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Medicare Post-Acute Care: Better Information Needed Before Modifying BBA Reforms (open access)

Medicare Post-Acute Care: Better Information Needed Before Modifying BBA Reforms

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the effects of the Balanced Budget Act of 1997 (BBA) on the Medicare fee-for-service program."
Date: September 15, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Information Security: The Melissa Computer Virus Demonstrates Urgent Need for Stronger Protection Over Systems and Sensitive Data (open access)

Information Security: The Melissa Computer Virus Demonstrates Urgent Need for Stronger Protection Over Systems and Sensitive Data

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed: (1) the immediate effects of the Melissa virus and variations of it as well as its broader implications for the federal government; and (2) critical measures that should be taken to ensure that federal departments and agencies are better prepared for future viruses and other forms of attack."
Date: April 15, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Defense Trade: Observations on Issues Concerning Offsets (open access)

Defense Trade: Observations on Issues Concerning Offsets

Testimony issued by the General Accounting Office with an abstract that begins "Defense offsets are the full range of industrial and commercial benefits that firms provide to foreign governments as inducements or conditions for the purchase of military goods and services. The U.S. government has maintained a "hands off" policy toward defense offsets, viewing them as part of the transaction between the contracting parties. However, offsets are one of the many factors contributing to the globalization of the U.S. industrial base. This testimony presents GAO's observations on (1) the impact of offsets, (2) trends in defense offsets, and (3) the quality and extent of information currently available concerning offsets. Views on the effects of offsets are divided between those who believe that they are both positive and an unavoidable part of doing business overseas and those who believe that they harm the U.S. industrial base. Recently, countries buying U.S. defense items have become increasingly sophisticated in their offset demands. Finally, identifying the effect of offsets on industrial sectors or the U.S. economy as a whole is difficult."
Date: December 15, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Defense Acquisitions: Use of Cost Reduction Plans in Estimating F-22 Total Production Costs (open access)

Defense Acquisitions: Use of Cost Reduction Plans in Estimating F-22 Total Production Costs

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Air Force's F-22 Raptor Program and its impact on production cost reduction plans, focusing on the: (1) status of cost reduction plans, including some plans not yet implemented, and identifying Air Force procedures for reporting on the plans; and (2) comparison of 1999 cost estimates developed by the Air Force and the Office of the Secretary of Defense with the congressional cost limitation."
Date: June 15, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Managing for Results: Using Strategic Human Capital Management to Drive Transformational Change (open access)

Managing for Results: Using Strategic Human Capital Management to Drive Transformational Change

Testimony issued by the General Accounting Office with an abstract that begins "Strategic human capital management is critical to maximizing government's performance and ensuring its accountability for the benefit of the American people. The early years of the 21st century are proving to be a period of profound transition being driven by several key trends, including global interdependence; diverse, diffuse, and asymmetrical security threats; rapidly evolving science and technology; dramatic shifts in age and composition of the population; important quality of life issues; the changing nature of the economy; and evolving governmental structures and concepts. GAO designated strategic human capital management as a governmentwide high-risk area because of a long-standing lack of a consistent strategic approach to marshaling, managing, and maintaining the human capital needed for government to deliver on its promises. Three broad human capital reform opportunities are instrumental to agency transformation efforts: aligning individual and organizational performance, implementing results-oriented pay reform, and sustaining agency transformation efforts."
Date: July 15, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Management Reform: Elements of Successful Improvement Initiatives (open access)

Management Reform: Elements of Successful Improvement Initiatives

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed efforts to improve the management and performance of the federal government."
Date: October 15, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Indian Self-Determination Contracting: Shortfalls in Contract Support Costs and Alternatives for Funding Them (open access)

Indian Self-Determination Contracting: Shortfalls in Contract Support Costs and Alternatives for Funding Them

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed issues surrounding Indian contract support costs, focusing on: (1) the different categories of contract support costs; (2) the extent of, and reasons for, increases in contract support costs over the last several years; and (3) four alternatives for funding these costs."
Date: September 15, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Park Service: Need to Address Key Management Problems That Plague the Concessions Program (open access)

Park Service: Need to Address Key Management Problems That Plague the Concessions Program

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the National Park Service's (NPS) concessions program, focusing on program management problems and options available to address them."
Date: June 15, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Year 2000 Computing Crisis: FAA Is Making Progress But Important Challenges Remain (open access)

Year 2000 Computing Crisis: FAA Is Making Progress But Important Challenges Remain

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Federal Aviation Administration's (FAA) efforts to address the year 2000 computing problem, focusing on: (1) FAA's progress to date; (2) the agency's self-reported data showing that much remains to be done; (3) challenges FAA faces in ensuring that its internal systems will work; (4) risks associated with external organizations--focusing specifically on airports and international entities; and (5) the critical need for business continuity and contingency plans that identify how aviation operations will continue should systems fail."
Date: March 15, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Prescription Drugs: Increasing Medicare Beneficiary Access and Related Implications (open access)

Prescription Drugs: Increasing Medicare Beneficiary Access and Related Implications

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed options for increasing Medicare beneficiaries' access to prescription drugs, focusing on the: (1) factors contributing to the growth in prescription drug spending and efforts to control that growth; and (2) design and implementation issues to be considered regarding proposals to improve seniors' access to affordable prescription drugs."
Date: February 15, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Welfare Reform: Progress in Meeting Work-Focused TANF Goals (open access)

Welfare Reform: Progress in Meeting Work-Focused TANF Goals

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the progress of welfare reform. GAO found that states are transforming the nation's welfare system into a work-based, temporary assistance program for needy families, with a focus on moving people into employment rather than signing them up for cash assistance. States' implementation of Temporary Assistance for Needy Families (TANF), undertaken in a time of strong economic growth, has been accompanied by a 50 percent decline in the number of families receiving cash welfare. GAO's review of state-sponsored studies available in 1999 and several more recent studies show that most of the adults in families remaining off the welfare rolls were employed at some time after leaving welfare. All six of the states GAO visited have modified their "work first" programs to better serve recipients who face difficulties in entering the workforce. States have found that some of the recipients with such difficulties do, in fact, find jobs. Although states have made significant progress in meeting work-focused goals attention should be paid to the following issues: (1) emphasizing and enhancing work-based strategies, including engaging hard-to-employ recipients in work and helping families stay off welfare and increase …
Date: March 15, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
VA Health Care: Progress and Challenges in Providing Care to Veterans (open access)

VA Health Care: Progress and Challenges in Providing Care to Veterans

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Department of Veterans Affairs' (VA) new system for enrolling veterans for health care."
Date: July 15, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Tax Administration: IRS Continues to Face Management Challenges in its Business Practices and Modernization Efforts (open access)

Tax Administration: IRS Continues to Face Management Challenges in its Business Practices and Modernization Efforts

Testimony issued by the General Accounting Office with an abstract that begins "The Internal Revenue Service (IRS) was, for the second consecutive year, able to prepare financial statements that received an unqualified opinion. However, this achievement once again came through the use of substantial, costly, and time-consuming processes to compensate for serious systems and control deficiencies. IRS continues to make progress in its performance management system by using a strategic planning and budgeting process to reconcile competing priorities and initiatives with available resources. In the area of computer security, IRS corrected or mitigated many of the previously reported weaknesses, including those affecting its electronic filing systems. It also is implementing a computer security program that should help manage its risks in this area. Business Systems Modernization is IRS' ongoing program to leverage information technology and is integral to IRS achieving its customer-focused vision. To date, IRS has made progress in establishing the systems infrastructure, delivering system applications, and developing the management controls and capabilities necessary to effectively acquire and deploy modernized systems."
Date: April 15, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Nuclear Nonproliferation: DOE's Efforts to Secure Nuclear Material and Employ Weapons Scientists in Russia (open access)

Nuclear Nonproliferation: DOE's Efforts to Secure Nuclear Material and Employ Weapons Scientists in Russia

Testimony issued by the General Accounting Office with an abstract that begins "The security systems installed by the Department of Energy (DOE) are reducing the risk of theft of nuclear material in Russia, but hundreds of metric tons of nuclear material still lack improved security systems. As of February 2001, DOE had installed, at a cost of about $601 million, completed or partially completed systems that protect 192 metric tons of the 603 metric tons of nuclear material identified at risk of theft. These systems, although not as stringent as those installed in the United States, are designed to prevent individuals or small groups of criminals from stealing nuclear material. During its first two years of operation, DOE's Nuclear Cities Initiative (NCI) has had limited success. DOE estimates that the program employs about 370 people, including many weapons scientists who are primarily working on a part-time basis through research projects sponsored by the U.S. national laboratories. A disproportionate amount of the NCI program's funding has been spent in the U.S. GAO also found that DOE's NCI program lacks a plan for the future. This testimony summarizes two reports, GAO-01-312, and GAO-01-429."
Date: May 15, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Year 2000 Computing Challenge: Federal Efforts to Ensure Continued Delivery of Key State-Administered Benefits (open access)

Year 2000 Computing Challenge: Federal Efforts to Ensure Continued Delivery of Key State-Administered Benefits

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the year 2000 challenge facing state and local governments, focusing on: (1) the year 2000 readiness of 10 key state-administered federal human services programs; (2) federal activities to assess states' readiness for these 10 programs; and (3) the status of the Department of Health and Human Services' (HHS) Payment Management System."
Date: July 15, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Social Security Numbers: Federal and State Laws Restrict Use of SSNs, yet Gaps Remain (open access)

Social Security Numbers: Federal and State Laws Restrict Use of SSNs, yet Gaps Remain

Testimony issued by the Government Accountability Office with an abstract that begins "In 1936, the Social Security Administration established the Social Security number (SSN) to track worker's earnings for Social Security benefit purposes. Despite its narrowly intended purpose, the SSN is now used for a myriad of non-Social Security purposes. Today, SSNs are used, in part, as identity verification tools for services such as child support collections, law enforcement enhancements, and issuing credit to individuals. Although these uses can be beneficial to the public, the SSN is now a key piece of information in creating false identities. The aggregation of personal information, such as SSNs, in large corporate databases and the increased availability of information via the Internet may provide criminals the opportunities to commit identity theft. Although Congress and the states have enacted a number of laws to protect consumers' privacy, the public and private sectors' continued use of and reliance on SSNs, and the potential for misuse, underscore the importance of strengthening protections where possible. Accordingly, this testimony focuses on describing (1) the public use of SSNs, (2) the use of SSNs by certain private sector entities, and (3) certain federal and state laws regulating the use of …
Date: September 15, 2005
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Health Care Spending: Public Payers Face Burden of Entitlement Program Growth, While All Payers Face Rising Prices and Increasing Use of Services (open access)

Health Care Spending: Public Payers Face Burden of Entitlement Program Growth, While All Payers Face Rising Prices and Increasing Use of Services

Testimony issued by the Government Accountability Office with an abstract that begins "GAO testified about the challenges involved in financing health care. GAO has been particularly concerned about the federal government's long-term fiscal sustainability and the contribution of health care spending to this troubling picture. For the past several years, we have consistently reported that in just a few decades, the government will face a serious fiscal imbalance driven by known demographic trends and escalating health care cost growth. Over the next several decades, growth in spending on federal retirement and health entitlements will encumber an escalating share of the government's resources. These entitlement programs primarily include Social Security, which provides, among other things, retirement income to individuals aged 62 and older; Medicare, which provides health care coverage primarily for individuals 65 and older; and Medicaid, which is a joint federal-state program providing health care and long-term care for low-income individuals. Congress's concern about the challenges involved in financing health care is consistent with the fact that certain spending pressures faced by Medicare and Medicaid are faced by all health care payers, including the Departments of Veterans Affairs (VA) and Defense, as well as private payers of health care. To …
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
USDA Graduate School: Revenue Reporting Needs to Be Improved (open access)

USDA Graduate School: Revenue Reporting Needs to Be Improved

A letter report issued by the General Accounting Office with an abstract that begins "The U.S. Department of Agriculture's Graduate School provides extensive training opportunities to government employees and others. As a nonappropriated fund instrumentality, the Graduate School relies solely on income from the training it offers. During fiscal year 1999, the federal agencies GAO reviewed had 20 interagency agreements with the Graduate School totaling about $5.7 million. The agencies also had 531 contracts, totaling $29 million, with private companies for training and related services. The Graduate School's financial statements for fiscal year 1999 incorrectly identified the portion of revenue that was earned through interagency agreements. This misclassification occurred primarily because of the Graduate School's reporting policies."
Date: October 15, 2001
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Health Information Technology: Federal Agencies' Experiences Demonstrate Challenges to Successful Implementation (open access)

Health Information Technology: Federal Agencies' Experiences Demonstrate Challenges to Successful Implementation

Testimony issued by the Government Accountability Office with an abstract that begins "As GAO and others have reported, the use of information technology (IT) has enormous potential to help improve the quality of health care and is important for improving the performance of the U.S. health care system. Given its role in providing health care, the federal government has been urged to take a leadership role to improve the quality and effectiveness of health care, and it has been working to promote the nationwide use of health IT for a number of years. However, achieving widespread adoption and implementation of health IT has proven challenging, and the best way to accomplish this transition remains subject to much debate. At the committee's request, this testimony discusses important issues identified by GAO's work that have broad relevance to the successful implementation of health IT to improve the quality of health care. To develop this testimony, GAO relied largely on its previous work on federal health IT activities."
Date: January 15, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Department of Homeland Security: A Comprehensive Strategy Is Still Needed to Achieve Management Integration Departmentwide (open access)

Department of Homeland Security: A Comprehensive Strategy Is Still Needed to Achieve Management Integration Departmentwide

Testimony issued by the Government Accountability Office with an abstract that begins "Significant management challenges exist for the Department of Homeland Security (DHS) as it continues to integrate its varied management processes, policies, and systems in areas such as financial management and information technology. These activities are primarily led by the Under Secretary for Management (USM), department management chiefs, and management chiefs in DHS's seven components. This testimony summarizes a new GAO report (GAO-10-131) that examined (1) the extent to which DHS has developed a comprehensive strategy for management integration that includes the characteristics recommended in GAO's earlier 2005 report, (2) how DHS is implementing management integration, and (3) the extent to which the USM is holding the department and component management chiefs accountable for implementing management integration through reporting relationships. GAO reviewed DHS plans and interviewed DHS management officials."
Date: December 15, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
SEC and CFTC Fines Follow-Up: Collection Programs Are Improving, but Further Steps Are Warranted (open access)

SEC and CFTC Fines Follow-Up: Collection Programs Are Improving, but Further Steps Are Warranted

A letter report issued by the General Accounting Office with an abstract that begins "Collecting fines ordered for violations of securities and futures laws helps ensure that violators are held accountable for their offenses and may also deter future violations. The requesters asked GAO to evaluate the actions the Securities and Exchange Commission (SEC) and Commodity Futures Trading Commission (CFTC) have taken to address earlier recommendations for improving their collection programs. The committees also asked GAO to update the fines collection rates from previous reports."
Date: July 15, 2003
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Spent Nuclear Fuel: Options Exist to Further Enhance Security (open access)

Spent Nuclear Fuel: Options Exist to Further Enhance Security

A letter report issued by the General Accounting Office with an abstract that begins "Spent nuclear fuel, the used fuel periodically removed from nuclear power reactors, is one of the most hazardous materials made by man. Nuclear power companies currently store 50,000 tons of spent fuel at 72 sites in 33 states. That amount will increase through 2010, when the Department of Energy (DOE) expects to open a permanent repository for this fuel at Yucca Mountain, Nevada. Concerns have been raised since September 11, 2001, that terrorists might target spent fuel. GAO was asked to (1) review federally sponsored studies that assessed the potential health effects of a terrorist attack or a severe accident on spent fuel, either in transit or in storage, and (2) identify options for DOE to further enhance the security of spent fuel during shipping to Yucca Mountain."
Date: July 15, 2003
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
United States Postal Service: Opportunities to Strengthen IT Investment Management Capabilities (open access)

United States Postal Service: Opportunities to Strengthen IT Investment Management Capabilities

A chapter report issued by the General Accounting Office with an abstract that begins "The U.S. Postal Service invests hundreds of millions of dollars in information technology (IT) each year to support its mission of providing prompt, reliable, and efficient mail service to all areas of the country. It must support these operations through the revenues it earns for its services. Growing operating expenses and capital needs in the face of reduced revenues highlight the need for the Postal Service to invest its IT dollars wisely. Accordingly, the Senate Committee on Governmental Affairs and its Subcommittee on International Security, Proliferation, and Federal Services asked GAO to evaluate how well the Postal Service manages its IT investments."
Date: October 15, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Federal Real Property: An Update on High Risk Issues (open access)

Federal Real Property: An Update on High Risk Issues

Testimony issued by the Government Accountability Office with an abstract that begins "In January 2003, GAO designated federal real property as a high-risk area because of long-standing problems with excess and underutilized property, deteriorating facilities, unreliable real property data, over-reliance on costly leasing, and security challenges. In January 2009, GAO found that agencies have taken some positive steps to address real property issues but that some of the core problems that led to the designation of this area as high risk persist. This testimony focuses on (1) progress made by major real property-holding agencies to strategically manage real property, (2) ongoing problems GAO has identified in recent work regarding agencies' efforts to address real property issues, and (3) underlying obstacles GAO has identified through prior work as hampering agencies' real property reform efforts governmentwide."
Date: July 15, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library