing the overall healthcare costs for people with substance use disorder; and lessening fraud, waste, and abuse in healthcare spending.