Correspondence issued by the General Accounting Office with an abstract that begins "This correspondence answers congressional questions about financial and information technology management of the Medicare Program. Among the topics discussed are claims processing, management of statistical data, and computer viruses. For example, in reference to claims processing, GAO found that, as of December 2000, Medicare carriers and fiscal intermediaries use six standard claims processing systems to process Medicare part A and B claims. Each contractor relies on one of these standard systems to process its claims, and adds its own front-end and back-end processing systems. These claims processing systems date back as far as 1982. In reference to the management of statistical data, GAO found that the Health Care Financing Administration's (HCFA) common working file provides individual beneficiary claims data to HCFA's National Claims History File, which is used as the source of statistical information on Medicare and medical data. HCFA officials were unaware of any system outside HCFA from which this type of data could be obtained. Finally, regarding computer viruses, a HCFA information technology security official told GAO that the "I LOVE YOU" virus did not contaminate its systems. The official said the virus did not harm …

Correspondence issued by the General Accounting Office with an abstract that begins "As part of their plan to form an international alliance, American Airlines (AA) and British Airways (BA) have sought immunity from antitrust laws in the United States and Europe. The extent to which the alliance might come to dominate the routes between major U.S. cities and London will depend on whether other airlines are able to enter this market under an open skies agreement. Some passengers may benefit from the larger network created by an AA/BA alliance, but GAO believes that the overall benefits of such an alliance may be limited for several reasons. First, continuing constraints in slots, gates, and terminal facilities at London's Heathrow Airport and BA's corporate strategy for reducing its overall capacity would limit potential benefits. Second, several carriers are already serving many of the markets that the AA/BA alliance plans to serve. Third, neither AA nor BA claim that the alliance would generate substantial operational savings that could be passed on to stockholders, employees, and customers. A full review of the competitive effects of this and other alliances is needed because GAO's analysis suggests that a grant of antitrust immunity could enable the …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Department of Veteran Affairs' (VA) laundry support services, focusing on: (1) the type and volume of laundry service VA provides; (2) how VA provides laundry services; (3) the cost VA incurs; and (4) the revenue VA generates from selling laundry services."

Correspondence issued by the General Accounting Office with an abstract that begins "The General Services Administration's (GSA) two online procurement systems--GSA Advantage! and information Technology Solutions Shop--lack basic management controls to ensure the systems produce reliable data, can not be inappropriately modified, and provide continuous service. These controls are increasingly important because government agencies are expected to increase their use of these systems and GSA relies heavily on contractors for systems operations and maintenance. Moreover, Congress and other oversight entities need to be able to rely on these systems to assess the effectiveness of government contracting programs."

A letter report issued by the General Accounting Office with an abstract that begins "Management of the U.S. Postal Service's (USPS) e-commerce program has been fragmented, and implementation of e-commerce initiatives has varied at different business units. Overall, USPS' performance in this area has fallen short of expectations. Last year, the Postmaster General announced a sweeping management restructuring that changed both the reporting structure and program managers. USPS also revised its procedures for approving and implementing new Internet initiatives, including e-commerce. However, concerns persist about whether USPS' e-commerce initiatives are being cross-subsidized by other postal products and services. USPS managers contend that e-commerce products and services must cover their incremental costs. GAO found that this goal has not been met and it is unclear when it might be achieved. Without accurate, complete, and consistent financial information, USPS cannot assess its progress toward its financial performance goals for e-commerce. USPS also lacks clear and comprehensive policies and procedures for reporting direct and indirect revenues and costs for e-commerce and other new products and services. As a result, reporting inconsistencies are likely to continue. In contrast, USPS has reportedly developed privacy policies and practices for its e-commerce customers that exceed those required …

A letter report issued by the Government Accountability Office with an abstract that begins "Outpatient medical appointment wait times reported by the Veterans Health Administration (VHA), within the Department of Veterans Affairs (VA), are unreliable. Wait times for outpatient medical appointments--referred to as medical appointments--are calculated as the number of days elapsed from the desired date, which is defined as the date on which the patient or health care provider wants the patient to be seen. The reliability of reported wait time performance measures is dependent on the consistency with which schedulers record the desired date in the scheduling system in accordance with VHA's scheduling policy. However, VHA's scheduling policy and training documents for recording desired date are unclear and do not ensure consistent use of the desired date. Some schedulers at Veterans Affairs medical centers (VAMC) that GAO visited did not record the desired date correctly. For example, three schedulers changed the desired date based on appointment availability; this would have resulted in a reported wait time that was shorter than the patient actually experienced. VHA officials acknowledged limitations of measuring wait times based on desired date, and described additional information used to monitor veterans' access to medical appointments, …

Correspondence issued by the General Accounting Office with an abstract that begins "The 1997 peer review of the Department of Defense (DOD) Inspector General (IG) done by the Environmental Protection Agency IG resulted in a qualified opinion. The peer review report questioned the quality assurance system used by the DOD IG and said that the reviewed audits did not fully comply with Government Auditing Standards. The 2000 peer review done by the Department of the Treasury IG for Tax Administration (TIGTA) also resulted in a unqualified opinion. Although TIGTA cited several problems, the peer review report concluded that the quality assurance system used by the DOD IG reasonably ensured compliance with auditing standards. However, after the peer review had been completed, a letter was sent to Congress, the press, and others questioning the integrity of the documentation that the DOD IG provided to the TIGTA peer review staff. A DOD IG internal investigation later confirmed that the work papers for one of the audits chosen for peer review had been altered and destroyed. The report concluded that these actions violated Government Auditing Standards, internal DOD IG audit policies, and the expectations of the external peer review staff. TIGTA then withdrew …

Correspondence issued by the General Accounting Office with an abstract that begins "This letter responds to allegations of improper conduct by senior Federal Bureau of Investigations (FBI) personnel in connection with an October 1997 retirement dinner for former FBI Assistant Director Larry Potts. The allegations asserted that a conference was scheduled at the FBI Training Academy in Quantico, Virginia, to provide a reason for senior FBI personnel to travel to Mr. Potts' retirement dinner in Arlington, Virginia, at government expense. GAO determined that the October 1997 FBI investigation of the alleged improper scheduling of a training conference was thorough. FBI and Justice Department investigators reviewed the actions of eight FBI Senior Executive Service (SES) employees. The FBI's Deputy Director issued letters of censure to three of the eight. Two individuals retired before receiving proposed letters of censure. The three remaining individuals were not disciplined because they either had attended both the training conference and the retirement dinner or had some other explanation for traveling to Washington, D.C. The FBI's Law Enforcement Ethics Unit did a study in September 1999 that concluded that a perception existed of a double standard in disciplining SES and non-SES employees. The travel cost to the …

A letter report issued by the Government Accountability Office with an abstract that begins "Pandemic influenza poses a threat to public health at a time when the United Nations' World Health Organization (WHO) has said that infectious diseases are spreading faster than at any time in history. The last major influenza pandemic occurred from 1918 to 1919. Estimates of deaths worldwide if a similar pandemic were to occur have ranged between 30 million and 384 million people. Individual countries and international organizations have developed and begun to implement a strategy for forestalling (that is, containing, delaying, or minimizing the impact of) the onset of a pandemic. Antivirals and vaccines may help forestall a pandemic. GAO was asked to examine (1) constraints upon the use of antivirals and vaccines to forestall a pandemic and (2) efforts under way to overcome these constraints. GAO reviewed documents and consulted with officials of the Departments of State and Health and Human Services (HHS), international organizations, and pharmaceutical manufacturers. WHO commented that the report was comprehensive and useful. HHS stressed that vaccines and antivirals must be viewed in a larger context. State and HHS commented that the term "forestall" is ambiguous and misleading. However, GAO …

A letter report issued by the Government Accountability Office with an abstract that begins "The National Aeronautics and Space Administration (NASA) plans to spend over $100 billion on capabilities and technologies to achieve the initial goals of the President's 2004 Vision for Space Exploration. In the past, NASA has had difficulty meeting cost, schedule, and performance objectives for some of its projects because it failed to adequately define project requirements and quantify resources. NASA will be further challenged by a constrained federal budget and a shrinking experienced NASA workforce. To help face these challenges and manage projects with greater efficiency and accountability, NASA recently updated its program and project management policy and is developing an agencywide systems engineering policy. GAO has issued a series of reports on the importance of obtaining critical information and knowledge at key junctures in major system acquisitions to help meet cost and schedule objectives. This report (1) evaluates whether NASA's policy supports a knowledge-based acquisition approach and (2) describes how NASA centers are implementing the agency's acquisition policies and guidance."

Correspondence issued by the General Accounting Office with an abstract that begins "From October 1998 through August 2000, the Small Business Administration's (SBA) Deputy Associate Administrator for Communications made 50 trips at a total cost to the government of $58,840. At least 39 of these trips were made in conjunction with trips by the SBA Administrator. Of the remaining 11 trips, the travel vouchers and authorizations for eight contained no reference to the Administrator and the other three were to attend training sessions."

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Commerce's (Commerce) Economic Development Administration (EDA) Reauthorization Act of 2004 directed us to regularly review the implementation of two authorities granted to the Secretary of Commerce: (1) allowing excess funds from projects constructed under projected cost to be reinvested in new or existing projects and (2) establishing a performance award process for grant recipients that meet or exceed performance measures established in connection with the grant. This report (1) discusses EDA's authority to reinvest excess funds and provides information on the portion of these funds EDA has had to return to the U.S. Treasury and (2) describes the status of the performance award system and identifies some steps EDA could take to develop a useful performance award system."

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the progress of the Department of Defense's (DOD) and Military Traffic Management Command's (MTMC) pilot program for the shipment of personal property, focusing on: (1) preliminary pilot results; (2) DOD's assessment of the industry proposal; and (3) MTMC's plan for assessing the pilot's results."

Correspondence issued by the Government Accountability Office with an abstract that begins "This letter responds to follow-up questions about our September 14, 2005, testimony before Congress. In that testimony, we discussed the Federal Bureau of Investigation's (FBI) progress in building management capabilities essential to successfully modernizing its information technology (IT) systems. Systems modernization is a vital part of the FBI's ongoing efforts to transform itself in the wake of the September 11, 2001, terrorist attacks."

A letter report issued by the Government Accountability Office with an abstract that begins "A number of factors—both external and internal to the Veterans Benefits Administration (VBA)—have contributed to the increase in processing timeframes and subsequent growth in the backlog of veterans’ disability compensation claims. As the population of new veterans has swelled in recent years, the annual number of claims received by VBA has gone up. Compared to the past, these claims have a higher number of disabling conditions, and some of these conditions, such as traumatic brain injuries, make their assessment complex. Moreover, due to new regulations that have established eligibility for benefits for new diseases associated with Agent Orange exposure, VBA adjudicated 260,000 previously denied and new claims. Beyond these external factors, issues with the design and implementation of the compensation program have contributed to timeliness challenges. For example, the law requires the Department of Veterans Affairs (VA) to assist veterans in obtaining records that support their claim. However, VBA officials said that lengthy timeframes in obtaining military records—particularly for members of the National Guard and Reserve—and Social Security Administration (SSA) medical records impact VA’s duty to assist, possibly delaying a decision on a veteran’s disability claim. …

A letter report issued by the Government Accountability Office with an abstract that begins "(DOD) TRICARE Reserve Select (TRS) program allows most reservists to purchase coverage under TRICARE, the military health insurance program, when not on active duty. DOD intends to set premiums at a level equal to the expected costs of providing TRS benefits. The National Defense Authorization Act for 2007 required GAO to review TRS costs. As discussed with the committees of jurisdiction, GAO compared (1) the TRS premiums established by DOD to the reported costs of providing benefits under TRS in 2006 and (2) DOD's projected costs for TRS before implementation to DOD's reported costs for the program in 2005 and 2006. To do this work, GAO examined DOD analyses and interviewed DOD officials and external experts."

Correspondence issued by the Government Accountability Office with an abstract that begins "This report formally transmits our briefing on acquisition management for the European Phased Adaptive Approach (EPAA). This is one of two products we are issuing in response to congressional October 13, 2009 request that we evaluate the Department of Defense's (DOD) plans for implementing EPAA. We provided congressional staff a draft copy of this briefing in a meeting with them on September 22, 2010. We do not make any recommendations in the briefing. We will issue a final report on broader issues of European missile defense that will include the material in the briefing. That final product will have recommendations, as appropriate. For the briefing we sought to answer two questions: (1) What key acquisition planning and management practices are in place for EPAA? (2) Are there near-term development risks for EPAA?"

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) Defense Export Loan Guarantee (DELG) Program, focusing on: (1) the level of program activity to date; (2) the program's financial status; (3) other sources of financing available to borrowing countries; (4) comparing DELG Program characteristics with other U.S. government export financing programs; and (5) examining issues related to the planned fiscal year 1999 transfer of DELG Program responsibilities within DOD."

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Energy (DOE) manages the nation's nuclear weapons production complex, cleans up the environmental legacy from the production of nuclear weapons, and conducts research and development into both energy and basic science. DOE launched several reforms in the 1990s to realign its organizational structure, reduce its workforce, strengthen contracting procedures by competitive awards practices, streamline oversight of activities, and delegate some responsibilities to the private sector. Despite these reforms, GAO found that management weaknesses persist because DOE's reforms were piecemeal solutions whose effect has been muted by three impediments to fundamental improvement: the department's diverse missions, dysfunctional organizational structure, and weak control of accountability. Management weaknesses and performance problems will likely continue unless DOE addresses these impediments in a comprehensive fashion."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the: (1) amount of federal funding and support provided to the 1984 Olympic Games held in Los Angeles, California, and the 1996 Olympic Games held in Atlanta, Georgia, and the planned amount for the 2002 Winter Olympic Games in Salt Lake City, Utah; (2) types of Olympic-related projects and activities receiving federal funding and support; (3) federal policies and legislative authorizations for providing federal funding and support; and (4) procedures existing to ensure that federal funding and support were properly awarded and used."

A letter report issued by the General Accounting Office with an abstract that begins "GAO audited the financial statement for the Senate Stationary Room Revolving Fund for fiscal year 2000. GAO found that (1) the statement is presented fairly in all material respects; (2) although internal control should be improved, the Stationary Room had effective internal controls over financial reporting and compliance with laws and regulations; and (3) there was no reportable noncompliance with selected provisions of laws and regulations GAO tested."

A letter report issued by the General Accounting Office with an abstract that begins "Despite the recent success of casino gaming and other business ventures undertaken by some Native Americans and Alaska Natives, unemployment and poverty remain widespread in these communities. Many federal programs are available to help Native Americans with economic development, and some tribes are using these programs. Although agencies reported that their programs helped to create and retain jobs, little is known about the effectiveness of these programs. The preparation of performance plans and reports, the designation of agency points of contact, and the establishment of a single office to coordinate federal programs relating to Indian economic development could improve Native Americans' access to federal programs and provide federal decisionmakers with valuable performance information."

A letter report issued by the General Accounting Office with an abstract that begins "GAO assessed the Internal Revenue Service's (IRS) performance in the following five key tax filing season activities: (1) processing individual tax returns and refunds, (2) increasing the extent to which individual income tax returns are filed electronically, (3) answering telephone calls and providing quality telephone service, (4) providing accurate and timely face-to-face assistance at its Taxpayer Assistance Centers (TAC), and (5) providing services via the Internet. GAO found that IRS' performance during the 2001 filing season varied. Although there was less information available on which to base a judgement than in past filing seasons, IRS' processing of 130 million individual income tax returns and 94 million refunds in 2001 went smoothly. IRS addressed problems quickly, with relatively minor impact on taxpayers. About 31 percent of all individual income tax returns were filed electronically in 2001--an increase of 13.7 percent compared to 2000. That rate of increase was below IRS' goal of 20 percent and the lowest percentage since 1996. IRS has identified several impediments, but it lacks enough information to determine why about 40 million individual income tax returns were prepared on computers but filed on …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO examined the assets the Department of Defense (DOD) has contributed to reducing the illegal drug supply, focusing on: (1) DOD's plan for supporting U.S. counterdrug efforts and how DOD measures its effectiveness; (2) changes in the level of DOD support for counterdrug activities from fiscal year (FY) 1992 through FY 1999 and the reasons for the changes; and (3) obstacles DOD faces in providing counterdrug assistance to foreign governments."