Texas Register, Volume 34, Number 39, Pages 6479-6702, September 25, 2009 (open access)

Texas Register, Volume 34, Number 39, Pages 6479-6702, September 25, 2009

A weekly publication, the Texas Register serves as the journal of state agency rulemaking for Texas. Information published in the Texas Register includes proposed, adopted, withdrawn and emergency rule actions, notices of state agency review of agency rules, governor's appointments, attorney general opinions, and miscellaneous documents such as requests for proposals. After adoption, these rulemaking actions are codified into the Texas Administrative Code.
Date: September 25, 2009
Creator: Texas. Secretary of State.
Object Type: Journal/Magazine/Newsletter
System: The Portal to Texas History
Texas Register, Volume 34, Number 52, Pages 9265-9546, December 25, 2009 (open access)

Texas Register, Volume 34, Number 52, Pages 9265-9546, December 25, 2009

A weekly publication, the Texas Register serves as the journal of state agency rulemaking for Texas. Information published in the Texas Register includes proposed, adopted, withdrawn and emergency rule actions, notices of state agency review of agency rules, governor's appointments, attorney general opinions, and miscellaneous documents such as requests for proposals. After adoption, these rulemaking actions are codified into the Texas Administrative Code.
Date: December 25, 2009
Creator: Texas. Secretary of State.
Object Type: Journal/Magazine/Newsletter
System: The Portal to Texas History
Calculation of Lifecycle Greenhouse Gas Emissions for the Renewable Fuel Standard (open access)

Calculation of Lifecycle Greenhouse Gas Emissions for the Renewable Fuel Standard

The Energy Independence and Security Act of 2007 (EISA) significantly expanded the renewable fuel standard (RFS) established in the Energy Policy Act of 2005. EISA requires an increasing amount of the 36 billion gallons of renewable fuel by 2022 mandate be met with "advanced biofuels." This report defines the classification "biofuels," discusses the ongoing debate regarding several aspects of biofuels endeavors, and discusses related legislative efforts on climate change policy and low-carbon fuel standards.
Date: June 25, 2009
Creator: Yacobucci, Brent D. & Bracmort, Kelsi S.
Object Type: Report
System: The UNT Digital Library

Office of Human Radiation Experiments

This website is the result of a project started in 1994 by the Department of Energy's Office of Human Radiation Experiments. The purpose of the group was to research experiments done to test the effects of radiation on humans and to compile documentation (including photographs, oral histories, declassified documents, and audio/visual clips) about the projects, making them available online in a single place. In addition to the different documentation that was cataloged, the group also published a report discussing the process and result of their research.
Date: November 25, 2009
Creator: United States. Department of Energy. Office of Human Radiation Experiments.
Object Type: Website
System: The UNT Digital Library
Calculation of Lifecycle Greenhouse Gas Emissions for the Renewable Fuel Standard (open access)

Calculation of Lifecycle Greenhouse Gas Emissions for the Renewable Fuel Standard

The Energy Independence and Security Act of 2007 (EISA, P.L. 110-140), significantly expanded the renewable fuel standard (RFS) established in the Energy Policy Act of 2005 (EPAct 2005, P.L. 109-58). The RFS requires the use of 9.0 billion gallons of renewable fuel in 2008, increasing to 36 billion gallons in 2022.
Date: June 25, 2009
Creator: Yacobucci, Brent D. & Bracmort, Kelsi
Object Type: Report
System: The UNT Digital Library
Federal Register, Volume 74, Number 36, February 25, 2009, Pages 8465-8702 (open access)

Federal Register, Volume 74, Number 36, February 25, 2009, Pages 8465-8702

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii.
Date: February 25, 2009
Creator: United States. Office of the Federal Register.
Object Type: Journal/Magazine/Newsletter
System: The UNT Digital Library
Federal Register, Volume 74, Number 56, March 25, 2009, Pages 12531-13054 (open access)

Federal Register, Volume 74, Number 56, March 25, 2009, Pages 12531-13054

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii.
Date: March 25, 2009
Creator: United States. Office of the Federal Register.
Object Type: Journal/Magazine/Newsletter
System: The UNT Digital Library
Interagency Collaboration: Key Issues for Congressional Oversight of National Security Strategies, Organizations, Workforce, and Information Sharing (open access)

Interagency Collaboration: Key Issues for Congressional Oversight of National Security Strategies, Organizations, Workforce, and Information Sharing

Other written product issued by the Government Accountability Office with an abstract that begins "While national security activities, which range from planning for an influenza pandemic to Iraq reconstruction, require collaboration among multiple agencies, the mechanisms used for such activities may not provide the means for interagency collaboration needed to meet modern national security challenges. To assist the 111th Congress and the new administration in developing their oversight and management agendas, this report, which was performed under the Comptroller General's authority, addresses actions needed to enhance interagency collaboration for national security activities: (1) the development and implementation of overarching, integrated strategies; (2) the creation of collaborative organizations; (3) the development of a well-trained workforce; and (4) the sharing and integration of national security information across agencies. This report is based largely on a body of GAO work issued since 2005."
Date: September 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Small Business Administration: Status of Efforts to Address Previous Recommendations on the HUBZone Program (open access)

Small Business Administration: Status of Efforts to Address Previous Recommendations on the HUBZone Program

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses the Small Business Administration's (SBA) Historically Underutilized Business Zone (HUBZone) program. Created in 1997, the HUBZone program provides federal contracting assistance to small businesses located in economically distressed communities, or HUBZone areas, with the intent of stimulating economic development in those areas. In fiscal year 2007, federal agencies awarded contracts valued at about $8 billion to HUBZone firms. Firms that participate in the program must be located in a HUBZone and employ residents of HUBZones to facilitate the goal of bringing capital and employment opportunities to distressed areas. My statement today is based on work we performed to update the status of recommendations we made in our June 2008 report on the HUBZone program and reiterated in a July 2008 testimony. These recommendations called for SBA to improve its controls over the HUBZone program and assess the program's effectiveness. Specifically, this testimony discusses SBA's progress in (1) ensuring that the HUBZone map is accurate; (2) developing and implementing guidance to ensure that participating firms are eligible; (3) eliminating the backlog of recertifications; (4) formalizing and adhering to time frames for decertifying ineligible firms; and (5) …
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Cybersecurity: Continued Federal Efforts Are Needed to Protect Critical Systems and Information (open access)

Cybersecurity: Continued Federal Efforts Are Needed to Protect Critical Systems and Information

Testimony issued by the Government Accountability Office with an abstract that begins "Federal laws and policy have assigned important roles and responsibilities to the Department of Homeland Security (DHS) and the National Institute of Standards and Technology (NIST) for securing computer networks and systems. DHS is charged with coordinating the protection of computer-reliant critical infrastructure--much of which is owned by the private sector--and securing its own computer systems, while NIST is responsible for developing standards and guidelines for implementing security controls over information and information systems. GAO was asked to describe cybersecurity efforts at DHS and NIST--including partnership activities with the private sector--and the use of cybersecurity performance metrics in the federal government. To do so, GAO relied on its reports on federal information security and federal efforts to fulfill national cybersecurity responsibilities."
Date: June 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
U.S. Postal Service: Escalating Financial Problems Require Major Cost Reductions to Limit Losses (open access)

U.S. Postal Service: Escalating Financial Problems Require Major Cost Reductions to Limit Losses

Testimony issued by the Government Accountability Office with an abstract that begins "When Congress passed the Postal Accountability and Enhancement Act in December 2006, the U.S. Postal Service (USPS) had just completed fiscal year 2006 with its largest mail volume ever--213 billion pieces of mail and a net income of $900 million. Two years later, USPS's financial condition has deteriorated. Mail volume declined by a record 9.5 billion pieces (4.5 percent) in fiscal year 2008, leading to a loss of $2.8 billion--the second largest since 1971. According to USPS, this was largely due to declines in the economy, especially in the financial and housing sectors, as well as shifts in transactions, messages, and advertising from mail to electronic alternatives. Declining mail volume flattened revenues despite rate increases, while USPS's cost-cutting efforts were insufficient to offset the impact of declining mail volume and rising costs in fuel and cost-of-living allowances for postal employees. USPS's initial fiscal year 2009 budget expected that the turmoil in the economy would result in more mail volume decline and a loss of $3.0 billion. This testimony focuses on (1) USPS's financial condition and outlook and (2) options and actions for USPS to remain financially viable in …
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Combating Nuclear Smuggling: Lessons Learned from DHS Testing of Advanced Radiation Detection Portal Monitors (open access)

Combating Nuclear Smuggling: Lessons Learned from DHS Testing of Advanced Radiation Detection Portal Monitors

Testimony issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security's (DHS) Domestic Nuclear Detection Office (DNDO) is responsible for addressing the threat of nuclear smuggling. Radiation detection portal monitors are key elements in the nation's defenses against such threats. DHS has sponsored testing to develop new monitors, known as advanced spectroscopic portal (ASP) monitors, to replace radiation detection equipment being used at ports of entry. DNDO expects that ASPs may offer improvements over current-generation portal monitors, particularly the potential to identify as well as detect radioactive material and thereby to reduce both the risk of missed threats and the rate of innocent alarms, which DNDO considers to be key limitations of radiation detection equipment currently used by Customs and Border Protection (CBP) at U.S. ports of entry. However, ASPs cost significantly more than current generation portal monitors. Due to concerns about ASPs' cost and performance, Congress has required that the Secretary of Homeland Security certify that ASPs provide a significant increase in operational effectiveness before obligating funds for full-scale ASP procurement. This testimony addresses (1) GAO findings on DNDO's latest round of ASP testing, and (2) lessons from ASP testing that can be …
Date: June 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Climate Change: Observations on Federal Efforts to Adapt to a Changing Climate (open access)

Climate Change: Observations on Federal Efforts to Adapt to a Changing Climate

Testimony issued by the Government Accountability Office with an abstract that begins "Changes in the climate attributable to increased concentrations of greenhouse gases may have significant environmental and economic impacts in the United States. For example, climate change could threaten coastal areas with rising sea levels, alter agricultural productivity, and increase the intensity and frequency of floods and storms. Federal, state, and local agencies are tasked with a wide array of responsibilities that will be affected by a changing climate, such as managing natural resources. Furthermore, climate change could increase the cost of federal programs, such as crop and flood insurance, and place new stresses on infrastructure. Greenhouse gases already in the atmosphere will continue altering the climate system into the future regardless of emissions control efforts. Therefore, adaptation--defined as adjustments to natural or human systems in response to actual or expected climate change--is an important part of the response to climate change. Today's testimony summarizes GAO's prior and ongoing work examining (1) actions that federal, state, local, and international authorities are taking to adapt to a changing climate, (2) the challenges that federal, state, and local officials face in their efforts to adapt, and (3) actions that the Congress …
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Corporate Crime: Preliminary Observations on DOJ's Use and Oversight of Deferred Prosecution and Non-Prosecution Agreements (open access)

Corporate Crime: Preliminary Observations on DOJ's Use and Oversight of Deferred Prosecution and Non-Prosecution Agreements

Testimony issued by the Government Accountability Office with an abstract that begins "Recent cases of corporate fraud and mismanagement heighten the Department of Justice's (DOJ) need to appropriately punish and deter corporate crime. Recently, DOJ has made more use of deferred prosecution and non-prosecution agreements (DPAs and NPAs), in which prosecutors may require company reform, among other things, in exchange for deferring prosecution, and may also require companies to hire an independent monitor to oversee compliance. This testimony provides preliminary observations on (1) factors DOJ considers when deciding whether to enter into a DPA or NPA and setting the terms of the agreements, (2) methods DOJ uses to oversee companies' compliance, (3) processes by which monitors are selected, and (4) companies' perspectives regarding the costs and role of the monitor. It also includes the results of GAO's recently completed work on DOJ's efforts to document the monitor selection process (discussed in objective 3). GAO reviewed DOJ guidance and 57 of the 140 agreements negotiated from 1993 (when the first 2 were signed) through May 2009; and interviewed DOJ officials, officials from 17 companies, and 6 monitors. While not generalizable, these results provide insight into decisions about DPAs and NPAs."
Date: June 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Biofuels: Potential Effects and Challenges of Required Increases in Production and Use (open access)

Biofuels: Potential Effects and Challenges of Required Increases in Production and Use

A chapter report issued by the Government Accountability Office with an abstract that begins "In December 2007, the Congress expanded the renewable fuel standard (RFS), which requires rising use of ethanol and other biofuels, from 9 billion gallons in 2008 to 36 billion gallons in 2022. To meet the RFS, the Departments of Agriculture (USDA) and Energy (DOE) are developing advanced biofuels that use cellulosic feedstocks, such as corn stover and switchgrass. The Environmental Protection Agency (EPA) administers the RFS. This report examines, among other things, (1) the effects of increased biofuels production on U.S. agriculture, environment, and greenhouse gas emissions; (2) federal support for domestic biofuels production; and (3) key challenges in meeting the RFS. GAO extensively reviewed scientific studies, interviewed experts and agency officials, and visited five DOE and USDA laboratories."
Date: August 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Highway Trust Fund: Options for Improving Sustainability and Mechanisms to Manage Solvency (open access)

Highway Trust Fund: Options for Improving Sustainability and Mechanisms to Manage Solvency

Testimony issued by the Government Accountability Office with an abstract that begins "The Highway Account within the Highway Trust Fund (HTF) is the principal means for funding federal highway programs. Administered by the Federal Highway Administration (FHWA) within the Department of Transportation (DOT), it channels about $33 billion in highway user excise taxes annually to states for highway and related spending. Estimated outlays from the Highway Account under the Safe, Accountable, Flexible, Efficient Transportation Equity Act--A Legacy for Users (SAFETEA-LU) exceeded estimated receipts throughout the authorization period--fiscal years 2005 through 2009. Furthermore, actual account receipts were lower than had been estimated and the account balance dropped more rapidly than anticipated, approaching zero in August, 2008. Congress subsequently approved legislation in September 2008 to appropriate $8 billion from the General Fund of the Treasury to replenish the account. Agency officials anticipate the account will reach a critical stage again before the end of fiscal year 2009, and estimate that about $15 billion will be needed to ensure account solvency through the end of fiscal year 2010. This statement summarizes GAO's past work on 1) the collection and distribution process for the Highway Account of the HTF, 2) options for improving long-term …
Date: June 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Defense Acquisitions: Charting a Course for Improved Missile Defense Testing (open access)

Defense Acquisitions: Charting a Course for Improved Missile Defense Testing

Testimony issued by the Government Accountability Office with an abstract that begins "The Missile Defense Agency (MDA) has spent about $56 billion and will spend about $50 billion more through 2013 to develop a Ballistic Missile Defense System (BMDS). This testimony is based on two reviews GAO was directed to conduct in 2008. In addition to our annual review assessing the annual cost, testing, schedule, and performance progress MDA made in developing BMDS, we have also reported on MDA's targets program. In this testimony we discuss (1) the productivity of MDA's recent test program, (2) the consequences of the testing shortfalls, and (3) key factors that should be considered as MDA revises its approach to testing. GAO assessed contractor cost, schedule, and performance; tests completed; and the assets fielded during 2008. GAO also reviewed pertinent sections of the U.S. Code, acquisition policy, and the activities of a new missile defense board."
Date: February 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Department of Labor: Wage and Hour Division's Complaint Intake and Investigative Processes Leave Low Wage Workers Vulnerable To Wage Theft (open access)

Department of Labor: Wage and Hour Division's Complaint Intake and Investigative Processes Leave Low Wage Workers Vulnerable To Wage Theft

Testimony issued by the Government Accountability Office with an abstract that begins "The mission of the Department of Labor's Wage and Hour Division (WHD) includes enforcing provisions of the Fair Labor Standards Act, which is designed to ensure that millions of workers are paid the federal minimum wage and overtime. Conducting investigations based on worker complaints is WHD's priority. According to WHD, investigations range from comprehensive investigations to conciliations, which consist primarily of phone calls to a complainant's employer. In July 2008, GAO testified on 15 case studies where WHD failed to investigate complaints. This testimony highlights the findings of a follow-up investigation performed at the Committee's request. Specifically, GAO was asked to (1) test WHD's complaint intake process in an undercover capacity, (2) provide additional case study examples of inadequate WHD responses to complaints, and (3) assess the effectiveness of WHD's complaint intake process, conciliations, and other investigative tools. To test WHD's complaint intake process, GAO posed as complainants and employers in 10 different scenarios. To provide case study examples and assess effectiveness of investigations, GAO used data mining and statistical sampling of closed case data for fiscal year 2007. GAO plans to issue a follow-up report with recommendations …
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
U.S. Department of Agriculture: Improved Management Controls Can Enhance Effectiveness of Key Conservation Programs (open access)

U.S. Department of Agriculture: Improved Management Controls Can Enhance Effectiveness of Key Conservation Programs

Testimony issued by the Government Accountability Office with an abstract that begins "The U.S. Department of Agriculture (USDA) administers conservation programs, such as the Conservation Stewardship Program (CSP, formerly the Conservation Security Program) and the Environmental Quality Incentives Program (EQIP), to help farmers reduce soil erosion, enhance water supply and quality, and increase wildlife habitat, among other things. This testimony is based on GAO reports on CSP and EQIP, each issued in 2006, and a 2008 report on farm program payments. It discusses (1) the potential for duplicate payments between CSP and other conservation programs, (2) USDA's process for allocating EQIP funds to the states to optimize environmental benefits, and (3) USDA's management controls over farm program payments."
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Next Generation Air Transportation System: Issues Associated with Midterm Implementation of Capabilities and Full System Transformation (open access)

Next Generation Air Transportation System: Issues Associated with Midterm Implementation of Capabilities and Full System Transformation

Testimony issued by the Government Accountability Office with an abstract that begins "To prepare for forecasted air traffic growth, the Federal Aviation Administration (FAA), including its Joint Planning and Development Office (JPDO) and Air Traffic Organization (ATO), is planning for and implementing the Next Generation Air Transportation System (NextGen) in partnership with other federal agencies and the aviation industry. NextGen will transform the current radar-based air traffic control system into a more automated aircraft-centered, satellite-based system. GAO's previous work has identified issues related to the usefulness of NextGen planning documents, FAA's organizational structure to manage the transition to NextGen, and FAA's workforce to oversee and implement NextGen. Recently, the focus of NextGen planning and implementation has shifted to capabilities that can be achieved in the midterm, defined as 2012 through 2018. GAO's testimony focuses on (1) JPDO's and ATO's progress in planning NextGen and changes in the NextGen management structure; (2) ongoing efforts to implement midterm capabilities to address capacity constraints, and issues related to these efforts; and (3) key human capital issues, research and development needs, and facilities maintenance and reconfiguration challenges going forward. GAO's testimony updates prior GAO work with FAA data and interviews with agency and union …
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Iraq and Afghanistan: Security, Economic, and Governance Challenges to Rebuilding Efforts Should Be Addressed in U.S. Strategies (open access)

Iraq and Afghanistan: Security, Economic, and Governance Challenges to Rebuilding Efforts Should Be Addressed in U.S. Strategies

Testimony issued by the Government Accountability Office with an abstract that begins "From fiscal year 2001 through July 2008, Congress provided more than $808 billion to the Department of Defense (DOD) for the Global War on Terrorism, including military operations in Iraq and Afghanistan. Moreover, since fiscal year 2003, about $49 billion has been provided to U.S. agencies for reconstruction and stabilization in Iraq and $32 billion for similar efforts in Afghanistan since fiscal year 2002. In February 2009, President Obama announced a new U.S. strategy for Iraq and plans to develop a new comprehensive strategy for Afghanistan. This statement is based on GAO's extensive body of work--more than 150 products since 2003--examining U.S. efforts in Iraq and Afghanistan."
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
HUBZone Program: Fraud and Abuse Identified in Four Metropolitan Areas (open access)

HUBZone Program: Fraud and Abuse Identified in Four Metropolitan Areas

Testimony issued by the Government Accountability Office with an abstract that begins "Created in 1997, the HUBZone program provides federal contracting assistance to small businesses in economically distressed communities, or HUBZone areas, with the intent of stimulating economic development in those areas. On July 17, 2008, we testified before Congress that SBA's lack of controls over the HUBZone program exposed the government to fraud and abuse and that SBA's mechanisms to certify and monitor HUBZone firms provide limited assurance that only eligible firms participate in the program. In our testimony, we identified 10 firms from the Washington, D.C., metropolitan area that were participating in the HUBZone program even though they clearly did not meet eligibility requirements. Of the 10 firms, 6 did not meet both principal office and employee residency requirements while 4 met the principal office requirement but significantly failed the employee residency requirement. We reported in our July 2008 testimony that federal agencies had obligated a total of nearly $26 million in HUBZone contract obligations to these 10 firms since 2006. After the hearing, Congress requested that we perform a follow-on investigation. We describe the results of this investigation and further background about the HUBZone program in a …
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Urban Partnership Agreements: Congestion Relief Initiative Holds Promise; Some Improvements Needed in Selection Process (open access)

Urban Partnership Agreements: Congestion Relief Initiative Holds Promise; Some Improvements Needed in Selection Process

A letter report issued by the Government Accountability Office with an abstract that begins "As part of a broad congestion relief initiative, the Department of Transportation awarded about $848 million from 10 grant programs to five cities (Miami, Minneapolis, New York, San Francisco, and Seattle) in 2007 as part of the Urban Partnership Agreements (UPA) initiative. The UPA initiative is intended to demonstrate the feasibility and benefits of comprehensive, integrated, and innovative approaches to relieving congestion, including the use of tolling (congestion pricing), transit, technology, and telecommuting (4Ts). Congestion pricing involves charging drivers a fee that varies with the density of traffic. This report addresses congressional interest in (1) how well the department communicated UPA selection criteria, (2) whether it had discretion to allocate grant funds to UPA recipients and consider congestion pricing as a priority selection factor, and (3) how it is ensuring that UPA award conditions are met and results are assessed. GAO reviewed departmental documents, statutes and case law, and interviewed department officials and UPA applicants."
Date: March 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Medicare: Per Capita Method Can Be Used to Profile Physicians and Provide Feedback on Resource Use (open access)

Medicare: Per Capita Method Can Be Used to Profile Physicians and Provide Feedback on Resource Use

A letter report issued by the Government Accountability Office with an abstract that begins "The Medicare Improvements for Patients and Providers Act of 2008 directed the Secretary of Health and Human Services to develop a program to give physicians confidential feedback on the Medicare resources used to provide care to Medicare beneficiaries. GAO was asked to evaluate the per capita methodology for profiling physicians--a method which measures a patient's resource use over a fixed period of time and attributes that resource use to physicians--in order to assist the Centers for Medicare & Medicaid Services (CMS) with the development of a physician feedback approach. In response, this report examines (1) the extent to which physicians in selected specialties show stable practice patterns and how beneficiary utilization of services varies by physician resource use level; (2) factors to consider in developing feedback reports on physicians' performance, including per capita resource use; and (3) the extent to which feedback reports may influence physician behavior. GAO focused on four medical specialties and four metropolitan areas chosen for their geographic diversity and range in average Medicare spending per beneficiary. To identify considerations for developing a physician feedback system, GAO reviewed the literature and interviewed officials …
Date: September 25, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library