The Medicare-Medicaid Data Match program (Medi-Medi program) is intended to allow program safeguard contractors and state and federal agencies to collaboratively analyze billing trends across the Medicare and Medicaid programs to identify potential fraud, waste, and abuse. Based on a review of 2007 and 2008 data, the OIG found that the program received $60 million in appropriations but avoided or recouped only $57.8 million (mainly in Medicare spending). Moreover, the program produced 66 referrals to law enforcement; only 27 of these referrals were accepted by law enforcement. The OIG recommends that CMS reevaluate the goals, structure, and operations of the Medi Medi program to determine what aspect of the program, if any, should be part of CMS’s overall program integrity strategy.