The OIG has released its annual summary of “Top Management Challenges” facing HHS, which reflects “continuing vulnerabilities that OIG has identified for HHS over recent years as well as new and emerging issues that HHS will face in the coming year.” The OIG again highlights challenges associated with implementation of the ACA, along with management concerns in such areas as: preventing and detecting Medicare and Medicaid fraud; ensuring patient safety and quality of care; promoting value in health care; ensuring the effectiveness of Medicare and Medicaid Program Integrity Contractors; grants management; protecting consumers of food, drugs, and medical devices; health information security; and conflicts of interest within HHS programs.