Defense Health Care: TRICARE Multiyear Surveys Indicate Problems with Access to Care for Nonenrolled Beneficiaries (open access)

Defense Health Care: TRICARE Multiyear Surveys Indicate Problems with Access to Care for Nonenrolled Beneficiaries

A letter report issued by the Government Accountability Office with an abstract that begins "In its analysis of the 2008-2011 beneficiary survey data, GAO found that nearly one in three nonenrolled beneficiaries experienced problems finding a civilian provider who would accept TRICARE and that nonenrolled beneficiaries' access to civilian primary care and specialty care providers differed by type of location. Specifically, a higher percentage of nonenrolled beneficiaries in Prime Service Areas (PSA), which are areas with civilian provider networks, experienced problems finding a civilian primary care or specialty care provider compared to those in non-Prime Service Areas (non-PSA), which do not have civilian provider networks. GAO found that the top reasons reported by nonenrolled beneficiaries for why they experienced access problems--regardless of type of provider--were that the providers were either not accepting TRICARE payments or new TRICARE patients. Additionally, GAO's comparison of the Department of Defense's (DOD) beneficiary survey data to related data from a Department of Health and Human Services survey showed that nonenrolled beneficiaries' satisfaction ratings for primary and specialty care providers were consistently lower than those of Medicare fee-for-service beneficiaries."
Date: April 2, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Global HIV/AIDS: A More Country-Based Approach Could Improve Allocation of PEPFAR Funding (open access)

Global HIV/AIDS: A More Country-Based Approach Could Improve Allocation of PEPFAR Funding

A letter report issued by the Government Accountability Office with an abstract that begins "The President's Emergency Plan for AIDS Relief (PEPFAR) provides assistance for combating HIV/AIDS in 15 focus countries and elsewhere, with global targets for prevention, treatment, and care. The U.S. Leadership Against HIV/AIDS, TB and Malaria Act of 2003, which authorizes the $15 billion program, contains directives to guide the Office of the U.S. Global AIDS Coordinator's (OGAC) allocation of this funding. The act expires in September 2008. The President announced his intention to ask Congress to authorize $30 billion for these efforts for the next 5 years. In 2007, the Institute of Medicine (IOM) recommended eliminating the directives. GAO was asked to describe (1) the views of HIV/AIDS experts on these directives, (2) an alternative approach to allocating funds, and (3) potential challenges related to this approach. GAO interviewed 22 experts, surveyed PEPFAR officials in the 15 focus countries, and reviewed pertinent documentation."
Date: April 2, 2008
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
First Responders: Much Work Remains to Improve Communications Interoperability (open access)

First Responders: Much Work Remains to Improve Communications Interoperability

A letter report issued by the Government Accountability Office with an abstract that begins "As the first to respond to natural disasters, domestic terrorism, and other emergencies, public safety agencies rely on timely communications across multiple disciplines and jurisdictions. It is vital to the safety and effectiveness of first responders that their electronic communications systems enable them to communicate with whomever they need to, when they need to, and when they are authorized to do so. GAO was asked to determine, among other things, (1) the extent to which Department of Homeland Security (DHS) funding and technical assistance has helped to improve interoperable communications in selected states and (2) the progress that has been made in the development and implementation of interoperable communications standards. To address these objectives, GAO reviewed grant information, documentation of selected states' and localities' interoperability projects, and standards documents."
Date: April 2, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Information Technology: IRS Needs to Improve the Reliability and Transparency of Reported Investment Information (open access)

Information Technology: IRS Needs to Improve the Reliability and Transparency of Reported Investment Information

A letter report issued by the Government Accountability Office with an abstract that begins "According to the Internal Revenue Service (IRS), 6 of its19 major information technology (IT) investments were within 10 percent of cost and schedule estimates during fiscal year 2013. The remaining 13 were reported as having significant cost and schedule variances for at least 1 month of the year. Specifically, IRS reported 8 investments as being below cost or ahead of schedule; 3 as behind schedule; and 2 as over cost (see figure). IRS reported a range of reasons for these variances, including cost savings from contract negotiations and scope deferrals for those below cost or ahead of schedule, and procurement delays for those behind schedule. It is important to note that the reported monthly cost and schedule variances are for the fiscal year only. IRS's reporting would be more meaningful if it were supplemented with cumulative cost and schedule variances for the investments or investment segments, consistent with the Office of Management and Budget's guidance for measuring progress towards meeting investment goals."
Date: April 2, 2014
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Workplace Safety and Health: Multiple Challenges Lengthen OSHA's Standard Setting (open access)

Workplace Safety and Health: Multiple Challenges Lengthen OSHA's Standard Setting

A letter report issued by the Government Accountability Office with an abstract that begins "Between 1981 and 2010, the time it took the Department of Labor’s Occupational Safety and Health Administration (OSHA) to develop and issue safety and health standards ranged widely, from 15 months to 19 years, and averaged more than 7 years. Experts and agency officials cited increased procedural requirements, shifting priorities, and a rigorous standard of judicial review as contributing to lengthy time frames for developing and issuing standards. For example, they said that a shift in OSHA’s priorities toward one standard took attention away from several other standards that previously had been a priority."
Date: April 2, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Geostationary Operational Environmental Satellites: Acquisition Is Under Way, but Improvements Needed in Management and Oversight (open access)

Geostationary Operational Environmental Satellites: Acquisition Is Under Way, but Improvements Needed in Management and Oversight

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Commerce's National Oceanic and Atmospheric Administration (NOAA), with the aid of the National Aeronautics and Space Administration (NASA), plans to procure the next generation of geostationary operational environmental satellites, called the Geostationary Operational Environmental Satellite-R series (GOES-R). GOES-R is to replace the current series of satellites, which will likely begin to reach the end of their useful lives in approximately 2014. This series is considered critical to the United States' ability to maintain the continuity of data required for weather forecasting through the year 2028. GAO was asked to (1) determine the status of the GOES-R program, (2) evaluate whether plans for the acquisition address problems experienced on similar programs, and (3) determine whether NOAA's plan will be adequate to support current data requirements. To do so, GAO analyzed contractor and program data and interviewed officials from NOAA and NASA."
Date: April 2, 2009
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Regulatory Flexibility Act: Agencies' Interpretations of Review Requirements Vary (open access)

Regulatory Flexibility Act: Agencies' Interpretations of Review Requirements Vary

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO updated its previous reports on agencies' use of the Unified Agenda of Federal Regulatory and Deregulatory Actions to publish final rule notices, focusing on: (1) how many agencies had no Agenda entries that were characterized as Regulatory Flexibility Act (RFA) of 1980, section 610 reviews, whether agencies are interpreting the review requirements consistently, and why certain agencies that appeared subject to the requirements had no entries; (2) how many of the section 610 review entries in these Agendas appeared to meet the notification requirements in subsection 610(c); (3) if the section 610 review entries did not appear to meet the statutory requirements, why certain agencies' entries were characterized as section 610 reviews; and (4) whether any federal agencies had revised their section 610 review plans."
Date: April 2, 1999
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Western National Forests: A Cohesive Strategy is Needed to Address Catastrophic Wildfire Threats (open access)

Western National Forests: A Cohesive Strategy is Needed to Address Catastrophic Wildfire Threats

A chapter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on: (1) the extent and seriousness of forest-health-related problems in national forests in the interior West; (2) the status of efforts by the Forest Service to address the most serious of these problems; and (3) barriers to successfully addressing these problems and options for overcoming them."
Date: April 2, 1999
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Army Corps of Engineers: Budget Formulation Process Emphasizes Agencywide Priorities, but Transparency of Budget Presentation Could Be Improved (open access)

Army Corps of Engineers: Budget Formulation Process Emphasizes Agencywide Priorities, but Transparency of Budget Presentation Could Be Improved

A letter report issued by the Government Accountability Office with an abstract that begins "The U.S. Army Corps of Engineers (Corps) is the world's largest public engineering, design, and construction management agency. In fiscal year 2006 it began incorporating performance information into its budget process, but Congress raised concerns that the criteria used by the Corps to prioritize projects are not transparent and the budget formulation process could achieve a higher return on investment. GAO was asked to (1) describe the information the Corps uses in its budget formulation process and the implications of the process, and (2) evaluate whether the President's recent budget requests for the Corps are presented so that agency priorities are clear and proposed use of funds transparent. GAO reviewed the Corps' internal budget guidance, documentation of its project rankings and budget formulation process, performance review materials, and budget presentation materials. GAO also interviewed Corps and Office of Management and Budget officials."
Date: April 2, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Tactical Aircraft: DOD Needs a Joint and Integrated Investment Strategy (open access)

Tactical Aircraft: DOD Needs a Joint and Integrated Investment Strategy

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) plans to invest $109 billion in its tactical air forces between 2007 and 2013. Long term, DOD plans to replace aging legacy aircraft with fewer, more expensive but more capable and stealthy aircraft. Recapitalizing and modernizing tactical air forces within today's constrained budget environment is a formidable challenge. DOD has already incurred substantial cost and schedule overruns in its acquisition of new systems, and further delays could require billions of dollars in additional investments to keep legacy aircraft capable and sustainable. Because of the large investments and risk, GAO was asked to review investment planning for tactical aircraft. This report describes the current status of DOD's new tactical aircraft acquisition programs; identifies current impacts on legacy aircraft modernization programs and retirement schedules; and assesses DOD's overall investment plan for tactical aircraft."
Date: April 2, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Energy Conservation and Climate Change: Factors to Consider in the Design of the Nonbusiness Energy Property Credit (open access)

Energy Conservation and Climate Change: Factors to Consider in the Design of the Nonbusiness Energy Property Credit

A letter report issued by the Government Accountability Office with an abstract that begins "Under criteria for evaluating a tax credit design, both the performance-based and cost-based credits have advantages and disadvantages with neither design being unambiguously the better option based on current information. Both a cost-based and a performance-based credit are designed to reduce energy use and CO2 emissions by providing incentives for energy conservation investment. However, they differ in their relative effectiveness and costs. In general, a performance-based credit is more likely to effectively reduce energy use and CO2 emissions because it rewards energy savings from the investment rather than the cost-based credit’s rewarding of spending regardless of whether this spending results in energy savings. However, the performance-based credit may have significant up-front costs for energy audits, not required by the cost-based credit, which could reduce its effectiveness by discouraging investment. In addition, for taxpayers who do invest, these up-front costs may mean that a performance-based credit may have significantly higher taxpayer compliance and IRS administrative costs than a cost-based credit. A credit’s fairness depends on subjective judgments of how a credit varies with a taxpayer’s income level."
Date: April 2, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Illegal Aliens: Significant Obstacles to Reducing Unauthorized Alien Employment Exist (open access)

Illegal Aliens: Significant Obstacles to Reducing Unauthorized Alien Employment Exist

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Attorney General's strategy for enforcing workplace immigration laws, focusing on: (1) the effectiveness of the employment verification process in preventing employers from hiring unauthorized aliens; (2) the Immigration and Naturalization Service's (INS) efforts to improve the employment verification process; (3) the level of effort INS and the Department of Labor (DOL) devoted to worksite enforcement activities and the results of these activities; and (4) changes being made to INS' worksite enforcement program."
Date: April 2, 1999
Creator: United States. General Accounting Office.
System: The UNT Digital Library