Medicare Advantage: Special Needs Plans Were More Profitable, on Average, than Plans Available to All Beneficiaries in 2011 (open access)

Medicare Advantage: Special Needs Plans Were More Profitable, on Average, than Plans Available to All Beneficiaries in 2011

Correspondence issued by the Government Accountability Office with an abstract that begins "Special needs plans (SNP) reported having higher profit margins and spending a lower percentage of total revenues on medical expenses, on average, than Medicare Advantage (MA) plans available to all beneficiaries in 2011. For instance, SNPs' average profit margin was 4.0 percentage points higher than plans available to all beneficiaries--8.6 percent vs. 4.6 percent. SNPs also had a higher plan-level median profit margin compared to MA plans available to all beneficiaries--7.1 percent vs. 3.2 percent. All three types of SNPs--dual-eligible SNPs, chronic condition SNPs, and institutional SNPs--spent, on average, a lower percentage of total revenue on medical expenses and had higher profit margins relative to MA plans available to all beneficiaries. SNPs also spent a lower percentage of total revenue on medical expenses and had higher profit margins relative to MA plans available to all beneficiaries after accounting for whether a plan had a high or low enrollment-weighted average benchmark--the maximum amount Medicare will pay plans to serve an average beneficiary in a given area. Similarly, SNPs spent a lower percentage of total revenue on medical expenses and had higher profit margins relative to MA plans available to …
Date: December 19, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Information Resellers: Consumer Privacy Framework Needs to Reflect Changes in Technology and the Marketplace (open access)

Information Resellers: Consumer Privacy Framework Needs to Reflect Changes in Technology and the Marketplace

A statement of record issued by the Government Accountability Office with an abstract that begins "No overarching federal privacy law governs the collection and sale of personal information among private-sector companies, including information resellers. Instead, laws tailored to specific purposes, situations, or entities govern the use, sharing, and protection of personal information. For example, the Fair Credit Reporting Act limits the use and distribution of personal information collected or used to help determine eligibility for such things as credit or employment, but does not apply to information used for marketing. Other laws apply specifically to health care providers, financial institutions, or to the online collection of information about children."
Date: December 18, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Homeland Security: Federal Protective Service Continues to Face Challenges with Contract Guards and Risk Assessments at Federal Facilities (open access)

Homeland Security: Federal Protective Service Continues to Face Challenges with Contract Guards and Risk Assessments at Federal Facilities

Testimony issued by the Government Accountability Office with an abstract that begins "FPS faces challenges ensuring that contract guards have been properly trained and certified before being deployed to federal facilities around the country. In its September 2013 report, GAO found that providing active shooter response and screener training is a challenge for FPS. For example, according to officials at five guard companies, their contract guards have not received training on how to respond during incidents involving an active shooter. Without ensuring that all guards receive training on how to respond to incidents at federal facilities involving an active-shooter, FPS has limited assurance that its guards are prepared for this threat. Similarly, an official from one of FPS's contract guard companies stated that 133 (about 38 percent) of its approximately 350 guards have never received screener training. As a result, guards deployed to federal facilities may be using x-ray and magnetometer equipment that they are not qualified to use which raises questions about their ability to screen access control points at federal facilities--one of their primary responsibilities. GAO was unable to determine the extent to which FPS's guards have received active-shooter response and screener training, in part, because FPS lacks …
Date: December 17, 2013
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
Financial Audit: Federal Housing Finance Agency's Fiscal Years 2013 and 2012 Financial Statements (open access)

Financial Audit: Federal Housing Finance Agency's Fiscal Years 2013 and 2012 Financial Statements

Correspondence issued by the Government Accountability Office with an abstract that begins "GAO found (1) the Federal Housing Finance Agency's (FHFA) financial statements as of and for the fiscal years ended September 30, 2013, and 2012, are presented fairly, in all material respects, in accordance with U.S. generally accepted accounting principles; (2) FHFA maintained, in all material respects, effective internal control over financial reporting as of September 30, 2013; and (3) no reportable noncompliance for fiscal year 2013 with provisions of applicable laws, regulations, contracts, and grant agreements GAO tested. In commenting on a draft of this report, the acting Director of FHFA stated that he accepted the audit conclusions and commented that the agency would continue to work to enhance its internal control and ensure the reliability of its financial reporting, its soundness of operations, and public confidence in its mission."
Date: December 16, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Financial Audit: Securities and Exchange Commission's Fiscal Years 2013 and 2012 Financial Statements [Reissued on December 23, 2013] (open access)

Financial Audit: Securities and Exchange Commission's Fiscal Years 2013 and 2012 Financial Statements [Reissued on December 23, 2013]

Correspondence issued by the Government Accountability Office with an abstract that begins "GAO found (1) the United States Securities and Exchange Commission's (SEC) and its Investor Protection Fund's (IPF) financial statements are presented fairly, in all material respects, in accordance with U.S. generally accepted accounting principles; (2) SEC maintained, in all material respects, effective internal control over financial reporting as of September 30, 2013, although internal control deficiencies exist that merit attention by those charged with governance; and (3) no reportable noncompliance in fiscal year 2013 with provisions of applicable laws, regulations, contracts, and grant agreements GAO tested. In commenting on a draft of this report, SEC's Chair expressed her pleasure that GAO found that SEC had successfully remediated the two significant deficiencies identified in 2012. The Chair added that SEC will focus on the significant deficiency GAO reported in 2013 in the area of information security."
Date: December 16, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Department of Homeland Security: DHS's Efforts to Improve Employee Morale and Fill Senior Leadership Vacancies (open access)

Department of Homeland Security: DHS's Efforts to Improve Employee Morale and Fill Senior Leadership Vacancies

Testimony issued by the Government Accountability Office with an abstract that begins "In September 2012, GAO reported that Department of Homeland Security (DHS) employees identified having lower average morale than the average for the rest of the federal government, but morale varied across components. Specifically, GAO found that, according to the Office of Personnel Management's 2011 Federal Employee Viewpoint Survey (FEVS), DHS employees had 4.5 percentage points lower job satisfaction and 7.0 percentage point lower engagement--the extent to which employees are immersed in their work and spending extra effort on job performance. Several components with lower morale, such as the Transportation Security Administration, made up a substantial share of FEVS respondents at DHS and accounted for a significant portion of the overall difference between the department and other agencies. In September 2012, GAO recommended that DHS take action to better determine the root cause of low employee morale, and where absent, add benchmarking against similar organizations, among other things. Since September 2012, DHS has taken a number of actions intended to improve employee morale, such as directing component human capital officials to reevaluate their action plans to ensure that metrics of success are clear and measurable. In December 2013, GAO …
Date: December 12, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Financial Audit: Office of Financial Stability (Troubled Asset Relief Program) Fiscal Years 2013 and 2012 Financial Statements (open access)

Financial Audit: Office of Financial Stability (Troubled Asset Relief Program) Fiscal Years 2013 and 2012 Financial Statements

Correspondence issued by the Government Accountability Office with an abstract that begins "GAO found (1) the Office of Financial Stability (OFS) financial statements for the Troubled Asset Relief Program (TARP) as of and for the fiscal years ended September 30, 2013, and 2012, are presented fairly, in all material respects, in accordance with U.S. generally accepted accounting principles; (2) OFS maintained, in all material respects, effective internal control over financial reporting for TARP as of September 30, 2013; and (3) no reportable noncompliance for fiscal year 2013 with provisions of applicable laws, regulations, contracts, and grant agreements GAO tested. In commenting on a draft of this report, the Assistant Secretary for Financial Stability stated that OFS is proud to receive unmodified opinions on its financial statements and its internal control over financial reporting. He also stated that OFS is committed to maintaining the high standards and transparency reflected in these audit results."
Date: December 11, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Reverse Auctions: Guidance Is Needed to Maximize Competition and Achieve Cost Savings (open access)

Reverse Auctions: Guidance Is Needed to Maximize Competition and Achieve Cost Savings

Testimony issued by the Government Accountability Office with an abstract that begins "GAO found that government agencies were increasingly using reverse auctions as a means to drive down prices but without adequate guidance to ensure that the potential benefits were maximized. GAO's analysis of the data also identified some common characteristics among contract awards resulting from reverse auctions."
Date: December 11, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Fiscal Year 2013 Agreed-Upon Procedures: Excise Tax Distributions to the Airport and Airway Trust Fund and the Highway Trust Fund (open access)

Fiscal Year 2013 Agreed-Upon Procedures: Excise Tax Distributions to the Airport and Airway Trust Fund and the Highway Trust Fund

Correspondence issued by the Government Accountability Office with an abstract that begins "GAO performed the procedures contained in the enclosures to this report, which it agreed to perform solely to assist the Department of Transportation's Inspector General in ascertaining whether the net excise tax revenue distributed to the Airport and Airway Trust Fund (AATF) and the Highway Trust Fund (HTF) for the fiscal year ended September 30, 2013, is supported by the underlying records. GAO was not engaged to perform, and did not perform, an examination, the objective of which would have been to express an opinion on the amount of net excise taxes distributed to the AATF and the HTF during fiscal year 2013. Accordingly, GAO does not express such an opinion. This report is solely for the use of the Office of Inspector General of the U.S. Department of Transportation and should not be used by those who have not agreed to the procedures or have not taken responsibility for the sufficiency of the procedures for their purposes."
Date: December 9, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Geospatial Information: OMB and Agencies Can Reduce Duplication by Making Coordination a Priority (open access)

Geospatial Information: OMB and Agencies Can Reduce Duplication by Making Coordination a Priority

Testimony issued by the Government Accountability Office with an abstract that begins "The President and the Office of Management and Budget (OMB) have established policies and procedures for coordinating investments in geospatial data, however, in November 2012, GAO reported that governmentwide committees and federal departments and agencies had not effectively implemented them. The committee that was established to promote the coordination of geospatial data nationwide--the Federal Geographic Data Committee (FGDC)--had developed and endorsed key standards and had established a clearinghouse of metadata. GAO found that the clearinghouse was not being used by agencies to identify planned geospatial investments to promote coordination and reduce duplication. In addition, the committee had not yet fully planned for or implemented an approach to manage geospatial data as related groups of investments to allow agencies to more effectively plan geospatial data collection efforts and minimize duplicative investments, and its strategic plan was missing key elements."
Date: December 5, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
National Preparedness: Actions Taken by FEMA to Implement Select Provisions of the Post-Katrina Emergency Management Reform Act of 2006 (open access)

National Preparedness: Actions Taken by FEMA to Implement Select Provisions of the Post-Katrina Emergency Management Reform Act of 2006

Correspondence issued by the Government Accountability Office with an abstract that begins ""
Date: November 26, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Personnel Security Clearances: Actions Needed to Help Ensure Correct Designations of National Security Positions (open access)

Personnel Security Clearances: Actions Needed to Help Ensure Correct Designations of National Security Positions

Testimony issued by the Government Accountability Office with an abstract that begins "In July 2012, GAO reported that the Director of National Intelligence (DNI), as Security Executive Agent, had not provided executive branch agencies clearly defined policy and procedures to consistently determine if a position requires a personnel security clearance. Absent this guidance, agencies are using an Office of Personnel Management (OPM) position designation tool to determine the sensitivity and risk levels of civilian positions which, in turn, inform the type of investigation needed. OPM audits, however, found inconsistency in these position designations, and some agencies described problems implementing OPM's tool. For example, in an April 2012 audit OPM assessed the sensitivity levels of 39 positions, and its designations differed from the agency in 26 positions. Problems exist, in part, because OPM and the Office of the Director of National Intelligence (ODNI) did not collaborate on the development of this tool, and because their respective roles for suitability and security clearance reform are still evolving. As a result, to help determine the proper designation, GAO recommended that the DNI, in coordination with the Director of OPM, issue clearly defined policy and procedures for federal agencies to follow when determining if …
Date: November 20, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Maritime Security: Progress and Challenges in Key DHS Programs to Secure the Maritime Borders (open access)

Maritime Security: Progress and Challenges in Key DHS Programs to Secure the Maritime Borders

Testimony issued by the Government Accountability Office with an abstract that begins "GAO's prior work has identified several key factors important to secure the maritime borders. The Department of Homeland Security (DHS) and its components have made progress (e.g., coordinating with partners), and in some cases also experienced challenges with their related maritime security programs."
Date: November 19, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Critical Infrastructure: Assessment of the Department of Homeland Security's Report on the Results of Its Critical Infrastructure Partnership Streamlining Efforts (open access)

Critical Infrastructure: Assessment of the Department of Homeland Security's Report on the Results of Its Critical Infrastructure Partnership Streamlining Efforts

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security's (DHS) National Protection and Programs Directorate (NPPD) was directed by the Senate and House Committees on Appropriations to provide a report on the results of a review to streamline the processes for coordinating and sharing information with its critical infrastructure (CI) protection partners. GAO was unable to assess the extent to which NPPD's streamlining efforts were designed to ensure progress in four areas--mission clarity, useful and actionable work products, efficacy of planning and information sharing, and cost savings--because DHS's response does not discuss NPPD efforts to streamline those processes. Specifically, GAO's analysis of DHS's response showed that DHS provided information on NPPD efforts to coordinate and share information with its public and private partners (e.g., CI owners and operators) and the results of some of those efforts but did not provide information about any NPPD efforts to streamline the processes for coordination and information sharing. For example, DHS's response includes a section on coordinating and executing plans--one of the five topic areas that NPPD was required to include in its report--that describes who NPPD's partners are and ways that NPPD coordinates and executes …
Date: November 18, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
DHS Financial Management: Continued Effort Needed to Address Internal Control and System Challenges (open access)

DHS Financial Management: Continued Effort Needed to Address Internal Control and System Challenges

Testimony issued by the Government Accountability Office with an abstract that begins "GAO reported that the Department of Homeland Security (DHS) had made considerable progress toward obtaining a clean opinion on its financial statements. For example, DHS reduced the number of audit qualifications from 11 in 2005 to 1 in 2010. DHS is working to resolve the deficiencies in the U.S. Coast Guard's (USCG) ability to complete certain reconciliations and provide evidence supporting certain components of general property, plant, and equipment and heritage and stewardship assets that caused DHS's auditors to issue a qualified opinion on its fiscal year 2012 financial statements. DHS has a goal of achieving a clean opinion for fiscal year 2013. However, the DHS auditors' report for fiscal year 2012, the most recently completed audit, indicated that DHS continues to rely on compensating controls and complex manual work-arounds to support its financial reporting, rather than sound internal control and effective financial management systems."
Date: November 15, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Aviation Security: TSA Should Limit Future Funding for Behavior Detection Activities (open access)

Aviation Security: TSA Should Limit Future Funding for Behavior Detection Activities

Testimony issued by the Government Accountability Office with an abstract that begins "In November 2013, GAO reported that (1) peer-reviewed, published research we reviewed did not support whether nonverbal behavioral indicators can be used to reliably identify deception, (2) methodological issues limited the usefulness of DHS's April 2011 SPOT validation study, and (3) variation in referral rates raised questions about the use of indicators. GAO reported that its review of meta-analyses (studies that analyze other studies and synthesize their findings) that included findings from over 400 studies related to detecting deception conducted over the past 60 years, other academic and government studies, and interviews with experts in the field, called into question the use of behavior observation techniques, that is, human observation unaided by technology, as a means for reliably detecting deception. The meta-analyses GAO reviewed collectively found that the ability of human observers to accurately identify deceptive behavior based on behavioral cues or indicators is the same as or slightly better than chance (54 percent). GAO also reported on other studies that do not support the use of behavioral indicators to identify mal-intent or threats to aviation."
Date: November 14, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Information Technology: Leveraging Best Practices to Help Ensure Successful Major Acquisitions (open access)

Information Technology: Leveraging Best Practices to Help Ensure Successful Major Acquisitions

Testimony issued by the Government Accountability Office with an abstract that begins "Information technology (IT) acquisition best practices have been developed by both industry and the federal government. For example, the Software Engineering Institute has developed highly regarded and widely used guidance on best practices, such as requirements development and management, risk management, validation and verification, and project monitoring and control. GAO's own research in IT management best practices led to the development of the Information Technology Investment Management Framework, which describes essential and complementary IT investment management disciplines, such as oversight of system development and acquisition management, and organizes them into a set of critical processes for successful investments."
Date: November 13, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Personnel Security Clearances: Opportunities Exist to Improve Quality Throughout the Process (open access)

Personnel Security Clearances: Opportunities Exist to Improve Quality Throughout the Process

Testimony issued by the Government Accountability Office with an abstract that begins "Several agencies in the executive branch have key roles and responsibilities in the personnel security clearance process. Executive Order 13467 designates the Director of National Intelligence (DNI) as the Security Executive Agent, who is responsible for developing policies and procedures for background investigations and adjudications. The Office of Personnel Management (OPM) conducts investigations for most of the federal government. Adjudicators from agencies, such as the Departments of Defense (DOD) and Homeland Security, that request background investigations use the investigative report and consider federal adjudicative guidelines when making clearance determinations. Reform efforts to enhance the personnel security process throughout the executive branch are principally driven and overseen by the Performance Accountability Council, which is chaired by the Deputy Director for Management at the Office of Management and Budget (OMB)."
Date: November 13, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
VA Vocational Rehabilitation and Employment Program: Independent Living Services and Supports Require Stronger Oversight (open access)

VA Vocational Rehabilitation and Employment Program: Independent Living Services and Supports Require Stronger Oversight

Testimony issued by the Government Accountability Office with an abstract that begins "Of the 9,215 veterans who entered the Department of Veterans Affairs' (VA) Independent Living (IL) track within the Vocational Rehabilitation and Employment (VR&E) program from fiscal years 2008 to 2011, most were male Vietnam era veterans in their 50s or 60s. The most prevalent disabilities among these veterans were post-traumatic stress disorder and tinnitus ("ringing in the ears"). GAO's review of 182 IL cases from fiscal year 2008 shows that VR&E provided a range of IL benefits to veterans; the most common benefits being counseling services and computers. Less common benefits included gym memberships, camping equipment, and a boat. GAO estimates that VR&E spent nearly $14 million on benefits for veterans entering the IL track in fiscal year 2008--an average of almost $6,000 per IL veteran."
Date: November 13, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Management Report: Improvements Are Needed to Strengthen the American Battle Monuments Commission's Internal Controls and Accounting Procedures (open access)

Management Report: Improvements Are Needed to Strengthen the American Battle Monuments Commission's Internal Controls and Accounting Procedures

Correspondence issued by the Government Accountability Office with an abstract that begins "During its audit of the American Battle Monuments Commission’s (the Commission) fiscal year 2012 financial statements, GAO identified two material weaknesses that resulted in ineffective internal control over financial reporting as of September 30, 2012. Specifically, the material weaknesses concern the Commission’s financial reporting process and its monitoring process. Because of these control weaknesses, GAO found significant errors in the Commission’s financial reporting that were not detected by the Commission. The Commission made the necessary adjustments and was able to prepare financial statements that were fairly stated in all material respects by fiscal year-end. However, these material weaknesses increase the risk that a material misstatement of the Commission’s financial statements will not be prevented, or detected and corrected, on a timely basis. GAO also found that a previously reported significant deficiency concerning foreign payroll processing continued to exist during fiscal year 2012. These material weaknesses and the significant deficiency in internal control warrant the attention of those charged with governance of the Commission."
Date: November 12, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Preliminary Observations on DOD Estimates of Contract Termination Liability (open access)

Preliminary Observations on DOD Estimates of Contract Termination Liability

Correspondence issued by the Government Accountability Office with an abstract that begins "In its review of guidance and practices related to contract termination liability estimates, the Department of Defense (DOD) found that weapons programs generally received estimates of contract termination liability from contractors;, although there is no comprehensive guidance on how or when programs should require or consider these estimates. DOD plans to include additional language to help ensure that program managers are aware of the need to consider termination liability before contract award and during the life of a contract in its next update of its acquisition management guidance."
Date: November 12, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Sequestration: Observations on the Department of Defense's Approach in Fiscal Year 2013 (open access)

Sequestration: Observations on the Department of Defense's Approach in Fiscal Year 2013

Correspondence issued by the Government Accountability Office with an abstract that begins "Spending reductions under sequestration affected DOD’s civilian workforce and many programs and functions, and required DOD to accept some risk in maintaining the readiness of military forces. However, DOD was able to mitigate some near-term effects of sequestration on its mission. Reduced spending levels required DOD to take actions such as furloughing most civilian employees for 6 days, cancelling or curtailing training for units that were not preparing to deploy by early in 2014, postponing some planned equipment maintenance at its depots and repairs or renovations of facilities, reducing some weapon system quantities or deferring modifications, and delaying system development and testing. DOD took various actions to plan for and implement sequestration, such as issuing guidance and establishing processes to identify priorities and evaluate alternatives for spending reductions. Generally, DOD’s approach to sequestration was a short-term response focused on addressing the immediate funding reductions for fiscal year 2013. DOD was able to reduce spending levels for the remainder of fiscal year 2013 without making permanent changes, such as adjusting the size of its forces or canceling weapon systems programs. By setting priorities for funding and using available prior …
Date: November 7, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Transportation-Disadvantaged Populations: Coordination Efforts are Underway, but Challenges Continue (open access)

Transportation-Disadvantaged Populations: Coordination Efforts are Underway, but Challenges Continue

A statement of record issued by the Government Accountability Office with an abstract that begins "In 2012, GAO reported that 80 federal programs in eight different agencies fund a variety of transportation services for transportation-disadvantaged populations, which include older Americans. Within the Department of Transportation (DOT), the Federal Transit Administration (FTA) is a key source of federal transportation funding for older Americans. For example, some FTA programs provide formula funding to states to serve transit-dependent populations with special needs. States typically distribute these funds to local nonprofit human service agencies to buy vehicles to transport older adults and people with disabilities, and the funds may support transportation to access a range of activities, such as grocery shopping. While some federal funding programs are transportation focused, transportation was not the primary mission for the vast majority of the 80 programs GAO identified in 2012. For example, the Department of Health and Human Services' Medicaid program reimburses states that provide Medicaid beneficiaries with bus passes, among other transportation options, to access eligible medical services. Total federal spending on transportation services for the transportation disadvantaged remains unknown because federal departments did not separately track spending for roughly two-thirds of the programs identified in …
Date: November 6, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library