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Medicare+Choice: Payments Exceed Cost of Fee-for-Service Benefits, Adding Billions to Spending (open access)

Medicare+Choice: Payments Exceed Cost of Fee-for-Service Benefits, Adding Billions to Spending

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed Medicare Choice program payment issues, focusing on: (1) whether program spending for Medicare Choice plan enrollees has exceeded what Medicare-covered care for these beneficiaries would have cost in the fee-for-service (FFS) Medicare program; and (2) the extent to which payments to individual plans differ from expected FFS costs."
Date: August 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Defense Logistics: Actions Needed to Enhance Success of Reengineering Initiatives (open access)

Defense Logistics: Actions Needed to Enhance Success of Reengineering Initiatives

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Department of Defense's (DOD) logistics reengineering initiatives, focusing on: (1) what actions are underway and how complete the Department's plans for reengineering are; (2) what the potential effect of the reengineering effort is on combat forces; and (3) what factors could limit the achievement of reengineering goals."
Date: June 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Medicare Quality of Care: Oversight of Kidney Dialysis Facilities Needs Improvement (open access)

Medicare Quality of Care: Oversight of Kidney Dialysis Facilities Needs Improvement

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) processes to ensure that dialysis facilities meet quality-of-care standards, focusing on: (1) the extent to which on-site inspections of dialysis facilities are performed and problems are identified; (2) whether an effective process exists to ensure that dialysis facilities correct problems; and (3) what steps are being taken to use available monitoring resources as effectively as possible."
Date: June 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Customs Service: Information on the Design of the Self-Inspection Program (open access)

Customs Service: Information on the Design of the Self-Inspection Program

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the design and implementation of the Customs Service's Self-Inspection Program (SIP), focusing on: (1) SIP's principal features; (2) the basis for Customs' design for SIP; (3) how SIP differs from Customs' previous management inspection program; and (4) SIP design issues identified by Customs to date and what Customs is doing to respond to them."
Date: June 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Defense Inventory: Actions Needed to Evaluate Supply Purchase Options for Facilities Maintenance (open access)

Defense Inventory: Actions Needed to Evaluate Supply Purchase Options for Facilities Maintenance

A letter report issued by the General Accounting Office with an abstract that begins "GAO provided information on the Department of Defense's (DOD) efforts to implement the maintenance, repair, and operations prime vendor program, focusing on: (1) how much the program is being used and how selected installations are using the program; and (2) whether DOD has a mechanism for evaluating the program's effectiveness relative to other procurement alternatives and for identifying and addressing implementation obstacles."
Date: August 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Defense Inventory: Army Needs to Strengthen and Follow Procedures to Control Shipped Items (open access)

Defense Inventory: Army Needs to Strengthen and Follow Procedures to Control Shipped Items

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Army's procedures for tracking and controlling spare parts and other inventory items that have been shipped from one location to another to support military forces, focusing on the: (1) extent to which the Army can identify inventory lost during shipment; and (2) Army's adherence to procedures for controlling shipped inventory."
Date: June 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Military Personnel: Services Need to Assess Efforts to Meet Recruiting Goals and Cut Attrition (open access)

Military Personnel: Services Need to Assess Efforts to Meet Recruiting Goals and Cut Attrition

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the military services' efforts to meet their recruiting goals and cut attrition, focusing on the services': (1) responses to recent recruiting shortfalls; and (2) efforts to reduce their historically high attrition rates for first-term enlistees."
Date: June 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Banking Taxation: Implications of Proposed Revisions Governing S-Corporations on Community Banks (open access)

Banking Taxation: Implications of Proposed Revisions Governing S-Corporations on Community Banks

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO: (1) analyzed possible revisions to the tax rules governing S-corporations; and (2) determined the potential impact such revisions might have, primarily on community banks."
Date: June 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Medicare Contractors: Further Improvement Needed in Headquarters and Regional Office Oversight (open access)

Medicare Contractors: Further Improvement Needed in Headquarters and Regional Office Oversight

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) recent efforts to address weaknesses in how the central office and regional offices work together to oversee Medicare contractors, and the continuing management challenges HCFA faces."
Date: March 23, 2000
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Basis for Selection of a Residual Waste Retrieval System for Gunite and Associated Tank W-9 at the Oak Ridge National Laboratory (open access)

Basis for Selection of a Residual Waste Retrieval System for Gunite and Associated Tank W-9 at the Oak Ridge National Laboratory

Waste retrieval and transfer operations at the Gunite{trademark} and Associated Tanks (GAATs) Remediation Project have been successfully accomplished using the Tank Waste Retrieval System. This system is composed of the Modified Light-Duty Utility Arm, Houdini Vehicle, Waste Dislodging and Conveyance System, Hose Management Arm, and Sludge Conditioning System. GAAT W-9 has been used as a waste-consolidation and batch-transfer tank during the retrieval of sludges and supernatants from the seven Gunite tanks in the North and South tank farms at Oak Ridge National Laboratory. Tank W-9 was used as a staging tank for the transfers to the Melton Valley Storage Tanks (MVSTs). A total of 18 waste transfers from W-9 occurred between May 25, 1999, and March 30, 2000. Most of these transfers were accomplished using the PulsAir Mixer to mobilize and mix the slurry and a submersible retrieval-transfer pump to transfer the slurry through the Sludge Conditioning System and the {approx}1-mile long, 2-in.-diam waste-transfer line to the MVSTs. The transfers from W-9 have consisted of low-solids-content slurries with solids contents ranging from {approx}2.8 to 6.8 mg/L. Of the initial {approx}88,000 gal of wet sludge estimated in the GAATs, a total of {approx}60,451 gal have been transferred to the MVSTs via …
Date: October 23, 2000
Creator: Lewis, B. E.
System: The UNT Digital Library
WIPP Sampling and Analysis Plan for Solid Waste Management Units and Areas of Concern. (open access)

WIPP Sampling and Analysis Plan for Solid Waste Management Units and Areas of Concern.

This Sampling and Analysis Plan (SAP) has been prepared to fulfill requirements of Module VII, Section VII.M.2 and Table VII.1, requirement 4 of the Waste Isolation Pilot Plant (WIPP) Hazardous Waste Permit, NM4890139088-TSDF (the Permit); (NMED [New Mexico Environment Department], 1999a). This SAP describes the approach for investigation of the Solid Waste Management Units (SWMU) and Areas of Concern (AOC) specified in the Permit. This SAP addresses the current Permit requirements for a RCRA Facility Investigation(RFI) investigation of SWMUs and AOCs. It uses the results of previous investigations performed at WIPP and expands the investigations as required by the Permit. As an alternative to the RFI specified in Module VII of the Permit, current NMED guidance identifies an Accelerated Corrective Action Approach (ACAA) that may be used for any SWMU or AOC (NMED, 1998). This accelerated approach is used to replace the standard RFI work plan and report sequence with a more flexible decision-making approach. The ACAA process allows a facility to exit the schedule of compliance contained in the facility's Hazardous and Solid Waste Amendments (HSWA) permit module and proceed on an accelerated time frame. Thus, the ACAA process can beentered either before or after a RFI work plan. …
Date: May 23, 2000
Creator: Washington TRU Solutions, LLC
System: The UNT Digital Library
A Layer MDT Octant Supprt Analysis (open access)

A Layer MDT Octant Supprt Analysis

None
Date: March 23, 2000
Creator: Levand, T.
System: The UNT Digital Library
DATA QUALIFICATION REPORT: MAJOR ION AND PH DATA FOR USE ON THE YUCCA MOUNTAIN PROJECT (open access)

DATA QUALIFICATION REPORT: MAJOR ION AND PH DATA FOR USE ON THE YUCCA MOUNTAIN PROJECT

This data qualification report uses technical assessment and corroborating data methods according to Attachment 2 of AP-SIII.2Q, Rev. 0, ICN 2, ''Qualification of Unqualified Data and the Documentation of Rationale for Accepted Data'', to qualify major ion and pH data. This report was prepared in accordance with Data Qualification Plan TDP-NBS-GS-00003 1, Revision 2. Additional reports will be prepared to address isotopic and precipitation-related data. Most of the data considered in this report were acquired and developed by the U.S. Geological Survey (USGS). The data qualification team considers the sampling and analytical protocols employed by the USGS over the time period of data acquisition to be state-of-the-art. The sample collection methodologies have evolved with no significant change that could affect the quality of the data considered in this report into the currently used Hydrologic Procedures that support the Yucca Mountain Project-approved USGS Quality Assurance Program Plan. Consequently, for USGS data, the data collection methods, documentation, and results are reasonable and appropriate in view of standard practice at the time the data were collected. A small number of data sets were collected by organizations other than the USGS and were reviewed along with the other major ion and pH data using …
Date: August 23, 2000
Creator: WILSON, C.; JENKINS, D.M.; STEINBORN, T. & WEMHEUER, R.
System: The UNT Digital Library
Neutronics Benchmarks of Mixed-Oxide Fuels using the SCALE/CENTRM Sequence (open access)

Neutronics Benchmarks of Mixed-Oxide Fuels using the SCALE/CENTRM Sequence

None
Date: February 23, 2000
Creator: Hollenbach, D.F.
System: The UNT Digital Library
Vadose Zone Transport Field Study: Detailed Test Plan for Simulated Leak Tests (open access)

Vadose Zone Transport Field Study: Detailed Test Plan for Simulated Leak Tests

This report describes controlled transport experiments at well-instrumented field tests to be conducted during FY 2000 in support of DOE?s Vadose Zone Transport Field Study (VZTFS). The VZTFS supports the Groundwater/Vadose Zone Integration Project Science and Technology Initiative. The field tests will improve understanding of field-scale transport and lead to the development or identification of efficient and cost-effective characterization methods. These methods will capture the extent of contaminant plumes using existing steel-cased boreholes. Specific objectives are to 1) identify mechanisms controlling transport processes in soils typical of the hydrogeologic conditions of Hanford?s waste disposal sites; 2) reduce uncertainty in conceptual models; 3) develop a detailed and accurate data base of hydraulic and transport parameters for validation of three-dimensional numerical models; and 4) identify and evaluate advanced, cost-effective characterization methods with the potential to assess changing conditions in the vadose zone, particularly as surrogates of currently undetectable high-risk contaminants. Pacific Northwest National Laboratory (PNNL) manages the VZTFS for DOE.
Date: June 23, 2000
Creator: Ward, Anderson L. & Gee, Glendon W.
System: The UNT Digital Library
K Basin Hazard Analysis (open access)

K Basin Hazard Analysis

This report describes the methodology used in conducting the K Basins Hazard Analysis, which provides the foundation for the K Basins Final Safety Analysis Report. This hazard analysis was performed in accordance with guidance provided by DOE-STD-3009-94, Preparation Guide for U. S. Department of Energy Nonreactor Nuclear Facility Safety Analysis Reports and implements the requirements of DOE Order 5480.23, Nuclear Safety Analysis Report.
Date: August 23, 2000
Creator: PECH, S.H.
System: The UNT Digital Library
Summary of Vulcan Calculations (open access)

Summary of Vulcan Calculations

This is a summary of the results of my calculations compared to Elisabeth Wolfrum's data on the Vulcan imprint experiments. The material strength makes essentially no difference to the growth of perturbations seeded by the laser imprint. For the low-intensity case (30 J laser energy, beam intensity of 0.5 x 10{sup 12} W/cm{sup 2}) the thin (2 microns) Al foil melts quickly from the front (driven) surface and decompresses quickly from the back surface, so there is actually only a fraction of the foil that is solid and compressed, and then for only a short time. And this solid fraction is not accelerating much during this short time. In particular, the shock (which is at about 250 kbar when it is about half way through the foil) travels entirely through the foil in about 0.25 ns. At 0.3 ns the ablation front is 0.6 {micro}m in from the original position of the front surface, the next 0.6 {micro}m is melted, so only the back 0.8 {micro}m is solid and compressed. This solid portion, though, is not moving much; the place where the imprinted perturbations are growing is back at the ablation front, where the perturbations are clearly growing fluid-like. By …
Date: March 23, 2000
Creator: Colvin, J.D.
System: The UNT Digital Library
Loss on Ignition Furnace Acceptance and Operability Test Procedure (open access)

Loss on Ignition Furnace Acceptance and Operability Test Procedure

The purpose of this Acceptance Test Procedure and Operability Test Procedure (ATP/OTP)is to verify the operability of newly installed Loss on Ignition (LOI) equipment, including a model 1608FL CMTM Furnace, a dessicator, and balance. The operability of the furnace will be verified. The arrangement of the equipment placed in Glovebox 157-3/4 to perform LOI testing on samples supplied from the Thermal Stabilization line will be verified. In addition to verifying proper operation of the furnace, this ATP/OTP will also verify the air flow through the filters, verify a damper setting to establish and maintain the required differential pressure between the glovebox and the room pressure, and test the integrity of the newly installed HEPA filter. In order to provide objective evidence of proper performance of the furnace, the furnace must heat 15 crucibles, mounted on a crucible rack, to 1000 C, according to a program entered into the furnace controller located outside the glovebox. The glovebox differential pressure will be set to provide the 0.5 to 2.0 inches of water (gauge) negative pressure inside the glovebox with an expected airflow of 100 to 125 cubic feet per minute (cfm) through the inlet filter. The glovebox inlet G1 filter will be …
Date: August 23, 2000
Creator: Johnston, D. C.
System: The UNT Digital Library
Acceptance Test Report for Fourth Generation Hanford Corrosion Monitoring System (open access)

Acceptance Test Report for Fourth Generation Hanford Corrosion Monitoring System

This Acceptance Test Report (ATR) will document the satisfactory operation of the corrosion probe cabinets destined for installation on tanks 241-AN-102 and 241-AN-107. This ATR will be performed by the manufacturer on each cabinet prior to delivery to the site. The objective of this procedure is to demonstrate and document the acceptance of the corrosion monitoring cabinets to be installed on tanks 241-AN-102 and 241-AN-107. One cabinet will be installed on each tank. Each cabinet will contain corrosion monitoring hardware to be connected to existing corrosion probes already installed in each tank. The test will consist of a continuity test of the cabinet wiring from the end of cable to be connected to corrosion probe, through the appropriate intrinsic safety barriers and out to the 15 pin D-shell connectors to be connected to the corrosion monitoring instrument. Additional testing will be performed using a constant current and voltage source provided by the corrosion monitoring hardware manufacturer to verify proper operation of corrosion monitoring instrumentation (input a known signal and see if the instrumentation records the proper value).
Date: October 23, 2000
Creator: NORMAN, E.C.
System: The UNT Digital Library
Acceptance Test Plan for Fourth-Generation Corrosion Monitoring Cabinet (open access)

Acceptance Test Plan for Fourth-Generation Corrosion Monitoring Cabinet

This Acceptance Test Plan (ATP) will document the satisfactory operation of the third-generation corrosion monitoring cabinet (Hiline Engineering Part No.0004-CHM-072-C01). This ATP will be performed by the manufacturer of the cabinet prior to delivery to the site. The objective of this procedure is to demonstrate and document the acceptance of the corrosion monitoring cabinet. The test will consist of a continuity test of the cabinet wiring from the end of cable to be connected to corrosion probe, through the appropriate intrinsic safety barriers and out to the 15 pin D-shell connectors to be connected to the corrosion monitoring instrument. Additional testing will be performed using a constant current and voltage source provided by the corrosion monitoring hardware manufacturer to verify proper operation of corrosion monitoring instrumentation.
Date: October 23, 2000
Creator: Norman, E. C.
System: The UNT Digital Library
Characterization of Cassini GPHS Fueled-Clad Production Girth Welds (open access)

Characterization of Cassini GPHS Fueled-Clad Production Girth Welds

Fueled clads for radioisotope power systems are produced by encapsulating {sup 238}PuO{sub 2} in iridium alloy cups, which are joined at their equators by gas tungsten arc welding. Cracking problems at the girth weld tie-in area during production of the Galileo/Ulysses GPHS capsules led to the development of a first-generation ultrasonic test for girth weld inspection at the Savannah River Plant. A second-generation test and equipment with significantly improved sensitivity and accuracy were jointly developed by the Oak Ridge Y-12 Plant and Westinghouse Savannah River Company for use during the production of Cassini GPHS capsules by the Los Alamos National Laboratory. The test consisted of Lamb wave ultrasonic scanning of the entire girth weld from each end of the capsule combined with a time-of-flight evaluation to aid in characterizing nonrelevant indications. Tangential radiography was also used as a supplementary test for further evaluation of reflector geometry. Each of the 317 fueled GPHS capsules, which were girth welded for the Cassini Program, was subjected to a series of nondestructive tests that included visual, dimensional, helium leak rate, and ultrasonic testing. Thirty-three capsules were rejected prior to ultrasonic testing. Of the 44 capsules rejected by the standard ultrasonic test, 22 were upgraded …
Date: March 23, 2000
Creator: Franco-Ferreira, E.A.
System: The UNT Digital Library
Crawler Acquisition and Testing Demonstration Project Management Plan (open access)

Crawler Acquisition and Testing Demonstration Project Management Plan

If the crawler based retrieval system is selected, this project management plan identifies the path forward for acquiring a crawler/track pump waste retrieval system, and completing sufficient testing to support deploying the crawler for as part of a retrieval technology demonstration for Tank 241-C-104. In the balance of the document, these activities will be referred to as the Crawler Acquisition and Testing Demonstration. During recent Tri-Party Agreement negotiations, TPA milestones were proposed for a sludge/hard heel waste retrieval demonstration in tank C-104. Specifically one of the proposed milestones requires completion of a cold demonstration of sufficient scale to support final design and testing of the equipment (M-45-03G) by 6/30/2004. A crawler-based retrieval system was one of the two options evaluated during the pre-conceptual engineering for C-104 retrieval (RPP-6843 Rev. 0). The alternative technology procurement initiated by the Hanford Tanks Initiative (HTI) project, combined with the pre-conceptual engineering for C-104 retrieval provide an opportunity to achieve compliance with the proposed TPA milestone M-45-03H. This Crawler Acquisition and Testing Demonstration project management plan identifies the plans, organizational interfaces and responsibilities, management control systems, reporting systems, timeline and requirements for the acquisition and testing of the crawler based retrieval system. This project management …
Date: October 23, 2000
Creator: DEFIGH-PRICE, C.
System: The UNT Digital Library
Tank Characterization Report for Double Shell Tank (DST) 241-AN-107 (open access)

Tank Characterization Report for Double Shell Tank (DST) 241-AN-107

This report interprets information about the tank answering a series of six questions covering areas such as information drivers, tank history, tank comparisons, disposal implications, data quality and quantity, and unique aspects of the tank.
Date: March 23, 2000
Creator: Adams, M. R.
System: The UNT Digital Library
WASTE HANDLING BUILDING ELECTRICAL SYSTEM DESCRIPTION DOCUMENT (open access)

WASTE HANDLING BUILDING ELECTRICAL SYSTEM DESCRIPTION DOCUMENT

The Waste Handling Building Electrical System performs the function of receiving, distributing, transforming, monitoring, and controlling AC and DC power to all waste handling building electrical loads. The system distributes normal electrical power to support all loads that are within the Waste Handling Building (WHB). The system also generates and distributes emergency power to support designated emergency loads within the WHB within specified time limits. The system provides the capability to transfer between normal and emergency power. The system provides emergency power via independent and physically separated distribution feeds from the normal supply. The designated emergency electrical equipment will be designed to operate during and after design basis events (DBEs). The system also provides lighting, grounding, and lightning protection for the Waste Handling Building. The system is located in the Waste Handling Building System. The system consists of a diesel generator, power distribution cables, transformers, switch gear, motor controllers, power panel boards, lighting panel boards, lighting equipment, lightning protection equipment, control cabling, and grounding system. Emergency power is generated with a diesel generator located in a QL-2 structure and connected to the QL-2 bus. The Waste Handling Building Electrical System distributes and controls primary power to acceptable industry standards, and …
Date: June 23, 2000
Creator: Khamamkar, S. C.
System: The UNT Digital Library