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Medicare: Improvements Needed in Provider Communications and Contracting Procedures
Testimony issued by the General Accounting Office with an abstract that begins "Complete, accurate, and timely communication of program information is necessary to help Medicare providers comply with program requirements and appropriately bill for their services. Information provided to physicians about billing and payment policies is often incomplete, confusing, out of date, or even incorrect. GAO found that the rules governing Centers for Medicare and Medicaid Services (CMS) contracts with its claims processors lack incentives for efficient operations. Medicare contractors are chosen without full and open competition from among health insurance companies, rather from a broad universe of potential qualified entities, and CMS almost always uses cost-only contracts, which pay contractors for costs incurred but generally do not offer any type of performance incentives. To improve Medicare contractors' provider communications, CMS must develop a more centralized and coordinated approach consistent with the provisions of the Medicare Regulatory and Contracting Reform Act (MRCRA) of 2001. MRCRA would require that CMS (1) centrally coordinate contractors' provider education activities, (2) establish communications performance standards, (3) appoint a Medicare Provider Ombudsman, and (4) create a demonstration program to offer technical assistance to small providers. MRCRA would also broaden CMS authority so that various types …
Date:
September 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Intercity Passenger Rail: The Congress Faces Critical Decisions About the Role of and Funding for Intercity Passenger Rail Systems
Testimony issued by the General Accounting Office with an abstract that begins "Congress faces critical decisions about the future of the National Railroad Passenger Corporation (Amtrak) and intercity passenger rail. In GAO's view, the goal of a national system, much like Amtrak's current system, and the goal of operational self-sufficiency appear to be incompatible. In fact, Amtrak was created because other railroads were unable to profitably provide passenger service. In addition, Amtrak needs more capital funding than has been historically provided in order to operate a safe, reliable system that can attract and retain customers. Developing a high-speed rail system is also costly, requiring additional tens of billions of dollars. If intercity passenger rail is to have a future in the nation's transportation system, Congress needs realistic assessments of the expected public benefits and the resulting costs of these investments as compared with investments in other modes of transportation. Such analyses would provide sound bases for congressional action in defining the national goals that will be pursued, the extent that Amtrak and other intercity passenger rail systems can contribute to meeting these goals, and whether federal and state money would be available to sustain such systems over the long term."
Date:
July 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Critical Infrastructure Protection: Significant Challenges in Developing Analysis, Warning, and Response Capabilities
Testimony issued by the General Accounting Office with an abstract that begins "The National Infrastructure Protection Center (NIPC) is an important element of the U.S.' strategy to protect the nation's infrastructures from hostile attacks, especially computer-based attacks. This testimony discusses the key findings of a GAO report on NIPC's progress in developing national capabilities for analyzing cyber threats and vulnerability data and issuing warnings, enhancing its capabilities for responding to cyber attacks, and establishing information-sharing relationships with governments and private-sector entities. GAO found that progress in developing the analysis, warning, and information-sharing capabilities has been mixed. NIPC began various critical infrastructure protection efforts that have laid the foundation for future governmentwide efforts. NIPC has also provided valuable support and coordination related to investigating and otherwise responding to attacks on computers. However, the analytical and information-sharing capabilities that are needed to protect the nation's critical infrastructures have not yet been achieved, and NIPC has developed only limited warning capabilities. An underlying contributor to the slow progress is that the NIPC's roles and responsibilities have not been fully defined and are not consistently interpreted by other entities involved in the government's broader critical infrastructure protection strategy. This report summarized an April report …
Date:
July 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Housing and Urban Development: Comments on HUD's Fiscal Year 2002 Budget Request
Testimony issued by the General Accounting Office with an abstract that begins "GAO discussed the Department of Housing and Urban Development's (HUD) fiscal year 2002 budget request. Because HUD's 2002 budget request was released only two weeks before this testimony, GAO could only offer a general discussion of the budget's policy policy implications and program trade-offs. GAO found that, in recent years, HUD has had significant unexpended balances, making it difficult for Congress to assess the Department's need for new appropriations. Without accurate and timely information on the nature, the amount, and the availability of HUD's unexpended balances, decision-makers cannot fully and fairly evaluate HUD's funding needs. HUD has begun several short-term efforts to identify, quantify, and recapture some unexpended balances and has, in fact, recaptured about $3 billion each year between fiscal years 1998 and 2000. In spite of these efforts, HUD has not yet integrated the processes needed to routinely and accurately account for unexpended balances into its ongoing financial, program, and budget management. As a result, HUD lacks the information it needs to (1) determine with certainty how much of the unexpended balances should be recaptured and (2) clearly factor these funds into its budget requests."
Date:
April 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Medicare: New Spending Estimates Underscore Need for Reform
Testimony issued by the General Accounting Office with an abstract that begins "Although the short-term outlook of Medicare's hospital insurance trust fund improved in the last year, Medicare's long-term prospects have worsened. The Medicare Trustee's latest projections, released in March, use more realistic assumptions about health care spending in the years ahead. These latest projections call into question the program's long-term financial health. The Congressional Budget Office also increased its long-term estimates of Medicare spending. The slowdown in Medicare spending growth in recent years appears to have ended. In the first eight months of fiscal year 2001, Medicare spending was 7.5 percent higher than a year earlier. This testimony discusses several fundamental challenges to Medicare reform. Without meaningful entitlement reform, GAO's long-term budget simulations show that an aging population and rising health care spending will eventually drive the country back into deficit and debt. The addition of a prescription drug benefits would boost spending projections even further. Properly structured reform to promote competition among health plans could make Medicare beneficiaries more cost conscious. The continued importance of traditional Medicare underscores the need to base adjustments to provider payments on hard evidence rather than on anecdotal information. Similarly, reforms in the …
Date:
July 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Aviation Security: Vulnerabilities in, and Alternatives for, Preboard Screening Security Operations
Testimony issued by the General Accounting Office with an abstract that begins "A safe and secure civil aviation system is critical to the nation's overall security, physical infrastructure, and economy. Billions of dollars and countless programs and policies have gone into developing such a system. Although many of the specific factors contributing to the terrible events of September 11 are still unclear, it is apparent that our aviation security system is plagued by serious weaknesses that can have devastating consequences. Last year, as part of an undercover investigation, GAO special agents used fake law enforcement badges and credentials to gain access to secure areas at two airports. They were also issued tickets and boarding passes, and could have carried weapons, explosives, or other dangerous items onto the aircraft. GAO tests of airport screeners also found major shortcomings in their ability to detect dangerous items hidden on passengers or in carry-on luggage. These weaknesses have raised questions about the need for alternative approaches. In assessing alternatives, five outcomes should be considered: improving screener performance, establishing accountability, ensuring cooperation among stakeholders, moving people efficiently, and minimizing legal and liability issues."
Date:
September 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Defense Inventory: Approach for Deciding Whether to Retain or Dispose of Items Needs Improvement
A letter report issued by the General Accounting Office with an abstract that begins "As of September 1999, the Department of Defense (DOD) reported that it owned secondary inventory worth about $64 billion and that $9.4 billion of that inventory is more economical to retain than to dispose of and possibly repurchase later. This report focuses on whether DOD's economic retention decisions are sound. GAO found that military components (other than the Air Force) have developed models to help make economic retention decisions on secondary inventory. However, none of the components now use their economic retention models. Instead, they and the Air Force use ceilings to limit the amount of economic retention inventory they hold. Components have not properly documented their approaches to economic retention decisions. For example, common model factors vary and assumptions are inconsistent and out of date. In addition, DOD lacked sound analytical support for the maximum levels it now uses. As a result, the components cannot depend on their models or ceilings to determine retention inventory levels without review and improvement. They also have not reviewed their approaches annually. As a result, the Department does not have a sound basis for its approach to manage items …
Date:
May 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Critical Infrastructure Protection: Significant Challenges in Developing National Capabilities
A chapter report issued by the General Accounting Office with an abstract that begins "To better protect the nation's critical computer-dependent infrastructures from computer-based attacks and disruption, the President issued Presidential Decision Directive (PDD) 63 in 1998. The directive established the National Infrastructure Protection Center as a national focal point for gathering information on threats and facilitating the federal government's response to computer-based incidents. This report evaluates the center's progress in (1) developing national capabilities for analyzing cyber threat and vulnerability data and issuing warnings, (2) enhancing its capabilities for responding to cyber attacks, and (3) developing outreach and information-sharing initiatives with government and private-sector entities. GAO found that although the center has taken some steps to develop analysis and warning capabilities, the strategic capabilities described in PDD 63 have not been achieved. The center has provided important support to the Federal Bureau of Investigation's investigations of computer crimes by coordinating investigations and providing technical assistance. The center has also developed crisis management procedures and drafted an emergency law enforcement sector plan, which is now being reviewed by sector members. The center's information-sharing relationships are still evolving and will probably have limited effectiveness until reporting procedures and thresholds are defined …
Date:
April 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Fleet Reserve Association for Fiscal Years 2000 and 1999
Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the financial statement audit reports for the Fleet Reserve Association for fiscal year 2000 and 1999. GAO found no reportable instances of noncompliance, and the audit report included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."
Date:
June 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the General Federation of Women's Clubs for Fiscal Years 2000 and 1999
Correspondence issued by the General Accounting Office with an abstract that begins "This report reviews the audit report covering the financial statements of the General Federation of Women's Clubs for fiscal years 2000 and 1999 to determine whether the audit report complied with the financial reporting requirements of the law. The audit report included the auditors' opinion that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles, and GAO found no reportable instances of noncompliance with the requirements of the law."
Date:
June 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Veterans' Health Care: Observations on VA's Assessment of Hepatitis C Budgeting and Funding
A statement of record issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) requested and received $195 million for Hepatitis C screening and treatment in fiscal year 2000. VA's budget documentation showed that it had spent $100 million on Hepatitis C screening and treatment, leaving a difference of $95 million between its estimated and actual expenditures. However, GAO's review revealed that the difference was actually much larger--$145 million. VA's documentation showed that only $50 million was used for budgeted activities and $50 million was used for an activity not included in its original budget--treatment of conditions related to Hepatitis C. It appears that VA is unable to develop a budget estimate that can reliably forecast its Hepatitis C funding needs at this time. However, VA's Veterans Health Administration (VHA) appears to be taking reasonable steps to improve future budget estimates and thereby minimize the potential for large differences. Such steps include developing a Hepatitis C patient registry that could provide the critical data needed to improve budgetary estimates. However, this registry could take as long as 15 months to become operational, which suggests that it may not provide budgetary data in time …
Date:
April 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
WIPP Facility Work Plan for Solid Waste Management Units
This 2001 Facility Work Plan (FWP) has been prepared as required by Module VII, Section VII.M.1 of the Waste Isolation Pilot Plant (WIPP) Hazardous Waste Facility Permit, NM4890139088-TSDF (the Permit); (NMED, 1999a), and incorporates comments from the New Mexico Environment Department (NMED) received on December 6, 2000 (NMED, 2000a). This February 2001 FWP describes the programmatic facility-wide approach to future investigations at Solid Waste Management Units (SWMUs) and Areas of Concern (AOCs) specified in the Permit. The permittees are evaluating data from previous investigations of the SWMUs and AOCs against the newest guidance proposed by the NMED. Based on these data, the permittees expect that no further sampling will be required and that a request for No Further Action (NFA) at the SWMUs and AOCs will be submitted to the NMED. This FWP addresses the current Permit requirements. It uses the results of previous investigations performed at WIPP and expands the investigations as required by the Permit. As an alternative to the Resource Conservation and Recovery Act (RCRA) Facility Investigation (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 …
Date:
February 25, 2001
Creator:
Westinghouse TRU Solutions LLC
Object Type:
Report
System:
The UNT Digital Library
Development of novel epidermal growth receptor-basedradiopharmaceuticals: Imaging agents for breast cancer
The goal of this research was to develop epidermal growthfactor receptor (EGFR) nuclear medicine breast cancer imaging agents. Ourapproach was to synthesize small molecule inhibitors of the EGFR tyrosinekinase (tk) suitable for labeling with single photon or positron-emittingradioisotopes and evaluate the imaging potential of these new molecules.We have synthesized and fully characterized 22 quinazoline compounds. Allcompounds inhibit EGFR tk phosphorylation activity in the nanomolarrange. All compounds tested exhibited specificity for the EGFR tk versusthe ErbB2 and ErbB4 tyrosine kinases. A radiometric binding assay usingan iodine-125 labeled quinazoline was developed to determine the affinityof the quinazolines for the EGFR tk ATP binding site. The affinitiesranged from 0.4-51 nM. The octanol/water partition coefficients (Log P;lipophilicity) of the new compounds ranged from 2.2-5.5. Six compoundshave been labeled with fluorine-18. Biodistribution in EGFRoverexpressing tumor bearing mice demonstrated tumor uptake buthighlighted delivery and metabolism issues. The 2-fluoro quinazoline wasnot metabolized in an in vitro hepatocyte study. From this work a breadthof agent characteristics was created establishing the foundation forfuture research toward the optimal EGFR imaging agent.
Date:
September 25, 2001
Creator:
Van Brocklin, Henry F.
Object Type:
Report
System:
The UNT Digital Library
Planning for an integrated research experiment
We describe the goals and research program leading to the Heavy Ion Integrated Research Experiment (IRE). We review the basic constraints which lead to a design and give examples of parameters and capabilities of an IRE. We also show design tradeoffs generated by the systems code IBEAM.
Date:
March 25, 2001
Creator:
Barnard, J. J.; Ahle, L. E.; Bangerter, R. O.; Bieniosek, F. M.; Celata, C. M.; Faltens, A. et al.
Object Type:
Article
System:
The UNT Digital Library
Today Cedar Hill (Duncanville, Tex.), Vol. 36, No. 32, Ed. 1 Thursday, October 25, 2001
Weekly newspaper published in Duncanville, Texas that includes local Cedar Hill, state, and national news along with advertising.
Date:
October 25, 2001
Creator:
Crooks, Kristi
Object Type:
Newspaper
System:
The Portal to Texas History
Today Cedar Hill (Duncanville, Tex.), Vol. 35, No. 44, Ed. 1 Thursday, January 25, 2001
Weekly newspaper published in Duncanville, Texas that includes local Cedar Hill, state, and national news along with advertising.
Date:
January 25, 2001
Creator:
Crooks, Kristi
Object Type:
Newspaper
System:
The Portal to Texas History
[Historic Marker Application: A.J. and Carolina Anderson House]
Application materials submitted to the Texas Historical Commission requesting a historic marker for the A.J. and Carolina Anderson House, in Round Rock, Texas. The materials include the inscription text of the marker, narrative, and photographs.
Date:
June 25, 2001
Creator:
Texas Historical Commission
Object Type:
Text
System:
The Portal to Texas History
The Canadian Record (Canadian, Tex.), Vol. 3, No. 4, Ed. 1 Thursday, January 25, 2001
Weekly newspaper from Canadian, Texas that includes local, state and national news along with extensive advertising.
Date:
January 25, 2001
Creator:
Ezzell, Nancy & Brown, Laurie Ezzell
Object Type:
Newspaper
System:
The Portal to Texas History
Bogata News (Bogata, Tex.), Vol. 91, No. 23, Ed. 1 Thursday, October 25, 2001
Weekly newspaper from Bogata, Texas that includes local, state, and national news along with advertising.
Date:
October 25, 2001
Creator:
Nichols, Nanalee & Nichols, Thomas
Object Type:
Newspaper
System:
The Portal to Texas History
Bogata News (Bogata, Tex.), Vol. 90, No. 36, Ed. 1 Thursday, January 25, 2001
Weekly newspaper from Bogata, Texas that includes local, state, and national news along with advertising.
Date:
January 25, 2001
Creator:
Nichols, Nanalee & Nichols, Thomas
Object Type:
Newspaper
System:
The Portal to Texas History
Cherokeean/Herald (Rusk, Tex.), Vol. 151, No. 47, Ed. 1 Thursday, January 25, 2001
Weekly newspaper from Rusk, Texas that includes local, state and national news along with extensive advertising.
Date:
January 25, 2001
Creator:
Whitehead, Marie
Object Type:
Newspaper
System:
The Portal to Texas History
Cherokeean/Herald (Rusk, Tex.), Vol. 152, No. 36, Ed. 1 Thursday, October 25, 2001
Weekly newspaper from Rusk, Texas that includes local, state and national news along with extensive advertising.
Date:
October 25, 2001
Creator:
Whitehead, Marie
Object Type:
Newspaper
System:
The Portal to Texas History
The Rambler (Fort Worth, Tex.), Vol. 86, No. 8, Ed. 1 Thursday, October 25, 2001
Weekly student newspaper from Texas Wesleyan University in Fort Worth, Texas that includes campus and local news along with advertising.
Date:
October 25, 2001
Creator:
Manning, Melanie
Object Type:
Newspaper
System:
The Portal to Texas History
Texas Attorney General Opinion: JC-371
Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, John Cornyn, regarding a legal question submitted for clarification: Whether a school district trustee may serve as a volunteer teacher in the same district (RQ-0318-JC)
Date:
April 25, 2001
Creator:
Texas. Attorney-General's Office.
Object Type:
Text
System:
The Portal to Texas History