Partner
UNT Libraries Government Documents Department
43
Oklahoma Historical Society
39
Sterling Municipal Library
12
Carl Albert Congressional Research and Studies Center
6
UNT Music Library
6
Alvin Community College
5
UNT Libraries Special Collections
4
Nellie Pederson Civic Library
3
FM Buck Richards Library
3
Gaines County Library
3
45 More
Collection
Texas Digital Newspaper Program
85
Oklahoma Digital Newspaper Program
47
Tocker Foundation Grant
47
Government Accountability Office Reports
28
The Baytown Sun
12
Altus Times-Democrat
9
Sapulpa Herald
9
Sapulpa Area Newspaper Collection
9
Chickasha Newspaper Collection
8
Congressional Research Service Reports
7
74 More
Country
Year
Month
Day
Language
191 Matching Results
Results open in a new window/tab.
Results:
1 - 24 of
191
next
Veterans Benefits Administration: Clarity of Letters to Claimants Needs to Be Improved
A letter report issued by the General Accounting Office with an abstract that begins "The Veterans Benefits Administration (VBA) provided $23 billion in monthly cash benefits to 3.2 million disabled veterans and their families through its compensation and pension program in fiscal year 2001. In the same year, VBA mailed 1.2 million "notification" letters to veterans and their families, informing them of VBA's decisions on compensation or pension benefits claims filed. VBA also sent 1.2 million "development" letters in fiscal year 2001 requesting information in order to make a decision on claims. VBA found in 1995 that its notification and development letters failed to communicate adequately, and launched an initiative, called Reader-Focused Writing, to improve its written communications. In its letters, VBA clearly explained some, but not all, of the key aspects that claimants needed to understand. Beyond the lack of clarity in these letters, various writing deficiencies, such as sequencing and formatting problems, reduced the value of VBA's letters. First, in many of its rating decision documents and development letters, VBA attempts to achieve more than one objective and, in doing so, compromises clarity for the reader. Second, although VBA's central office and some regional offices have developed boilerplate …
Date:
April 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Medicare: Utilization of Home Health Care by State
Correspondence issued by the General Accounting Office with an abstract that begins "This report discusses the variation in Medicare home health use across states. Using home health claims for the first 6 months of 2001 from the Centers for Medicare and Medicaid, GAO compiled statistics on home health users, home health visits, home health episodes, and the percentage of home health users with multiple episodes for each state. A home health episode, the basis for Medicare payment under the prospective payment system, is up to a 60-day period of care during which any number of visits may be provided."
Date:
May 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Weapons of Mass Destruction: U.N. Confronts Significant Challenges in Implementing Sanctions against Iraq
A letter report issued by the General Accounting Office with an abstract that begins "United Nations sanctions were first imposed in August 1990 following Iraq's invasion of Kuwait. In 1991, the Security Council established sanctions to stop Iraq from acquiring or developing biological, chemical, and nuclear weapons. To achieve this, the Security Council prohibited all nations from buying Iraqi oil or selling the country any commodities except for food and medicine. It further established a weapons inspection regime to ensure that Iraq destroyed its weapons of mass destruction and stopped its weapons programs. Concerned about the humanitarian need of the Iraqi people, in 1995 the Security Council established a controls program for Iraq's oil sales that allows for the purchase of food, medicine, and essential civilian goods (the oil for food program). With international support for the sanctions eroding, in 2001 the Security Council passed a new sanctions resolution to address humanitarian concerns while keeping Iraq from rebuilding its weapons systems. Although the U.N. controlled $51 billion of Iraq's oil revenues from 1997 to 2001, Iraq earned an additional $6.6 billion in illegal revenue from oil smuggling and surcharges during the same time. Further, although the sanctions prohibit Iraq from …
Date:
May 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Nonproliferation R&D: NNSA's Program Develops Successful Technologies, but Project Management Can Be Strengthened
A letter report issued by the General Accounting Office with an abstract that begins "The mission of the National Nuclear Security Administration's (NNSA) Nonproliferation and Verification Research and Development (R&D) Program is to conduct needs-driven research, development, testing, and evaluation of new technologies that are intended to strengthen the United States' ability to prevent and respond to nuclear, chemical, and biological attacks. In fiscal years 1998 through 2002, the Nonproliferation and Verification R&D program received an average of $218 million per year--a total of $1.2 billion. Nearly 75 percent of that total was distributed for R&D at three NNSA national laboratories. Two of the three research areas of the Nonproliferation and Verification R&D Program lack a formal process to identify users' needs, and the tools used to monitor project progress are inadequate. In terms of users, NNSA's role is to develop technologies for, and transfer them to, users in the federal government, the intelligence community, law enforcement, and others. The program requires that projects' life-cycle plans and quarterly reports contain detailed information on project time frames, milestones, users of technologies, and deliverables. Officials from federal, state, and local agencies that use the technology developed by NNSA's R&D program have found …
Date:
August 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Skilled Nursing Facilities: Providers Have Responded to Medicare Payment System By Changing Practices
A letter report issued by the General Accounting Office with an abstract that begins "In 1998, the Health Care Financing Administration implemented a prospective payment system (PPS) for skilled nursing facility (SNF) services provided to Medicare beneficiaries. PPS is intended to control the growth in Medicare spending for skilled nursing and rehabilitative services that SNFs provide. Two years after the implementation of PPS, the mix of patients across the categories of payment groups has shifted, as determined by the patients' initial minimum data set assessments. Although the overall share of patients classified into rehabilitation payment group categories based on their initial assessments remained about the same, more patients were classified into the high and medium rehabilitation payment group categories, and fewer were initially classified into the most intensive (highest paying) and least intensive (lowest paying) rehabilitation payment group categories. Two years after PPS was implemented the majority of patients in rehabilitation payment groups received less therapy than was provided in 1999. This was true even for patients within the same rehabilitation payment group categories. Across all rehabilitation payment group categories, fewer patients received the highest amounts of therapy associated with each payment group."
Date:
August 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Homeland Security: Information Sharing Activities Face Continued Management Challenges
A statement of record issued by the General Accounting Office with an abstract that begins "To protect the nation from terrorist attacks, homeland security stakeholders must more effectively work together to strengthen the process by which critical information can be shared, analyzed, integrated and disseminated to help prevent or minimize terrorist activities. The success of a homeland security strategy relies on the ability of all levels of government and the private sector to communicate and cooperate effectively with one another. Activities that are hampered by organizational fragmentation, technological impediments, or ineffective collaboration blunt the nation's collective efforts to prevent or minimize terrorist acts. The challenges facing the homeland security community require a commitment to focus on transformational strategies, including strengthening the risk management framework, refining the strategic and policy guidance structure to emphasize collaboration and integration among all relevant stakeholders, and bolstering the fundamental management foundation integral to effective public sector performance and accountability. Implementation of these strategies along with effective oversight will be necessary to institutionalize and integrate a long-term approach to sustainable and affordable homeland security."
Date:
September 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Land Acquisitions: Agencies Generally Used Similar Standards and Appraisal Methodologies in CALFED and CVPIA Transactions
Correspondence issued by the General Accounting Office with an abstract that begins "Since 1994, the CALFED Delta-Bay and Central Valley Project Improvement Act has provided more than $63 million to buy private lands in California for wetlands mitigation and wildlife enhancement. Federal agencies and nonprofit organizations have acquired 101,800 acres--94,300 acres in full ownership and 7,500 acres in partial interest or easements that restrict how land may be used. The three federal agencies and nonprofit organization GAO reviewed use the Uniform Standards for Federal Land Acquisitions for appraisals. All the entities developed and used supplemental appraisal guidance, which was generally consistent across the entities. The agencies and nonprofit organization used similar methodologies with one exception. The National Resources Conservation Service does not consider the land's residual value when making its appraisals as specified in the Uniform Standards."
Date:
January 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Interim Report on Internet Gambling
Correspondence issued by the General Accounting Office with an abstract that begins "GAO conducted a study on Internet gambling and the use of credit cards to fund Internet gambling activities. Currently, both state and federal laws apply to Internet gambling in the United States. The Wire Act is the federal statute that has been used to prosecute federal Internet gambling cases. The act prohibits gambling businesses from using interstate or international wires to knowingly receive or send certain types of bets or information that would assist in placing bets. Although the Wire Act has been successfully used to prosecute gambling businesses through the Internet, the statute contains certain ambiguities that may limit its applicability. Two types of credit card organizations handle the four major credit cards issued in the United States. Credit card associations are owned by a large network of member financial institutions, which may approve credit card applications and issue credit cards, approve and sign up merchants to accept the cards, or both. Credit card associations have focused primarily on facilitating the blocking of Internet gambling transactions. Credit card companies have focused primarily on prohibiting Internet gambling sites from becoming credit card merchants."
Date:
September 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Appropriateness of Indian Health Service's Request for Proposals
Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the appropriateness of a termination of a 1997 request by the Indian Health Services (IHS) for proposals to provide computed tomographic scanning services for the Blackfeet and Crow Service Units in Montana. GAO found no indication that IHS negotiated in bad faith. GAO's Office of Special Investigations had looked into the case in December 1998. GAO determined that the case was not within the scope of ongoing work and referred the case to the Department of Health and Human Services Office of Inspector General (OIG). A June 1999 report by the OIG concluded that the allegations were unwarranted."
Date:
January 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Highway Projects: Extent of Projects with Unobligated Balances of Greater Than 85 Percent as of August 16, 2002
Correspondence issued by the General Accounting Office with an abstract that begins "Congress has provided funding for numerous highway demonstration projects in legislation authorizing surface transportation programs as well as annual appropriations acts for the Department of Transportation (DOT). In some cases, the projects are identified in the legislation itself, and in others they are identified in committee reports accompanying the legislation. These projects are generally designated for specific locations within states and for specific purposes, and the funds made available for them generally remain available until expended. As of August 16, 2002, there were 42 highway demonstration projects authorized prior to the Transportation Equity Act for the 21st Century (TEA-21) with obligations of less than 15 percent of their total funding amount. For nine of the 42 projects, there are no plans to obligate most of the approved funds by September 30, 2004. These nine projects account for $19.4 million in unobligated funds. Three of the projects have been completed or dropped by the city or state. For the remaining six projects, state and local officials intend to request federal legislation to revise the project description or make the funds available for other projects."
Date:
September 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Diffuse Security Threats: Technologies for Mail Sanitization Exist, but Challenges Remain
A briefing report issued by the General Accounting Office with an abstract that begins "The attacks of September 11, 2001, and recent anthrax exposures have heightened long-standing concerns about the proliferation of biological weapons and the United States' ability to quickly respond to such incidents. The United States must identify technologies to protect against biological weapons, such as anthrax, without harming humans. Ionizing radiation has emerged as the leading current technology for mail sanitization. However, ionizing radiation may have adverse effects on mailed material, and it may not be applicable to some types of parcels, boxes, and large packages. In addition, applying ionizing radiation in a mail-processing environment requires radiation and biohazard precautions, such as shielding the radiation source and wearing protective gear."
Date:
April 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Native American Housing: VA Could Address Some Barriers to Participation in Direct Loan Program
A letter report issued by the General Accounting Office with an abstract that begins "Several federal programs have been developed to provide homeownership opportunities for Native Americans because private institutions have rarely supplied conventional home loans to Native Americans on trust lands. In 1992, Congress directed the Department of Veterans Affairs (VA) to create the Native American Veterans Direct Home Loan Program to assist veterans in purchasing, constructing and improving homes. The Native American Veterans Direct Home Loan Program has been characterized by differences in the numbers served, with native Hawaiians and Pacific Islanders together receiving almost five times as many as loans as Native Americans. Several factors that apply to Native Americans, but not to native Hawaiians and Pacific Islanders, may explain this difference. Long-standing barriers to lending on Native American trust lands include insufficient income and credit history, a lack of meaningful interest in land among many Native Americans, and insufficient infrastructure on trust lands. Other factors that VA can address include program limits that may be lower than housing costs for some trust lands and potential applicants' inexperience with the mortgage lending process. VA has conducted outreach but has taken limited steps to meet the assessment and …
Date:
August 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Environmental Contamination: Corps Needs to Reassess Its Determinations That Many Former Defense Sites Do Not Need Cleanup
A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense (DOD) estimates that cleaning up contamination and hazards at thousands of properties that it formerly owned or controlled will take more than 70 years and cost as much as $20 billion. These formerly used defense sites (FUDS), which can range in size from less than an acre to many thousands of acres, are now used for parks, farms, schools, and homes. Hazards at these properties include unsafe buildings, toxic and radioactive wastes, containerized hazardous wastes, and ordnance and explosive wastes. The U.S. Army Corps of Engineers is responsible for identifying, investigating, and cleaning up hazards resulting from military use. GAO found that the Corps lacks a sound basis for its conclusion that 38 percent of 3,840 FUDS need no further study or cleanup action. The Corps' determinations are questionable because there is no evidence that it reviewed or obtained information that would allow it to identify all the potential hazards at the properties, or that it took sufficient steps to assess the presence of potential hazards. GAO also found that the Corps often did not notify owners of its determinations that the …
Date:
August 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Military Space Operations: Planning, Funding, and Acquisition Challenges Facing Efforts to Strengthen Space Control
A letter report issued by the General Accounting Office with an abstract that begins "The United States is increasingly dependent on space for its security and well being. The Department of Defense's (DOD) space systems collect information on capabilities and intentions of potential adversaries. They enable military forces to be warned of a missile attack and to communicate and navigate while avoiding hostile action. DOD's efforts to strengthen space control are targeted at seeking to promote better coordination among DOD components, prioritization of projects, visibility and accountability over funding, and interoperability among systems. Among other things, DOD is drafting a space control strategy that is to outline objectives, tasks, and capabilities for the next 20 years. It has also aggregated funding for space programs so that it can compare space funding, including space control funding, to its total budget, make decisions about priorities, and conduct future-trend analyses. In addition, DOD has changed its acquisition policy to include separating technology development from product development and encouraging an evolutionary, or phased, approach to development. There are, however, substantial challenges to making DOD's space control efforts successful. One challenge is putting needed plans in place to provide direction and hold the services accountable …
Date:
September 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Medicaid: Transitional Coverage Can Help Families Move From Welfare to Work
Testimony issued by the General Accounting Office with an abstract that begins "Welfare reform significantly changed federal policy for low-income families with children and established a five-year lifetime limit on cash assistance. Welfare reform also extended transitional Medicaid assistance through 2001. States have implemented various initiatives to help families move from cash assistance to the workforce, including some enhancements to transitional Medicaid. These initiatives likely helped to cut cash assistance caseloads by more than half from 1996 through mid-2001. Low-wage or part-time jobs--which are common for newly working individuals--often do not come with affordable health insurance, thus making transitional Medicaid coverage an important option. The implementation of transitional Medicaid assistance varied across the 21 states that GAO reviewed. State practices enhanced beneficiaries' ability to retain Medicaid coverage. However, many families did not receive their full transitional Medicaid assistance benefits because they failed to report their income three times during the 12-month period of coverage. Amending the Medicaid statute to provide states with greater flexibility to ease income-reporting requirements, as has been done for other aspects of the Medicaid program, could facilitate uninterrupted health insurance coverage for families moving from cash assistance to the workforce."
Date:
April 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Homeland Security: Effective Intergovernmental Coordination is Key to Success
Testimony issued by the General Accounting Office with an abstract that begins "The challenges posed by homeland security exceed the capacity and authority of any one level of government. Protecting the nation against these threats calls for a truly integrated approach, bringing together the resources of all levels of government. The proposed Department of Homeland Security will clearly have a central role in efforts to enhance homeland security. The proposed consolidation of homeland security programs has the potential to reduce fragmentation, improve coordination, and clarify roles and responsibilities. Realistically, the challenges that the new department faces will clearly require substantial time and effort, and it will take additional resources to make it effective. Moreover, formation of a department should not be considered a replacement for the timely issuance of a national homeland security strategy to guide implementation of the complex mission of the department. Appropriate roles and responsibilities within and between the levels of government and with the private sector are evolving and need to be clarified. New threats are prompting a reassessment and shifting of long-standing roles and responsibilities, but these shifts are being considered on a piecemeal basis without benefit of an overarching framework and criteria to guide …
Date:
August 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Human Capital: Major Human Capital Challenges at SEC and Key Trade Agencies
Testimony issued by the General Accounting Office with an abstract that begins "In addition to protecting investors and the integrity of the securities market, the Securities and Exchange Commission (SEC), along with the Department of Commerce, the Office of the U.S. Trade Representative (USTR), and the Department of Agriculture, monitors and enforces the nation's trade agreements. Markets have become more complex, global, and technology-driven. At the same time SEC's workload is growing at a rate much faster than staffing. Workload and staffing imbalances have affected most aspects of SEC's regulatory and supervisory activities, from its inhouse technological capabilities to its enforcement actions against market participants. Other agencies that monitor U.S. trade agreements also face human capital challenges. Since the early 1980s, the United States has entered into several hundred trade agreements that have dramatically increased monitoring and enforcement workloads at USTR, Commerce, and Agriculture. This workload has continued to grow during the past two years as a result of major multilateral, regional, and bilateral trade negotiations. These agencies' efforts to monitor and enforce trade agreements are hampered by a lack of sufficient staff with appropriate expertise. Furthermore, they did not receive adequate support from other agencies and had difficulty obtaining …
Date:
April 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Intellectual Property: Information on the U.S. Patent and Trademark Office's Past and Future Operations
A letter report issued by the General Accounting Office with an abstract that begins "The U.S. Patent and Trademark Office (USPTO) has a staff of 6,426 and collected $1.1 billion in patent and trademark fees in fiscal year 2001. As the U.S. economy depends increasingly on new innovations, the need to patent or trademark quickly the intellectual property resulting from such innovations becomes more important. Expressing concerns about USPTO's plans for the future, Congress directed USPTO to develop a 5-year plan. In February 2001, USPTO issued its first 5-year plan, called the USPTO Business Plan. Because the Director of USPTO did not believe that the Business Plan went far enough, in June 2002, USPTO produced another 5-year plan, called the 21st Century Strategic Plan. GAO found that patent activity grew substantially from 1990 through 2001. The numbers of patent applications filed and patents granted nearly doubled; the inventory of patent applications nearly tripled; patent pendency increased from slightly over 18 months to nearly 25 months, and the number of patent examiners increased by about 80 percent. Furthermore, in fiscal year 2001, both fee collections and agency funding requirements exceeded $1 billion for the first time in the agency's history. Although …
Date:
August 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Travel Cards: Control Weaknesses Leave Navy Vulnerable to Fraud and Abuse
A letter report issued by the General Accounting Office with an abstract that begins "Poor oversight and management of DOD's travel card program has led to high delinquency rates, costing DOD millions in lost rebates and increased ATM fees. As a result, the Congress asked GAO to report on (1) the magnitude, impact, and cause of delinquencies, (2) the types of fraudulent and abusive uses of the travel card, and (3) the effectiveness of internal controls over DOD's travel card program. GAO previously reported on travel card management at the Army. This report focuses on travel card management at the Navy, including the Marine Corps."
Date:
December 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
World Trade Organization: Selected U.S. Company Views about China's Membership
A letter report issued by the General Accounting Office with an abstract that begins "China's entry into the World Trade Organization (WTO) on December 11, 2001, brought the world's seventh largest economy under global trade liberalizing rules. If implemented, China's commitments will open China's economy and reform its trading activities, thereby expanding U.S. companies' opportunities for investing in China and for exporting goods, agricultural products, and services to China. Understanding U.S. companies' expectations is fundamental for policymakers to judge the degree to which the benefits of China's WTO membership are being realized. GAO analyzed U.S. companies' views about (1) the importance of, (2) the anticipated effects of, and (3) prospects for China implementing its WTO commitments. GAO surveyed a random sample of 551 U.S. companies and interviewed 48 judgmentally selected companies in four cities in China. Survey results reflect responses from 191 companies--a response rate of 38 percent--and may not reflect the views of all U.S. companies with activities in China."
Date:
September 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Nuclear Waste: Uncertainties About the Yucca Mountain Repository Project
Testimony issued by the General Accounting Office with an abstract that begins "The Department of Energy (DOE) has been investigating Yucca Mountain, Nevada, as a possible repository for highly radioactive nuclear waste. In February, the Secretary of Energy endorsed the Yucca Mountain site, and the President recommended that Congress approve the site. If the site is approved, DOE must apply to the Nuclear Regulatory Commission (NRC) for authorization to build a repository. If the site is not approved for a license application, or if NRC denies a construction license, the administration and Congress will have to consider other options. GAO concludes that DOE is unprepared to submit an acceptable license application to NRC within the statutory deadlines if the site is approved. On the basis of a reassessment done by DOE's managing contractor in September 2001, GAO believes that DOE would not have enough time to obtain a license from NRC and build and open the repository by 2010. DOE lacks a reliable estimate of when, and at what cost, a license application can be submitted or a repository can be opened."
Date:
May 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Medicare: Use of Preventive Services is Growing but Varies Widely
Testimony issued by the General Accounting Office with an abstract that begins "Preventive health care services can extend lives and promote the well being of the nation's seniors. Medicare now covers 10 preventive services--three types of immunizations and seven types of screenings--and legislation has been introduced to cover additional services. However, not all beneficiaries avail themselves of Medicare's preventive services. Some may simply choose not to use them, but others may be unaware that these services are covered by Medicare. Although the use of Medicare preventive service is growing, it varies from service to service and by state, ethnic group, income, and level of education. To ensure that preventive services are delivered to those who need them, the Centers for Medicare and Medicaid Services (CMS) sponsors activities to increase their use. CMS now funds interventions to increase the use of three services--breast cancer screening and immunizations against the flu and pneumonia--in each state. CMS also pays for interventions to increase use of services by minorities and low-income beneficiaries with low usage rates. CMS is evaluating the effectiveness of current efforts and expects to have the evaluation results later in 2002."
Date:
May 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Medicare Hospital and Physician Payments: Geographic Cost Adjustments Important to Preserve Beneficiary Access to Services
Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses Medicare program payment adjustments to hospitals and physicians that account for geographic differences in costs. Because Medicare's hospital and physician payment systems are based on national rates, these geographic cost adjustments are essential to account for costs beyond providers' control and to ensure that beneficiaries have adequate access to services. If these adjustments are not adequate, this could affect providers' financial stability and their ability or willingness to continue serving Medicare patients. Medicare's payments to hospitals vary with the average wages paid in a hospital's labor market. Yet, some hospitals believe that the labor cost adjustment applied does not reflect the average wage in their labor market area. Medicare's labor cost adjustment does not adequately account for geographic differences in hospital wages in some areas because a single adjustment is applied to all hospitals in an area, even though it may encompass multiple labor markets or different types of communities within which hospitals pay significantly different average wages. Geographic reclassification addresses some inequities in Medicare's labor cost adjustments by allowing some hospitals that pay wages enough above the average in their area to receive higher …
Date:
July 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Welfare Reform: Interim Report on Potential Ways to Strengthen Federal Oversight of State and Local Contracting
A letter report issued by the General Accounting Office with an abstract that begins "The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 changed the nation's cash assistance program for needy families with children by replacing the Aid to Families with Dependent Children program, with the Temporary Assistance for Needy Families (TANF) block grant. As specified in PRWORA, TANF's goals include ending the dependence of families receiving government benefits by promoting job preparation, work, and marriage; preventing and reducing the incidence of non-marital pregnancies; and encouraging two-parent families. Contracting with nongovernmental entities to provide TANF-funded services occurs in most states and exceeded $1.5 billion in federal and state funds in 2001. A GAO survey indicated that the most commonly contracted services included education and training, job placement, and support services to promote job entry or retention. The Department of Health and Human Services (HHS) relies primarily on state single audit reports to oversee TANF contracting by states and localities. HHS officials told GAO that their regional offices follow up on the TANF deficiencies identified and that HHS focuses on reported deficiencies that involve unallowable or questionable costs. However, HHS officials said that they do not know the extent …
Date:
April 23, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library