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Business Systems Modernization: IRS Has Satisfied Congressional Direction on the Custodial Accounting Project (open access)

Business Systems Modernization: IRS Has Satisfied Congressional Direction on the Custodial Accounting Project

Correspondence issued by the General Accounting Office with an abstract that begins "As part of its business systems modernization program, the Internal Revenue Service (IRS) is acquiring a system known as the Custodial Accounting Project (CAP). In September 2000, Congress directed that IRS limit its spending on CAP until IRS provided a compelling business case for investing in this project and started managing CAP as an integrated part of the business systems modernization program. GAO found that IRS has satisfied both of these directives. However, its business case guidance does not explicitly specify cost-effectiveness analyses as a way to economically justify proposed investments and define when and how these analyses should be prepared. As a result, IRS runs the risk of spending time and money developing future business cases for proposed system solutions that, like CAP, cannot be adequately justified on the basis of costs and benefits alone."
Date: March 16, 2001
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Military Personnel: Status of Accession, Retention, and End Strength for Military Medical Officers and Preliminary Observations Regarding Accession and Retention Challenges (open access)

Military Personnel: Status of Accession, Retention, and End Strength for Military Medical Officers and Preliminary Observations Regarding Accession and Retention Challenges

Correspondence issued by the Government Accountability Office with an abstract that begins "This correspondence formally transmits the briefing we prepared in response to Senate Report 110-335 accompanying the National Defense Authorization Act for Fiscal Year 2009. The Senate Report required the Comptroller General to conduct an assessment of medical and dental personnel requirements of the Departments of the Army, Navy, and Air Force, including their reserve components. To satisfy this requirement, we previously provided to Congress on April 1, 2009 a copy of the draft briefing we sent to DOD for comment."
Date: April 16, 2009
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Department of Defense Policies on Accommodating Children with Special Needs in Child Care Programs (open access)

Department of Defense Policies on Accommodating Children with Special Needs in Child Care Programs

Correspondence issued by the Government Accountability Office with an abstract that begins "DOD officials stated that their policy is to accommodate children with special needs unless those accommodations fundamentally alter the nature of the program. However, DOD does not centrally collect or maintain data on accommodation decisions; instead they are kept at the installation level. Two services--Army and Air Force--have begun or plan to collect specific data at the service level to monitor and track services to children with special needs across their installations by 2013. Further, the services have different definitions of special needs, although officials told us DOD is working on a standard definition. According to OSD officials, each service has established an assessment process to determine how to accommodate children with special needs in DOD's child care programs. This assessment process is the primary means through which parents can address concerns related to finding appropriate child care for their children with special needs, as well as to help identify support and outreach programs for the family. The National Defense Authorization Act for Fiscal Year 2010 created the Office of Special Needs, which is responsible for enhancing and improving support for families of children with special needs. Although …
Date: January 16, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Defense Contracting: DOD's Use of Class Justifications for Sole-Source Contracts (open access)

Defense Contracting: DOD's Use of Class Justifications for Sole-Source Contracts

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) class justifications included in GAO's sample were used primarily for the acquisition of weapon systems or related subsystems and components. About 77 percent covered specific weapon system development, production, sustainment, or modernization efforts; about 14 percent covered logistics support of multiple weapon systems or training systems; and the remaining 9 percent covered other requirements. Because weapon systems are typically used for many years, DOD officials told GAO class justifications provided an administrative efficiency by allowing one justification for multiple contracts that would essentially require the same justification. Most of the class justifications in GAO's sample had a total value of over $85.5 million and required approval at the highest level--the senior procurement executive of the DOD component. About 90 percent of the class justifications in GAO's sample cited only one responsible source to meet the requirements, generally because the contractor's ownership of proprietary technical data or expertise prevented the ability to compete the contract. The class justifications GAO reviewed generally cited the publication of notices of proposed contract actions on the Federal Business Opportunities website or market research to identify other qualified sources, …
Date: April 16, 2014
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Office of Special Counsel Needs to Follow Structured Life Cycle Management Practices for Its Case Tracking System (open access)

Office of Special Counsel Needs to Follow Structured Life Cycle Management Practices for Its Case Tracking System

Correspondence issued by the Government Accountability Office with an abstract that begins "The Office of Special Counsel (OSC) is charged with safeguarding the merit system by protecting federal employees and applicants for employment from prohibited personnel practices, such as discrimination, nepotism, and retaliation against whistleblowing. An individual who feels that a prohibited personnel practice has occurred may file a claim with OSC, which OSC then investigates and on which it may seek corrective or disciplinary action through negotiation with agencies or prosecution of claims before the Merit Systems Protection Board. In addition, federal employees, former federal employees, and applicants for federal employment may also disclose to OSC alleged wrongdoing by federal employees (termed whistleblower disclosures), including violations of law, gross mismanagement, or abuse of authority. OSC also provides advisory opinions and enforces Hatch Act restrictions on the political activities of individuals employed by the federal and District of Columbia governments as well as certain state and local government employees in connection with programs financed by federal funds. OSC also prosecutes claims before the Merit Systems Protection Board on behalf of federal employees, former federal employees, and applicants for federal employment under the Uniformed Services Employment and Reemployment Rights Act of …
Date: February 16, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Management Report: Opportunities for Improvement in the Federal Housing Finance Agency's Internal Controls (open access)

Management Report: Opportunities for Improvement in the Federal Housing Finance Agency's Internal Controls

Correspondence issued by the Government Accountability Office with an abstract that begins "During our audit of FHFA’s fiscal years 2011 and 2010 financial statements, we identified one internal control issue and a continuing issue related to information systems controls that could adversely affect FHFA’s ability to meet its internal control objectives. We do not consider these issues to represent material weaknesses or significant deficiencies in relation to FHFA’s financial statements. Nonetheless, we believe they warrant management’s attention and action."
Date: May 16, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Disaster Preparedness: Preliminary Observations on the Evacuation of Hospitals and Nursing Homes Due to Hurricanes (open access)

Disaster Preparedness: Preliminary Observations on the Evacuation of Hospitals and Nursing Homes Due to Hurricanes

Correspondence issued by the Government Accountability Office with an abstract that begins "During disasters, administrators of health care facilities are faced with decisions about how to operate and care for patients, including when and how to evacuate patients if the facility becomes unable to support adequate care, treatment, or services. Hospitals and nursing homes are required to have plans in place that describe how they will operate during emergencies. Hurricanes Katrina and Rita were incidents of national significance that highlighted the challenges involved in evacuating vulnerable populations, including those in hospitals and nursing homes. Federal officials used the National Disaster Medical System (NDMS) to help evacuate patients due to Hurricane Katrina--the first time the system has been used to evacuate such a large number of patients. Formed in 1984, NDMS is a partnership among the Department of Defense (DOD), the Department of Health and Human Services (HHS), the Department of Homeland Security (DHS), and the Department of Veterans Affairs (VA). We have begun work to assess the evacuation of hospital and nursing home patients due to disasters. We are performing this work under the Comptroller General's authority to conduct evaluations on his own initiative. To conduct our review, we obtained …
Date: February 16, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Implementation of OMB Circular No. A-76 at Science Agencies (open access)

Implementation of OMB Circular No. A-76 at Science Agencies

Correspondence issued by the Government Accountability Office with an abstract that begins "Congress requested that GAO determine how the Department of Commerce (National Institute for Standards and Technology and the National Oceanic and Atmospheric Administration), the Department of Energy, the Environmental Protection Agency (EPA), and the National Aeronautics and Space Administration (NASA) have implemented the May 2003 revised Office of Management and Budget (OMB) Circular A-76 process, which seeks to put commercial activities now performed by government out for public-private competition. Congress was particularly interested in outcomes where public-private competitions resulted in commercial activities being contracted out to the private sector. On December 14, 2006, we briefed Congress on the preliminary results of our review. This report is an updated version of the briefing document we used."
Date: March 16, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Federal Highway Funding by Program and Type of Roadway, With Related Safety Data (open access)

Federal Highway Funding by Program and Type of Roadway, With Related Safety Data

Correspondence issued by the General Accounting Office with an abstract that begins "The National Association of Counties contends that rural roads do not receive the level of funding needed to make these roads safer. Rural local roads, which account for more than half of the 8.2 million miles of roadways in the United States, had the highest rate of fatalities per vehicle mile traveled of all types of roadways--over six times that of urban interstates. This report reviews federal highway funding on a state-by-state basis for fiscal years 1992 through 2000 by individual federal highway program and type of roadway. GAO found that about 59 percent of all federal highway funds available to states during fiscal years 1992 through 2000 were spent on urban roads; the rest went to rural roads. Although only about 40 percent of all vehicle miles were traveled on rural roads, about 60 percent of the traffic accident fatalities in 1999 took place on rural roads. The four largest federal highway aid programs that provided funding were the Surface Transportation, National Highway System, Interstate Maintenance, and Bridge Replacement Programs."
Date: July 16, 2001
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the National Society Daughters of the American Colonists for Fiscal Year 1999 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Report for the National Society Daughters of the American Colonists for Fiscal Year 1999

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the audit report covering the financial statements of the National Society Daughters of the American Colonists for the fiscal year ended February 28, 1999, focusing on whether the audit report complied with the financial reporting requirements of the law."
Date: June 16, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Department of Veterans Affairs' Lack of Timely and Accurate Information on Unexpended Balances Limits Effective Management and Congressional Oversight (open access)

Department of Veterans Affairs' Lack of Timely and Accurate Information on Unexpended Balances Limits Effective Management and Congressional Oversight

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) holds about 5 percent of the real property owned by the federal government in terms of building floor area, including such facilities as hospitals and office buildings. VA's responsibility for managing its real property includes the construction of its facilities and cemeteries. Because these construction projects can span several years, VA is authorized to carry forward fund balances from year to year in its construction accounts. VA is responsible for keeping track of and managing these balances to ensure that any unexpended balances that remain after construction projects are completed are redirected to other construction project needs within the agency. VA's budgets for new construction exist in two accounts--Major Construction and Minor Construction--which are funded as separate line items within the appropriation. For purposes of this report, we refer to the Major and Minor Construction accounts as VA's construction accounts. Construction projects undertaken to replace existing facility components are funded through the Non-Recurring Maintenance (NRM) portion of the Medical Facilities budget account. For purposes of this report, we refer to the NRM as VA's facility account. Under the Comptroller General's authority to …
Date: May 16, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
The Results Act: Observations on the U.S. Export-Import Bank's Draft Fiscal Years 2001-06 Strategic Plan (open access)

The Results Act: Observations on the U.S. Export-Import Bank's Draft Fiscal Years 2001-06 Strategic Plan

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the U.S. Export-Import Bank's (Eximbank) draft fiscal years 2001-2006 strategic plan, focusing on the: (1) improvements made to the February 1999 draft strategic plan; and (2) areas where Eximbank's draft strategic plan could better meet the Government Performance and Results Act of 1993 and related guidance."
Date: February 16, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Defense Management: Installation of Telecommunications Equipment in the Homes of Volunteers (open access)

Defense Management: Installation of Telecommunications Equipment in the Homes of Volunteers

Correspondence issued by the General Accounting Office with an abstract that begins "The National Defense Authorization Act for Fiscal Year 2000 required that GAO review the Department of Defense's (DOD) use of the authority to install telephone lines and any necessary telecommunications equipment in the homes of persons who provide voluntary services for the military. These volunteers, in addition to their other social service activities, provide a link between military units and the families of servicemembers deployed away from home. The legislation required us to submit the results of our review within 2 years after the department issued implementing regulations. The department issued its regulation in March 2002. This report discusses (1) the extent of the military services' use of the authority and (2) the internal controls that have been established to ensure equipment is used only for authorized purposes."
Date: June 16, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Federal Funds: Fiscal Year 2001 Expenditures by Selected Organizations Involved in Health-Related Activities (open access)

Federal Funds: Fiscal Year 2001 Expenditures by Selected Organizations Involved in Health-Related Activities

Correspondence issued by the General Accounting Office with an abstract that begins "This report responds to a Congressional request that we provide information on expenditures of federal funds by several organizations and their affiliates--the Planned Parenthood Federation of America, the Population Council, the International Planned Parenthood Federation, The Alan Guttmacher Institute, Advocates for Youth, and the Sexuality Information and Education Council of the United States (SIECUS)--all of which are involved in health-related activities. Specifically, we identified (1) fiscal year 2001 expenditures of federal funds that supported the domestic health-related activities of the organizations, the federal agencies that provided the funds, and the congressional committees with jurisdiction over legislation authorizing or appropriating the federal funds, and (2) fiscal year 2001 expenditures of federal funds that supported the international health-related activities of the organizations, the federal agencies that provided the funds, and the congressional committees with jurisdiction over legislation authorizing or appropriating the federal funds. This information updates our November 13, 2001, report that provided expenditure information for fiscal years 1999 and 2000."
Date: May 16, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Loan Performance and Negative Home Equity in the Nonprime Mortgage Market (open access)

Loan Performance and Negative Home Equity in the Nonprime Mortgage Market

Correspondence issued by the Government Accountability Office with an abstract that begins "As GAO reported to Congress in July 2009, the number of nonprime mortgage originations (including subprime and Alt-A loans) grew rapidly from 2000 through 2006, a period during which average house prices appreciated dramatically. In dollar terms, the nonprime share of mortgage originations rose from about 12 percent ($125 billion) in 2000 to approximately 34 percent ($1 trillion) in 2006. These mortgages have been associated with what was subsequently recognized as a speculative housing bubble. As house prices subsequently fell, the subprime and Alt-A market segments contracted sharply, and very few nonprime originations were made after mid-2007. Borrowers who had obtained nonprime mortgages earlier in the decade increasingly fell behind on their mortgage payments, helping to push default and foreclosure rates to historical highs. Economic conditions and a weak housing market have contributed to the increase in troubled loans. In particular, falling house prices have left many borrowers in a negative equity position--that is, their mortgage balances exceed the current value of their homes. Negative equity makes borrowers more vulnerable to foreclosure by, among other factors, limiting their ability to sell or refinance their homes in the event …
Date: December 16, 2009
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
DOD Health Care: Prohibition on Financial Incentives That May Influence Health Insurance Choices for Retirees and Their Dependents under Age 65 (open access)

DOD Health Care: Prohibition on Financial Incentives That May Influence Health Insurance Choices for Retirees and Their Dependents under Age 65

Correspondence issued by the Government Accountability Office with an abstract that begins "From fiscal years 2001 through 2010, the Department of Defense's (DOD) spending for health care increased from about $19 billion to nearly $49 billion, representing approximately 6 percent of DOD's total spending in fiscal year 2001 and approximately 9 percent in fiscal year 2010. This health care spending primarily funds TRICARE--DOD's program that provides health care to active duty personnel and other beneficiaries, including retired servicemembers. According to DOD, the increase in its health care spending can be attributed to factors such as growth in the number of TRICARE beneficiaries. From fiscal years 2001 through 2010, the number of TRICARE beneficiaries increased by nearly 15 percent, from 8.3 million to 9.5 million beneficiaries. To help reduce DOD's health care costs, Congress passed section 707 of the John Warner National Defense Authorization Act for Fiscal Year 2007 (section 707), which went into effect January 1, 2008. Section 707 prohibits employers with 20 or more employees from offering financial or other incentives to their employees who are eligible for TRICARE to not enroll in the employer-sponsored health insurance plan or to terminate such coverage. Historically, some employers offered financial or …
Date: February 16, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Bureau of the Public Debt: Areas for Improvement in Information Security Controls (open access)

Bureau of the Public Debt: Areas for Improvement in Information Security Controls

Correspondence issued by the Government Accountability Office with an abstract that begins "In connection with fulfilling our requirement to audit the financial statements of the U.S. government, we audited and reported on the Schedules of Federal Debt Managed by the Bureau of the Public Debt (BPD) for the fiscal years ended September 30, 2005 and 2004. As part of these audits, we performed a review of the general and application information security controls over key BPD financial systems. This report presents the issues identified during our fiscal year 2005 testing of the general and application information security controls that support key BPD automated financial systems relevant to BPD's Schedule of Federal Debt. This report also includes the results of our follow-up on the status of BPD's corrective actions to address recommendations that were contained in our prior years' audits and open as of September 30, 2004. We also assessed the general and application information security controls over key BPD financial systems that the Federal Reserve Banks (FRB) maintain and operate on behalf of BPD. We will issue a separate report to the Board of Governors of the Federal Reserve System on the results of such testing."
Date: March 16, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
B-2 Bomber: Review of the Air Force's Decision to Change Extremely High Frequency Satellite Communications Antennas (open access)

B-2 Bomber: Review of the Air Force's Decision to Change Extremely High Frequency Satellite Communications Antennas

Correspondence issued by the Government Accountability Office with an abstract that begins "The B-2 bomber is a low-observable, long-range strike aircraft capable of entering heavily defended areas to deliver both conventional and nuclear weapons. The B-2 currently uses an ultra high frequency (UHF) satellite communications system, but because of aging military satellites, the Air Force determined a new communications system was needed. As a result, the Air Force began an incremental acquisition approach for replacing the B-2's existing UHF satellite communications system with an extremely high frequency (EHF) communications capability. The first increment, which is expected to begin production in late fiscal year 2011, is designed to upgrade computer system speed and storage capacity. The second increment is expected to provide secure, survivable strategic communications connectivity, thus allowing B-2 pilots to receive emergency action messages during strategic operations--an EHF capability that U.S. Strategic Command has stated it needs by fiscal year 2016. The third increment is intended to enable the EHF system to connect with the Global Information Grid. The focus of our review was the second increment, which is scheduled to enter the engineering and manufacturing development (EMD) phase in early fiscal year 20131 and has an estimated total …
Date: December 16, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
MSHA's Revised Hiring Process Has Improved the Agency's Recruiting Efforts, but Its Human Capital Strategic Plan Does Not Adequately Project or Address Its Future Workforce Needs (open access)

MSHA's Revised Hiring Process Has Improved the Agency's Recruiting Efforts, but Its Human Capital Strategic Plan Does Not Adequately Project or Address Its Future Workforce Needs

Correspondence issued by the Government Accountability Office with an abstract that begins "In 2003, GAO recommended that the Mine Safety and Health Administration (MSHA) develop a plan for addressing anticipated shortages in the number of qualified inspectors due to upcoming retirements, including considering options such as streamlining the agency's hiring process and offering retention bonuses. As you requested, we conducted follow-up work on the implementation of this recommendation. We reviewed MSHA's human capital planning documents and obtained data on the number of inspectors employed by MSHA and the number of them eligible for retirement. In addition, we interviewed officials responsible for MSHA's human resources department, officials in MSHA's district offices, and officials at the National Mine Health and Safety Academy. We completed our work between June 2006 and March 2007 in accordance with generally accepted government auditing standards. In 2004, MSHA began a new process for hiring mine inspectors under the auspices of the Federal Career Intern Program (FCIP)--a federal program designed to recruit and retain high caliber candidates and develop their professional abilities. The use of the FCIP has led to a number of improvements in inspector recruiting and hiring, such as being able to identify applicants with the …
Date: May 16, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Acquisition Workforce: DOD's Efforts to Rebuild Capacity Have Shown Some Progress (open access)

Acquisition Workforce: DOD's Efforts to Rebuild Capacity Have Shown Some Progress

Testimony issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) is the government's largest buying entity and has recognized that rebuilding the acquisition workforce is a strategic priority. The federal government's current budget and long-term fiscal pressures underscore the importance of a capable and well-functioning workforce. GAO and others have long recognized that the size and capabilities of the workforce across the government warrant the attention of the Congress. This statement discusses (1) DOD's progress in addressing challenges faced in rebuilding the capacity of the acquisition workforce, and (2) insights into the efforts by the Defense Contract Management Agency (DCMA) to rebuild its contract oversight capacity. This statement is drawn from our broad body of work on DOD contract management and acquisition workforce as well as a report issued earlier this month on DCMA's efforts to rebuild capacity. We also obtained updated information from DOD with regard to its acquisition workforce competency assessments and workforce hiring.."
Date: November 16, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Financial Audit: Bureau of Consumer Financial Protection's Fiscal Years 2013 and 2012 Financial Statements (open access)

Financial Audit: Bureau of Consumer Financial Protection's Fiscal Years 2013 and 2012 Financial Statements

Correspondence issued by the Government Accountability Office with an abstract that begins ""
Date: December 16, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Capitol Power Plant Utility Tunnels (open access)

Capitol Power Plant Utility Tunnels

Correspondence issued by the Government Accountability Office with an abstract that begins "The Architect of the Capitol (AOC), through the Capitol Power Plant (CPP), operates five walkable utility tunnels containing steam and chilled water pipes associated with serving the heating and cooling requirements of the U.S. Capitol and 23 surrounding facilities. The tunnels also carry other utilities, such as fiber optic and telephone lines. The Office of Compliance (OOC), which is responsible for advancing safety, health, and workplace rights in the legislative branch, and the tunnel workers have raised concerns about health and safety issues in the tunnels. Specifically, in March 2006, the utility tunnel workers sent a letter to Congress complaining of unsafe working conditions in the tunnels, including falling concrete, asbestos, and extreme heat. In February 2006, OOC filed a complaint against AOC concerning hazards in the tunnels, including falling concrete, an inadequate communication system for these confined spaces, and inadequate escape exits. According to OOC officials, these conditions had been previously brought to the attention of AOC by OOC inspectors as early as 1999. Following a reinspection in mid-2005, OOC determined that AOC had not made sufficient progress in addressing them and that conditions in the tunnels …
Date: November 16, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Information Security: Subcommittee Post-Hearing Questions Concerning the Additional Actions Needed to Implement Reform Legislation (open access)

Information Security: Subcommittee Post-Hearing Questions Concerning the Additional Actions Needed to Implement Reform Legislation

Correspondence issued by the General Accounting Office with an abstract that begins "This report reviews efforts by the Office of Management and Budget (OMB), 24 of the largest federal agencies, and the agencies' inspectors general to implement requirements set forth as part of the National Defense Authorization Act for Fiscal Year 2001. GAO discusses (1) OMB's assessment of the top six security weaknesses within federal agencies, (2) information security weaknesses in federal information systems, and (3) the most significant barriers to securing federal information technology resources and what can be done to overcome these barriers."
Date: April 16, 2002
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Group Purchasing Organizations: Use of Contracting Processes and Strategies to Award Contracts for Medical-Surgical Products (open access)

Group Purchasing Organizations: Use of Contracting Processes and Strategies to Award Contracts for Medical-Surgical Products

A statement of record issued by the General Accounting Office with an abstract that begins "Hospitals have increasingly relied on purchasing intermediaries--GPOs--to keep the cost of medical-surgical products in check. By pooling purchases for their hospital customers, GPOs'in awarding contracts to medical-surgical product manufacturers--may negotiate lower prices for these products. Some manufacturers contend that GPOs are slow to select products to place on contract and establish high administrative fees that make it difficult for some firms to obtain a GPO contract. The manufacturers also express concern that certain contracting strategies to obtain better prices have the potential to limit competition when practiced by GPOs with a large share of the market. GAO was asked to examine certain GPO business practices. It focused on seven large GPOs serving hospitals nationwide regarding (1) their processes to select manufacturers' products for their hospital customers and the level of administrative fees they receive from manufacturers, (2) their use of contracting strategies to obtain favorable prices from manufacturers, and (3) recent initiatives taken to respond to concerns about GPO business practices."
Date: July 16, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library