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2. Medicare could save millions if it implements an expanded hospital transfer payment policy for early discharges to post acute care

3. South Dakota MMIS and E&E system security controls were partially effective and improvements are needed

4. States face ongoing challenges in meeting third-party liability requirements for ensuring that Medicaid functions as the payer of last resort

5. Washington state did not ensure that selected nursing homes complied with federal requirements for life safety, emergency preparedness, and infection control