A recent Government Accountability Office (GAO) report reviews CMS efforts to implement the Fraud Prevention System (FPS), which uses predictive analytics technologies to identify fraudulent claims before they are paid. CMS and its program integrity contractors began using the FPS in July 2011 in compliance with the Small Business Jobs Act. According to the GAO, while the FPS can generate automatic alerts on specific claims and providers for further review and investigation, the system has not yet been integrated with CMS’s payment-processing system to block payment until the suspect claim can be determined to be valid. The GAO also reports that CMS has not yet defined or measured quantifiable benefits or established appropriate performance goals for the FPS. The GAO therefore recommends that CMS develop schedules for completing integration with existing systems, define and report to Congress quantifiable benefits and measurable performance targets and milestones for the FPS, and conduct a post-implementation review of FPS. In a related development, on November 28, 2012, the House Energy and Commerce Subcommittee held a hearing entitled "Examining Options to Combat Health Care Waste, Fraud and Abuse" to examine CMS’s use of predictive analytics technologies.