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The Housing Assistance Council's Use of Appropriated Funds (open access)

The Housing Assistance Council's Use of Appropriated Funds

Correspondence issued by the Government Accountability Office with an abstract that begins "The Food, Conservation, and Energy Act of 2008 authorized appropriations of $10 million annually for the Housing Assistance Council (HAC) from fiscal years 2009 through 2011. Established in 1971, HAC is a nonprofit rural housing organization that aims to improve housing conditions for low-income rural residents, especially in high-need areas such as Indian country and Appalachia and among groups such as farmworkers. As part of its mission, HAC also offers technical assistance in developing affordable rural housing and capacity building to a variety of groups involved in rural housing. HAC signs agreements each year with the Department of Housing and Urban Development (HUD) detailing how it will use its appropriations. The 2008 act required GAO to report on HAC's use of appropriated funds over the last 7 years, from 2003 to 2009--a period when HAC received more than $20 million in appropriations. To respond to this mandate, our work had four objectives: to (1) describe HAC programs and activities, (2) identify the sources of HAC's funding and its use of the funds it receives, (3) discuss the results of HAC's programs and activities, and (4) determine what is …
Date: December 6, 2010
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
The Department of Defense's Civilian Human Capital Strategic Plan Does Not Meet Most Statutory Requirements (open access)

The Department of Defense's Civilian Human Capital Strategic Plan Does Not Meet Most Statutory Requirements

Correspondence issued by the Government Accountability Office with an abstract that begins "The achievement of the Department of Defense's (DOD) mission is dependent in large part on the skills and expertise of its civilian workforce--which consists of almost 700,000 personnel, who develop policy, provide intelligence, manage finances, and acquire and maintain weapon systems. With more than 50 percent of its civilian personnel becoming eligible to retire in the next few years, DOD may find it difficult to fill certain mission-critical jobs with qualified personnel. Strategic workforce planning, an integral part of human capital management, helps ensure that an organization has staff with the necessary skills and competencies to accomplish its strategic goals. We have previously reported that it is critical that DOD engage in effective strategic workforce planning to ensure that its human capital reforms have maximum effectiveness and value. In 2007, we reported that strategic human capital management remained a high-risk area because the federal government now faces one of the most significant transformations to the civil service in half a century, as momentum grows toward making governmentwide changes to agency pay, classification, and performance management systems. In January 2006, the National Defense Authorization Act for Fiscal Year 20065 …
Date: February 6, 2008
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Catastrophic Disasters: Enhanced Leadership, Capabilities, and Accountability Controls Will Improve the Effectiveness of the Nation's Preparedness, Response, and Recovery System (open access)

Catastrophic Disasters: Enhanced Leadership, Capabilities, and Accountability Controls Will Improve the Effectiveness of the Nation's Preparedness, Response, and Recovery System

A letter report issued by the Government Accountability Office with an abstract that begins "Hurricane Katrina was the largest, most destructive natural disaster in our nation's history. The problems experienced in responding to Katrina resulted in a number of investigations--by congressional committees, the White House Homeland Security Council, and others--regarding the preparations for and response to Katrina. GAO assisted the congressional investigations and, under the Comptroller General's authority, initiated a number of Katrina-related reviews. In March 2006 testimony, GAO provided its preliminary observations to Congress. The purpose of this report is to summarize what went well and why, what did not go well and why, and what changes are needed to improve the nation's readiness to respond to a catastrophic disaster; and to identify selected issues associated with the Gulf Coast's recovery. This report is based on GAO's prior work on catastrophic disasters, including Hurricane Andrew in 1992, the over 30 GAO reports completed to date on Hurricanes Katrina and Rita, ongoing GAO work, and other Hurricane Katrina reviews and lessons learned."
Date: September 6, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Small Business Administration: Actions Needed to Ensure Planned Improvements Address Key Requirements of the Development Company (504) Loan Program (open access)

Small Business Administration: Actions Needed to Ensure Planned Improvements Address Key Requirements of the Development Company (504) Loan Program

A letter report issued by the Government Accountability Office with an abstract that begins "The Small Business Administration (SBA) has established lending standards to protect against default and has measured program performance, but lacks guidance on determining the number of jobs supported by 504 program-funded projects. SBA's guidance for certified development companies (CDC)—nonprofits that provide funding to small businesses to promote local economic development in their communities and are certified by SBA—includes credit underwriting standards for determining ability to repay. SBA also has established performance indicators—such as the number of small businesses assisted and jobs supported—for the 504 loan program. However, SBA does not describe how CDCs should calculate jobs created and retained by 504 projects, a key program requirement. Federal internal control standards require control activities that help participants report information accurately. Without specific guidance, SBA cannot ensure that CDCs are calculating this information consistently or accurately. GAO's analysis of SBA data showed that 504 loans approved in fiscal years 2006 through 2008 had the highest 18-month default rates, which correlated with trends in the private sector for commercial real estate loans."
Date: March 6, 2014
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Internal Control: Analysis of Joint Study on Estimating the Costs and Benefits of Rendering Opinions on Internal Control over Financial Reporting in the Federal Environment (open access)

Internal Control: Analysis of Joint Study on Estimating the Costs and Benefits of Rendering Opinions on Internal Control over Financial Reporting in the Federal Environment

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security (DHS) Financial Accountability Act, Public Law Number 108-330, requires DHS management to provide an assertion on the internal control that applies to financial reporting for fiscal year 2005 and to obtain an auditor's opinion on the department's internal control over its financial reporting for fiscal year 2006. The act also directs the Chief Financial Officers (CFO) Council and the President's Council on Integrity and Efficiency (PCIE) to conduct a joint study, and report to the Congress and to the Comptroller General of the United States, on the potential costs and benefits of requiring agencies subject to the Chief Financial Officers Act of 1990 to obtain audit opinions of their internal control over financial reporting. The DHS Financial Accountability Act also requires that the Comptroller General of the United States review the joint study and report the results of this analysis to the Congress. In December 2005, we briefed available committee staff on our preliminary analysis of the joint study. This report provides further details on our review and on our views regarding a requirement for federal agencies to obtain audit opinions on their …
Date: September 6, 2006
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Credit Unions: Available Information Indicates No Compelling Need for Secondary Capital (open access)

Credit Unions: Available Information Indicates No Compelling Need for Secondary Capital

A letter report issued by the Government Accountability Office with an abstract that begins "Since the passage of the Credit Union Membership Access Act of 1998 (CUMAA), many in the credit union industry have sought legislative changes to the net worth ratio central to prompt corrective action (PCA). The current debate centers on the issue of allowing federally insured credit unions to include additional forms of capital within the definition of net worth. In light of the issues surrounding the debate, GAO reviewed (1) the underlying concerns that have prompted the credit union industry's interest in making changes to the current capital requirements, (2) the issues associated with the potential use of secondary capital in all federally insured credit unions, and (3) the issues associated with the potential use of risk-based capital in all federally insured credit unions."
Date: August 6, 2004
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Funding for 10 States' Programs Supported by Four Environmental Protection Agency Categorical Grants (open access)

Funding for 10 States' Programs Supported by Four Environmental Protection Agency Categorical Grants

Correspondence issued by the Government Accountability Office with an abstract that begins "State environmental agencies use federal grants from the Environmental Protection Agency, in addition to their own funds, to help implement and enforce the nation's environmental laws, including the Clean Water Act, the Clean Air Act, and the Safe Drinking Water Act. Under this approach the states have an important role as partners and co-regulators, and, among other things, issue and enforce permits, carry out inspections, and monitor and collect data. EPA provides grants, known as categorical grants, to states to assist in implementing water, air, waste, and other programs that carry out federal environmental requirements."
Date: May 6, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Global War on Terrorism: DOD Needs to Take Action to Encourage Fiscal Discipline and Optimize the Use of Tools Intended to Improve GWOT Cost Reporting (open access)

Global War on Terrorism: DOD Needs to Take Action to Encourage Fiscal Discipline and Optimize the Use of Tools Intended to Improve GWOT Cost Reporting

A letter report issued by the Government Accountability Office with an abstract that begins "Since the September 2001 terrorist attacks, Congress has provided about $542.9 billion, as of May 2007, to the Department of Defense (DOD) for the Global War on Terrorism (GWOT). Prior GAO reports have found DOD's reported GWOT obligation data unreliable and problems with transparency over certain costs. DOD made changes to its reporting procedures, requiring components to perform a monthly variance analysis on obligation data and to include affirmation statements attesting to the accuracy of cost data. Under the Comptroller General's authority to conduct evaluations on his own initiative, GAO assessed (1) the outlook of DOD's reported GWOT obligations for fiscal year 2007 and funding requests for fiscal year 2008, (2) the effect of changes in DOD's GWOT funding guidance, and (3) DOD's progress in implementing variance analysis and affirmation statements. For this engagement, GAO analyzed fiscal year 2007 GWOTrelated appropriations and reported obligations, as well as DOD's corrective actions."
Date: November 6, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Prescription Drugs: Trends in Usual and Customary Prices for Drugs Frequently Used by Medicare and Non-Medicare Enrollees (open access)

Prescription Drugs: Trends in Usual and Customary Prices for Drugs Frequently Used by Medicare and Non-Medicare Enrollees

Correspondence issued by the Government Accountability Office with an abstract that begins "This report responds to a Congressional request for information on trends in prices for prescription drugs frequently used by Medicare beneficiaries and other individual with health insurance. We obtained data from two state pharmaceutical assistance programs for the elderly on the usual and customary prices reported by retail pharmacies for selected drugs. The usual and customary price is the undiscounted price individuals without drug coverage would pay. We tracked monthly price trends from January 2000 through June 2004 for a total of 99 drugs, which include 77 drugs frequently used by certain Medicare enrollees and 79 drugs frequently used by certain non-Medicare enrollees. We also compared the price trends during this period separately for the 52 brand drugs and 47 generic drugs."
Date: October 6, 2004
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Information Technology: Opportunities Exist to Improve Management of DOD's Electronic Health Record Initiative (open access)

Information Technology: Opportunities Exist to Improve Management of DOD's Electronic Health Record Initiative

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) provides medical care to 9.6 million active duty service members, their families, and other eligible beneficiaries worldwide. DOD's Military Health System has long been engaged in efforts to acquire and deploy an electronic health record system. The latest version of this initiative--the Armed Forces Health Longitudinal Technology Application (AHLTA)--was expected to give health care providers real-time access to individual and military population health information and facilitate clinical support. However, the system's early performance was problematic, and DOD recently stated that it intended to acquire a new electronic health record system. GAO was asked to (1) determine the status of AHLTA, (2) determine DOD's plans for acquiring its new system, and (3) evaluate DOD's acquisition management of the initiative. To do this, GAO reviewed program plans, reports, and other documentation and interviewed DOD officials."
Date: October 6, 2010
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Department of Energy: Implementation and Use of Other Transactions Authority Provided in the Energy Policy Act of 2005 (open access)

Department of Energy: Implementation and Use of Other Transactions Authority Provided in the Energy Policy Act of 2005

Correspondence issued by the Government Accountability Office with an abstract that begins "Since the Department of Energy (DOE) was established in 1977, one of its missions has been to promote the nation's energy security through research, development, and demonstration of advanced technologies for meeting future energy demands and diversifying the nation's energy portfolio. As part of this mission, DOE's Office of Energy Efficiency and Renewable Energy conducts research, development, and demonstration activities in partnership with industry to advance a diverse supply of clean power technologies. The fiscal year 2008 budget for these activities was $1.7 billion. The Energy Policy Act of 2005, the first comprehensive energy legislation in more than a decade, includes provisions to address the nation's long-term energy challenges. Key goals of the act include diversifying the nation's energy supply by promoting alternative and renewable sources of energy and by investing in science and technology. Provisions in the act promote the use of solar and wind power, establish a loan-guarantee program to encourage private investment in new energy technologies, and authorize demonstration projects for producing ethanol from cellulosic sources such as forest residues, agricultural residues, and scrap wood. To provide DOE with more flexibility to enter into agreements …
Date: June 6, 2008
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Drug Control: Initial Review of the National Strategy and Drug Abuse Prevention and Treatment Programs (open access)

Drug Control: Initial Review of the National Strategy and Drug Abuse Prevention and Treatment Programs

Correspondence issued by the Government Accountability Office with an abstract that begins "To implement the 2010 National Drug Control Strategy, ONDCP obtained input from drug control stakeholders to help ensure that they shared responsibility for implementation, established a new process to determine progress made, and reported that most action items in the Strategy were on track or complete as of November 2011. ONDCP officials stated that they developed the 2010 Strategy’s seven objectives—for example, Strengthen Efforts to Prevent Drug Use in Our Communities—and 106 action items under these objectives through a consultative process with federal, state, and local drug control agencies and other stakeholders. Officials from the four agencies we spoke with as of April 2012 stated that ONDCP sought input from them to develop the Strategy and that as a result, existing agency priorities and activities are reflected in the Strategy. ONDCP officials stated that this alignment helps facilitate Strategy implementation. In August 2010, ONDCP initiated a process to track progress made on Strategy action items. As part of this process, ONDCP requested that each agency develop and submit (1) a plan for implementing each action item for which it has lead responsibility and (2) status updates on implementation …
Date: July 6, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Internal Revenue Service: Status of Recommendations from Financial Audits and Related Financial Management Reports (open access)

Internal Revenue Service: Status of Recommendations from Financial Audits and Related Financial Management Reports

A letter report issued by the Government Accountability Office with an abstract that begins "In its role as the nation's tax collector, the Internal Revenue Service (IRS) has a demanding responsibility in annually collecting over $2 trillion in taxes, processing hundreds of millions of tax and information returns, and enforcing the nation's tax laws. Since its first audit of IRS's financial statements in fiscal year 1992, GAO has identified a number of weaknesses in IRS's financial management operations. In related reports, GAO has recommended corrective action to address those weaknesses. Each year, as part of the annual audit of IRS's financial statements, GAO not only makes recommendations to address any new weaknesses identified but also follows up on the status of weaknesses GAO identified in previous years' audits. The purpose of this report is to (1) assist IRS management in tracking the status of audit recommendations and actions needed to fully address them and (2) demonstrate how the recommendations fit into IRS's overall management and internal control structure."
Date: June 6, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
GSA Global Supply's Direct Vendor Delivery Proposal Addresses Declining Office Product Sales, but Annual Reviews May Be Needed to Monitor Impact on Small Business Participation (open access)

GSA Global Supply's Direct Vendor Delivery Proposal Addresses Declining Office Product Sales, but Annual Reviews May Be Needed to Monitor Impact on Small Business Participation

Correspondence issued by the Government Accountability Office with an abstract that begins "In fiscal year 2007, the General Services Administration (GSA) purchased $853 million in supplies from businesses--large and small--for its Global Supply system for subsequent resale to federal agencies. Of this amount, $194 million was for office products sold through the Global Supply Stock Program (Stock Program). The Stock Program allows federal customers to purchase thousands of products, ranging from office supplies to firefighting equipment, from two GSA distribution centers. In an effort to reduce delivery times and cut costs, GSA has worked for several years to develop a new business model for the Stock Program. In November 2008, GSA issued a solicitation for proposals that would remove one-third, or about 550, of its office supply products from the Stock Program and require businesses to ship these office products directly to GSA customers. Under the proposed Direct Vendor Delivery (DVD) Program, blanket purchase agreements (BPA) would be put in place between GSA and vendors, with the aim of allowing customers to receive additional price discounts, save time, and reduce paperwork. Small businesses and others have raised concerns about the impact of the proposed shift to DVD on small businesses' …
Date: February 6, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Endangered Species: Time and Costs Required to Recover Species Are Largely Unknown (open access)

Endangered Species: Time and Costs Required to Recover Species Are Largely Unknown

Correspondence issued by the Government Accountability Office with an abstract that begins "The Endangered Species Act of 1973 protects species facing extinction (endangered species) or likely to face extinction (threatened species) and the ecosystems upon which they depend. The act has long been a lightning rod for political debate about the extent to which the nation's natural resources should be protected and how best to protect them. Implementation of the act has also been the subject of numerous lawsuits that have consumed significant program resources. Since the act's inception, about 1,300 domestic species have been placed on the list of threatened and endangered species. Supporters of the act claim it is an indication of the act's success that only 9 of these species have gone extinct; particularly, since by the time they are listed species, they are often in critical condition. Critics, on the other hand, counter that it is an indication of the act's failure that only 17 of these species have "recovered," or improved to the point that they no longer need the act's protection. However, we believe that these numbers, by themselves, are not a good gauge of the act's success or failure; additional information on when, …
Date: April 6, 2006
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Defense Acquisitions: Role of Lead Systems Integrator on Future Combat Systems Program Poses Oversight Challenges (open access)

Defense Acquisitions: Role of Lead Systems Integrator on Future Combat Systems Program Poses Oversight Challenges

A letter report issued by the Government Accountability Office with an abstract that begins "The Army's Future Combat Systems (FCS) program features multiple new systems linked by a first-of-a-kind information network. The Army contracted with a lead systems integrator (LSI) for FCS that could serve in a more expansive role than a typical prime contractor would. In response to a congressional mandate, this report addresses (1) why the Army decided to employ an LSI for the FCS program; (2) the nature of the LSI's working relationship with the Army; and (3) how FCS contract fees, provisions, and incentives work. In conducting its work, GAO reviewed extensive program documentation and held discussions with key officials at DOD and throughout the FCS program."
Date: June 6, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Coast Guard: Continued Improvements Needed to Address Potential Barriers to Equal Employment Opportunity (open access)

Coast Guard: Continued Improvements Needed to Address Potential Barriers to Equal Employment Opportunity

A letter report issued by the Government Accountability Office with an abstract that begins "The USCG is making progress toward becoming a model equal employment opportunity (EEO) program, as defined by EEOC. In fiscal year 2008, the USCG established a cross-functional task force, including many divisions of Coast Guard and co-led by the Civil Rights Director and the Assistant Commandant for Human Resources, to identify EEO problems, review data, as well as develop and implement plans to address barriers to EEO. EEOC officials commended the USCG's cross-functional approach, noting that it could strengthen the USCG's ability to bring together different divisions of the USCG toward a common goal of identifying and eliminating barriers to EEO. According to EEOC, progress has been most noticeable with the commitment of USCG's leadership to equality for all employees and applicants and its focus on resolving complaints in a quick and cost effective manner. However, EEOC noted that USCG could improve the way it conducts analyses of its barriers to equal employment. To attract and retain top talent, EEOC's MD-715 states that federal agencies are to identify barriers to EEO in the workplace, execute plans to eliminate barriers, and report annually to EEOC. USCG has …
Date: December 6, 2011
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Disaster Relief: Governmentwide Framework Needed to Collect and Consolidate Information to Report on Billions in Federal Funding for the 2005 Gulf Coast Hurricanes (open access)

Disaster Relief: Governmentwide Framework Needed to Collect and Consolidate Information to Report on Billions in Federal Funding for the 2005 Gulf Coast Hurricanes

A letter report issued by the Government Accountability Office with an abstract that begins "Hurricane Katrina devastated the Gulf Coast region of the United States and caused billions of dollars in damage. Hurricanes Rita and Wilma further exacerbated damage to the region. The Federal Emergency Management Agency (FEMA), within the Department of Homeland Security (DHS), was tasked with the primary role of managing the federal relief and recovery efforts. This review was performed under the Comptroller General's authority because of widespread congressional interest in the response to this disaster. GAO examined whether the federal government was adequately tracking and reporting on the use of the funding provided in the four emergency supplemental appropriations acts enacted as of June 2006. GAO analyzed the emergency supplemental appropriations acts and conference reports, reviewed FEMA's required weekly reports, and interviewed federal agency officials."
Date: September 6, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Suspension and Debarment: Some Agency Programs Need Greater Attention, and Governmentwide Oversight Could Be Improved (open access)

Suspension and Debarment: Some Agency Programs Need Greater Attention, and Governmentwide Oversight Could Be Improved

A publication issued by the Government Accountability Office with an abstract that begins "This testimony discusses the Federal government's use of suspensions and debarments. In 2010, spending on contracted goods and services was more than $535 billion. To protect the government's interests, federal agencies are required to award contracts only to responsible sources--those that are determined to be reliable, dependable, and capable of performing required work. One way to do so is through the use of suspensions and debarments, which are actions taken to exclude firms or individuals from receiving contracts or assistance based on various types of misconduct. The Federal Acquisition Regulation (FAR) prescribes overall policies and procedures governing the suspension and debarment of contractors by agencies and directs agencies to establish appropriate procedures to implement them. This flexibility enables each agency to establish a suspension and debarment program suitable to its mission and structure. Even though the FAR specifies numerous causes for suspensions and debarments, including fraud, theft, bribery, tax evasion, or lack of business integrity, the existence of one of these does not necessarily require that the party be suspended or debarred. Agencies are to establish procedures for prompt reporting, investigation, and referral to the agency suspension …
Date: October 6, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
The Nation's Long-Term Fiscal Outlook: September 2008 Update (open access)

The Nation's Long-Term Fiscal Outlook: September 2008 Update

Correspondence issued by the Government Accountability Office with an abstract that begins "Since 1992, GAO has published long-term fiscal simulations of what might happen to federal deficits and debt levels under varying policy assumptions. We developed our long-term model in response to a bipartisan request from Members of Congress who were concerned about the longterm effects of fiscal policy. GAO runs two simulations: (1) "Baseline Extended" follows the Congressional Budget Office's (CBO) September baseline estimates for the first 10 years and then simply holds revenue and spending other than large entitlement programs constant as a share of gross domestic product (GDP); and (2) The "Alternative" simulation is based on historical trends and recent policy preferences. Discretionary spending grows with GDP rather than inflation during the first 10 years, Medicare physician payment rates are not reduced as in CBO's baseline, and all tax provisions are extended until 2018 and then revenues are brought back to about their historical level. We update our simulations as new estimates become available from CBO and the Social Security and Medicare Trustees. This update incorporates CBO's most recent baseline projections that were released in September. This product responds to congressional interest in receiving updated simulation results."
Date: November 6, 2008
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
GPS Disruptions: Efforts to Assess Risks to Critical Infrastructure and Coordinate Agency Actions Should Be Enhanced (open access)

GPS Disruptions: Efforts to Assess Risks to Critical Infrastructure and Coordinate Agency Actions Should Be Enhanced

A letter report issued by the Government Accountability Office with an abstract that begins "To assess the risks and potential effects from disruptions in the Global Positioning System (GPS) on critical infrastructure, the Department of Homeland Security (DHS) published the GPS National Risk Estimate (NRE) in 2012. In doing so, DHS conducted a scenario-based risk assessment for four critical infrastructure sectors using subject matter experts from inside and outside of government. Risk assessments involve complex analysis, and conducting a risk assessment across multiple sectors with many unknowns and little data is challenging. DHS's risk management guidance can be used to help address such challenges. However, we found the NRE lacks key characteristics of risk assessments outlined in DHS's risk management guidance and, as a result, is incomplete and has limited usefulness to inform mitigation planning, priorities, and resource allocation. A plan to collect and assess additional data and subsequent efforts to ensure that the risk assessment is consistent with DHS guidance would contribute to more effective GPS risk management."
Date: November 6, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Medicaid: Use of Claims Data for Analysis of Provider Payment Rates (open access)

Medicaid: Use of Claims Data for Analysis of Provider Payment Rates

Correspondence issued by the Government Accountability Office with an abstract that begins "Among the 9 states and 35 services examined, GAO found that all states varied Medicaid payments for at least some services. However, the states differed in the number of services for which they varied payments, in the factors that accounted for variation, and in the magnitude of the variation. Many of the states varied payment rates by at least one of the factors GAO was able to explore in detail: provider type, service setting, and/or patient age. Some states also varied their payment rates for other reasons, such as by geographic region or by physician specialty. GAO also found that most of the median Medicaid payment rates calculated from claims data generally confirmed payment rates published in studies of fee schedules conducted by the American Academy of Pediatrics and the Urban Institute; however, some of the published fee schedule rates were rarely used in practice. Collectively, GAO's findings demonstrate that Medicaid fee-for-service claims data can be a useful source of information for analyzing provider payments. These data have the potential to provide a more complete representation of provider payment than do fee schedules, as claims data can capture …
Date: January 6, 2014
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care (open access)

Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care

A letter report issued by the Government Accountability Office with an abstract that begins "Based on the number of providers awarded incentive payments, participation in the Department of Health and Human Services' (HHS) Medicare and Medicaid Electronic Health Record (EHR) programs increased substantially from their first year in 2011 to 2012. For hospitals, participation increased from 45 percent of those eligible for 2011 to 64 percent of those eligible for 2012. For professionals, such as physicians, participation increased from 21 percent of those eligible for 2011 to 48 percent of those eligible for 2012. While increases occurred, a substantial percentage of providers that participated in 2011 did not participate in 2012. Officials who oversee the programs at the Centers for Medicare & Medicaid Services (CMS) noted there could be several reasons for this, such as challenges in demonstrating meaningful use, and are monitoring the issue. Various program changes make future participation difficult to estimate. For example, increased stringency of requirements for the programs' second phase beginning in 2014—Stage 2—may slow participation, while the introduction of penalties in 2015 for some providers may motivate participation."
Date: March 6, 2014
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Ryan White CARE Act: Estimated Effect of Proposed Stop-Loss Provision on Urban Areas (open access)

Ryan White CARE Act: Estimated Effect of Proposed Stop-Loss Provision on Urban Areas

Correspondence issued by the Government Accountability Office with an abstract that begins "Congress asked GAO to estimate the effect on Ryan White Comprehensive AIDS Resources Emergency Act of 1990 (CARE Act) funding to urban areas if certain stop-loss provisions are enacted. The CARE Act, administered by the Department of Health and Human Services's (HHS) Health Resources and Services Administration (HRSA), was enacted to address the needs of jurisdictions, health care providers, and people with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). In December 2006, the Ryan White HIV/AIDS Treatment Modernization Act of 2006 (Modernization Act of 2006) reauthorized CARE Act programs for fiscal years 2007 through 2009. In February 2009, the House of Representatives passed H.R. 1105, the Omnibus Appropriations Act, 2009, which contains a stop-loss provision covering CARE Act funding for urban areas that receive funding under the CARE Act. This bill has not been passed by the Senate."
Date: March 6, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library