Medicare+Choice: HCFA Actions Could Improve Plan Benefit and Appeal Information (open access)

Medicare+Choice: HCFA Actions Could Improve Plan Benefit and Appeal Information

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the: (1) accuracy, completeness, and usefulness of the information Medicare managed care organizations (MCO) distribute about their plans' benefit packages; (2) extent to which MCOs inform beneficiaries of their plan appeal rights and the appeals process; and (3) Health Care Financing Administration's (HCFA) review, approval, and oversight of the plan information that MCOs distribute."
Date: April 13, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Tax Administration: IRS' Fiscal Year 2000 Budget Request and 1999 Tax Filing Season (open access)

Tax Administration: IRS' Fiscal Year 2000 Budget Request and 1999 Tax Filing Season

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Internal Revenue Service's (IRS) fiscal year (FY) 2000 budget request and the status of the 1999 filing season."
Date: April 13, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Customs Service Modernization: Actions Needed to Correct Serious ACE Management and Technical Weaknesses (open access)

Customs Service Modernization: Actions Needed to Correct Serious ACE Management and Technical Weaknesses

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Customs Service's management of its Automated Commercial Environment (ACE) system."
Date: April 13, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Year 2000 Computing Crisis: Additional Work Remains to Ensure Delivery of Critical Services (open access)

Year 2000 Computing Crisis: Additional Work Remains to Ensure Delivery of Critical Services

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed federal agencies' progress in addressing the year 2000 computing challenge and outlined actions needed to ensure a smooth conversion to the next century, focusing on the: (1) status of the federal government's remediation of its mission-critical systems; (2) remaining challenges facing the government in ensuring the continuity of business operations, namely end-to-end testing and business continuity and contingency planning; (3) Office of Management and Budget's (OMB) efforts to identify the government's high-impact programs; and (4) readiness of state systems that are essential to the delivery of federal human services programs."
Date: April 13, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Medical Readiness: DOD Continues to Face Challenges in Implementing Its Anthrax Vaccine Immunization Program (open access)

Medical Readiness: DOD Continues to Face Challenges in Implementing Its Anthrax Vaccine Immunization Program

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Department of Defense's (DOD) anthrax vaccine immunization program, focusing on: (1) vaccine supply; (2) medical records; and (3) efforts to educate servicemembers about the program."
Date: April 13, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
U.S. Customs Service: Budget Authorization Issues (open access)

U.S. Customs Service: Budget Authorization Issues

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Customs Service's efforts to interdict drugs, combat corruption, and comply with the Government Performance and Results Act. GAO also discussed the basis for the $163-million access fee to be charged to nongoverment organizations for the use of Customs' automation systems."
Date: April 13, 1999
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Coast Guard: Observations on Acquisition Management and Efforts to Reassess the Deepwater Program (open access)

Coast Guard: Observations on Acquisition Management and Efforts to Reassess the Deepwater Program

Testimony issued by the Government Accountability Office with an abstract that begins "The U.S. Coast Guard manages a broad major acquisition portfolio. GAO has reported extensively on the Coast Guard's significant challenges with its major acquisition programs, including its Deepwater Program. GAO has also recognized steps the Coast Guard has taken to improve acquisition management. Additionally, GAO has recommended that the Coast Guard complete a review of the Deepwater Program to clarify the mix of assets that are needed to meet mission needs and trade-offs while considering fiscal constraints, because the program had exceeded its $24.2 billion baseline. This testimony updates (1) Coast Guard efforts to manage major acquisitions, (2) challenges programs are facing in the areas of cost and schedule, and (3) the status of the Deepwater fleet mix analysis. This statement is largely based on GAO-11-480, which is being issued today. In that report, GAO recommended that the Coast Guard formalize its database of agreements with the Department of Defense (DOD). The Department of Homeland Security agreed with the recommendation. This statement also draws from prior GAO reports and ongoing work related to Deepwater. GAO reviewed the first phase of the Coast Guard's fleet mix analysis, contract documents, …
Date: April 13, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Fiscal Year 2010 Performance Plan (open access)

Fiscal Year 2010 Performance Plan

Other written product issued by the Government Accountability Office with an abstract that begins "This report presents the Government Accountability Office's (GAO) Performance Plan for Fiscal Year 2010. In the spirit of the Government Performance and Results Act, this annual plan informs the Congress and the American people about what we expect to accomplish on their behalf in the coming fiscal year. It sets forth our plan to make progress toward achieving our strategic goals for serving the Congress and the American people. This framework not only shows the relationship between our strategic goals and strategic objectives, but also show major themes that could potentially affect our work."
Date: April 13, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
DOD's High-Risk Areas: Successful Business Transformation Requires Sound Strategic Planning and Sustained Leadership (open access)

DOD's High-Risk Areas: Successful Business Transformation Requires Sound Strategic Planning and Sustained Leadership

Testimony issued by the Government Accountability Office with an abstract that begins "In January 2005, GAO released its 2005 high-risk series update report for the 109th Congress. GAO's high-risk series has increasingly focused on major government programs and operations that need urgent attention and transformation to ensure that the U.S. government functions in the most economical, efficient, and effective manner possible. GAO also emphasizes those federal programs and operations that are at high risk because of their greater vulnerabilities to fraud, waste, abuse, and mismanagement. Of the 25 areas on GAO's 2005 high-risk list, 8 are Department of Defense (DOD) programs or operations and 6 are governmentwide high-risk areas for which DOD shares some responsibility. These high-risk areas touch on all of DOD's major business operations. DOD's failure to effectively address these many high-risk areas results in billions of dollars of waste each year and inadequate accountability to Congress and the American people. Congress asked GAO to provide its views on (1) DOD's high-risk areas, including those it shares responsibility for with other federal agencies; (2) an emerging challenge for DOD that merits close attention, involving DOD's approach to risk management; and (3) key elements, such as a chief management …
Date: April 13, 2005
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Opportunities to Reduce Potential Duplication in Federal Teacher Quality Programs (open access)

Opportunities to Reduce Potential Duplication in Federal Teacher Quality Programs

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses the findings from our recent work on fragmentation, overlap, and potential duplication in federally funded programs that support teacher quality. We recently issued a report addressing fragmentation, overlap, and potential duplication in federal programs that outlined opportunities to reduce potential duplication across a wide range of federal programs, including teacher quality programs. Our recent work on teacher quality programs builds on a long history of work where we identified a number of education programs with similar goals, beneficiaries, and allowable activities that are administered by multiple federal agencies. This work may help inform congressional deliberations over how to prioritize spending given the rapidly building fiscal pressures facing our nation's government. In recent years, the Department of Education (Education) has faced expanded responsibilities that have challenged the department to strategically allocate resources to balance new duties with ongoing ones. For example, we reported the number of grants Education awarded increased from about 14,000 in 2000 to about 21,000 just 2 years later and has since remained around 18,000, even as the number of full-time equivalent staff decreased by 13 percent from fiscal years 2000 to 2009. …
Date: April 13, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Weapons of Mass Destruction: Effort to Reduce Russian Arsenals May Cost More, Achieve Less Than Planned (open access)

Weapons of Mass Destruction: Effort to Reduce Russian Arsenals May Cost More, Achieve Less Than Planned

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the cost and realization of national security objectives at Russia's Mayak nuclear complex and Shchuch'ye chemical weapons storage depot, focusing on whether the: (1) Mayak project will be completed on schedule and within past Department of Defense (DOD) estimates of its total cost to the United States; (2) United States has made progress in ensuring that the completed Mayak facility would achieve U.S. national security objectives by safely and securely storing retired materials taken only from dismantled nuclear weapons; (3) Shchuch'ye project will be completed on schedule and the status of DOD efforts to estimate its total cost to the United States; and (4) completed Shchuch'ye facility will achieve U.S. national security objectives by helping Russia destroy the Shchuch'ye depot's stocks and accelerate elimination of all Russian chemical weapons under the Chemical Weapons Convention."
Date: April 13, 1999
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Medical Devices: FDA's Premarket Review and Postmarket Safety Efforts (open access)

Medical Devices: FDA's Premarket Review and Postmarket Safety Efforts

Testimony issued by the Government Accountability Office with an abstract that begins "The Food and Drug Administration (FDA) is responsible for overseeing medical devices sold in the United States. In general, new devices are subject to FDA review via either the 510(k) premarket notification process, which determines if a device is substantially equivalent to another legally marketed device, or the more stringent premarket approval (PMA) process, which requires the manufacturer to supply evidence providing reasonable assurance that the device is safe and effective. FDA also has broad responsibilities for postmarket surveillance of devices, including oversight of recalls. A recall involves the correction or removal of a product from the market and is an important remedial action that can mitigate the risks associated with a defective or unsafe medical device. In recent years, GAO has identified a wide variety of concerns related to FDA's ability to fulfill its mission of protecting the public health and added FDA's oversight of medical products, including devices, to its list of high-risk areas. This statement provides an update on FDA's actions in response to a recommendation made in GAO's report, Medical Devices: FDA Should Take Steps to Ensure That High-Risk Device Types Are Approved through …
Date: April 13, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Human Capital: The Role of the Ombudsmen in Dispute Resolution (open access)

Human Capital: The Role of the Ombudsmen in Dispute Resolution

A letter report issued by the General Accounting Office with an abstract that begins "Federal agencies have created ombudsmen offices to expedite the resolution of employees' complaints about workplace issues. An ombudsman provides an informal alternative to more formal administrative processes in the workplace, using various techniques and often working "outside the box" to deal with conflicts and other organizational disputes. GAO found that the number of ombudsman offices handling workplace issues in federal agencies is small but is expected to grow. These offices deal with a wide range of workplace issues, from helping employees get answers to questions about agency policies and cutting through "red tape" to more serious situations, such as allegations about employment discrimination. In studying the ombudsmen offices at the National Institutes of Health (NIH), the International Broadcasting Bureau (IBB), and the U.S. Secret Service, GAO found some common approaches as well as some differences in their operations. Common to all three offices was their broad responsibility and authority to deal with almost any workplace issue, their ability to bring systemic issues to management's attention, and the way in which they worked with other agency offices in providing assistance to employees. But how they were structured …
Date: April 13, 2001
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
National Airspace System: Experts' Views on Improving the U.S. Air Traffic Control Modernization Program (open access)

National Airspace System: Experts' Views on Improving the U.S. Air Traffic Control Modernization Program

Other written product issued by the Government Accountability Office with an abstract that begins "In 1981, the Federal Aviation Administration (FAA) began a program to modernize the national airspace system and a primary component, the air traffic control (ATC) system. The ATC component of this program, which is designed to replace aging equipment and accommodate predicted growth in air traffic, has had difficulty for more than two decades in meeting cost, schedule, and performance targets. The performance-based Air Traffic Organization (ATO) was created in February 2004 to improve the management of the modernization effort. On October 7, 2004, GAO hosted a panel to discuss attempts to address the ATC modernization program's persistent problems. Participants discussed the factors that they believed have affected FAA's ability to acquire new ATC systems. Participants also identified steps that FAA's ATO could take in the short term to address these factors, as well as longer term steps that could be taken to improve the modernization program's chances of success and help the ATO achieve its mission. The participants included domestic and foreign aviation experts from industry, government, private think tanks, and academia. They are recognized for their expertise in aviation safety, economics, and engineering; transportation …
Date: April 13, 2005
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Public Health Preparedness: Developing and Acquiring Medical Countermeasures Against Chemical, Biological, Radiological, and Nuclear Agents (open access)

Public Health Preparedness: Developing and Acquiring Medical Countermeasures Against Chemical, Biological, Radiological, and Nuclear Agents

Testimony issued by the Government Accountability Office with an abstract that begins "The anthrax attacks of 2001 and a radiation leak after the recent natural disaster in Japan highlighted concerns that the United States is vulnerable to threats from chemical, biological, radiological, and nuclear (CBRN) agents, which can cause widespread illness and death. Medical countermeasures--such as drugs, vaccines, and diagnostic devices--can prevent or treat the health effects of exposure, but few are currently available for many of these CBRN agents. GAO was asked to testify on the Department of Health and Human Services' (HHS) CBRN medical countermeasure development and acquisition activities. This statement focuses on (1) how HHS determines needed CBRN medical countermeasures and priorities for development and acquisition and (2) selected challenges to medical countermeasure development and acquisition. This statement of preliminary findings is based on ongoing work. To do this work, GAO examined relevant laws and presidential directives, analyzed federal agency documents and reports from advisory boards and expert groups, and interviewed officials from HHS and the Department of Homeland Security (DHS) about the processes for developing and acquiring CBRN medical countermeasures and the challenges related to those efforts. GAO shared the information in this statement with HHS. …
Date: April 13, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
State Department: Decision to Retain Embassy Parking Lot in Paris, France, Should Be Revisited (open access)

State Department: Decision to Retain Embassy Parking Lot in Paris, France, Should Be Revisited

A letter report issued by the General Accounting Office with an abstract that begins "The U.S. government owns a 0.4-acre lot adjoining the U.S. ambassador's residence in a prime location in Paris, France. In 1998, the State Department's Office of the Inspector General reported that the property was underused and that using this high-value property was not economically justified. GAO found that State's decision in February 2000 to continue using the lot for parking was not based on a full consideration of security needs, secure parking alternatives, and the merits of selling the property. French authorities have indicated that the property is valuable and marketable. At a time when the State Department has billions of dollars of security construction and maintenance needs at its embassies and consulates around the world, the sale of the parking lot in Paris, France, should receive serious consideration if State can arrange alternative, cost-effective, and secure parking for official vehicles and if a purchaser would pay $10 million for the lot."
Date: April 13, 2001
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Missile Defense: Actions Needed to Improve Transparency and Accountability (open access)

Missile Defense: Actions Needed to Improve Transparency and Accountability

Testimony issued by the Government Accountability Office with an abstract that begins "In order to meet its mission, the Missile Defense Agency (MDA) is developing a highly complex system of systems--land-, sea-, and spacebased sensors, interceptors, and battle management. Since its initiation in 2002, MDA has been given a significant amount of flexibility in executing the development and fielding of the ballistic missile defense system. GAO was asked to testify on its annual review of MDA and on progress made to improve transparency and accountability. This statement is based on our March 2011 report."
Date: April 13, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Federal Home Loan Bank System: An Overview of Changes and Current Issues Affecting the System (open access)

Federal Home Loan Bank System: An Overview of Changes and Current Issues Affecting the System

Testimony issued by the Government Accountability Office with an abstract that begins "The FHLBank System (FHLBank System or System) is a government-sponsored enterprise (GSE) that consists of 12 Federal Home Loan Banks (FHLBanks) and is cooperatively owned by member financial institutions, typically commercial banks and thrifts. The primary mission of the FHLBank System is to promote housing and community development generally by making loans, also known as advances, to member financial institutions. To minimize the potential for significant financial problems, the Federal Housing Finance Board (FHFB) regulates the FHLBank System's safety and soundness. Over time, a number of developments have affected the System's safety and soundness and have created pressures on its traditional cooperative structure. To assist the committee in understanding the important issues surrounding the FHLBank System and its regulation, this testimony provides information on the development of the System; two legislative changes and FHFB rulemaking that led to changes in membership, asset composition, and capital structure; and important challenges and questions the FHLBank System currently faces."
Date: April 13, 2005
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Terrorism and Drug Trafficking: Testing Status and Views on Operational Viability of Pulsed Fast Neutron Analysis Technology (open access)

Terrorism and Drug Trafficking: Testing Status and Views on Operational Viability of Pulsed Fast Neutron Analysis Technology

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO provided information on the operational viability of pulsed fast neutron analysis technology (PFNA), which is designed to directly and automatically detect and measure the presence of specific materials by exposing their constituent chemical elements to short bursts of subatomic particles called neutrons, focusing on: (1) the status of plans for field testing a PFNA inspection system for counterterrorism and counterdrug purposes; and (2) federal agency and vendor views on the operational viability of such a system."
Date: April 13, 1999
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Military Disability Retirement: Closer Monitoring Would Improve the Temporary Retirement Process (open access)

Military Disability Retirement: Closer Monitoring Would Improve the Temporary Retirement Process

A letter report issued by the Government Accountability Office with an abstract that begins "Service members found unfit for duty due to a service-related illness or injury may be eligible for military disability retirement. When their disability is not stable, however, they may be placed on the military's Temporary Disability Retired List (TDRL) and granted temporary benefits for as long as 5 years. GAO was asked to respond to concerns about TDRL caseloads, management, and impact on servicemembers. To address these concerns, we analyzed TDRL data; interviewed military officials; reviewed laws, regulations, and other relevant documents; and conducted 12 focus groups with temporary retirees. This report examines (1) recent trends in the TDRL caseload size, (2) recent trends in the characteristics of those placed on the TDRL, (3) disability retirement outcomes for TDRL placements, (4) the adequacy of TDRL management, and (5) the adequacy of information provided to TDRL retirees."
Date: April 13, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Coast Guard: Opportunities Exist to Further Improve Acquisition Management Capabilities (open access)

Coast Guard: Opportunities Exist to Further Improve Acquisition Management Capabilities

A letter report issued by the Government Accountability Office with an abstract that begins "The Coast Guard manages a broad $27 billion major acquisition portfolio intended to modernize its ships, aircraft, command and control systems, and other capabilities. GAO has reported extensively on the Coast Guard's significant acquisition challenges, including project challenges in its Deepwater program. GAO's prior work on the Coast Guard acquisition programs identified problems in costs, management, and oversight, but it also recognized several steps the Coast Guard has taken to improve acquisition management. In response to the Coast Guard Authorization Act of 2010, GAO (1) assessed Coast Guard capabilities to manage its major acquisition programs, and (2) determined the extent to which the Coast Guard leverages Department of Defense (DOD) and other agency contracts or expertise to support its major acquisition programs. GAO reviewed Department of Homeland Security (DHS) and Coast Guard acquisition documents, GAO and DHS Inspector General reports, and selected DOD contracts; and interviewed Coast Guard, DHS, and DOD officials"
Date: April 13, 2011
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Homeland Security: Federal Protective Service's Contract Guard Program Requires More Oversight and Reassessment of Use of Contract Guards (open access)

Homeland Security: Federal Protective Service's Contract Guard Program Requires More Oversight and Reassessment of Use of Contract Guards

A letter report issued by the Government Accountability Office with an abstract that begins "To accomplish its mission of protecting about 9,000 federal facilities, the Federal Protective Service (FPS) currently has a budget of about $1 billion, about 1,225 full-time employees, and about 15,000 contract security guards. FPS obligated $659 million for guard services in fiscal year 2009. This report assesses the challenges FPS faces in managing its guard contractors, overseeing guards deployed at federal facilities, and the actions, if any, FPS has taken to address these challenges. To address these objectives, GAO conducted site visits at 6 of FPS's 11 regions; interviewed FPS officials, guards, and contractors; and analyzed FPS's contract files. GAO also conducted covert testing at 10 judgmentally selected level IV facilities in four cities. A level IV facility has over 450 employees and a high volume of public contact."
Date: April 13, 2010
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Mortgage Financing: HUD Could Realize Additional Benefits from Its Mortgage Scorecard (open access)

Mortgage Financing: HUD Could Realize Additional Benefits from Its Mortgage Scorecard

A letter report issued by the Government Accountability Office with an abstract that begins "Along with private mortgage providers, the Department of Housing and Urban Development's (HUD) Federal Housing Administration (FHA) has been impacted by technological advances that began in the mid-1990s and that have significantly affected the way the mortgage industry works. As a result, in 2004, FHA implemented Technology Open to Approved Lenders (TOTAL) Scorecard--an automated tool that evaluates the majority of new loans insured by FHA. However, questions have emerged about the effectiveness of TOTAL. Given these concerns, you asked GAO to evaluate the way the agency developed and uses this new tool. This report looks at (1) the reasonableness of FHA's approach to developing TOTAL and (2) the potential benefits to HUD of expanding its use of TOTAL."
Date: April 13, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Addressing Significant Vulnerabilities in the Department of State's Passport Issuance Process (open access)

Addressing Significant Vulnerabilities in the Department of State's Passport Issuance Process

Correspondence issued by the Government Accountability Office with an abstract that begins "A genuine U.S. passport is a vital document, permitting its owner to travel freely into and out of the United States, prove U.S. citizenship, obtain further identification documents, and set up bank accounts, among other things. Since May 2005, we have issued several reports identifying significant fraud vulnerabilities in the passport issuance process. This report (1) describes our recent work on passport fraud and (2) summarizes actions the Department of State (State) has indicated it is taking to address the fraud vulnerabilities we identified."
Date: April 13, 2009
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library