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Group Purchasing Organizations: Research on Their Pricing Impact on Health Care Providers

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "Hospitals and other health care providers use purchasing intermediaries--group purchasing organizations (GPO)--as a way to control the cost of various medical products. Through GPO-negotiated contracts, hospitals and other health care providers can purchase everything from commodities, such as cotton balls and bandages, to high-technology medical devices, such as pacemakers and stents. By pooling the pur… more
Date: January 29, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare Part D: Spending, Beneficiary Cost Sharing, and Cost-Containment Efforts for High-Cost Drugs Eligible for a Specialty Tier

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Centers for Medicare & Medicaid Services (CMS) allows Part D plans to utilize different tiers with different levels of cost sharing as a way of managing drug utilization and spending. One such tier, the specialty tier, is designed for high-cost drugs whose prices exceed a certain threshold set by CMS. Beneficiaries who use these drugs typically face higher out-of-pocket costs than beneficiaries who … more
Date: January 29, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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New Markets Tax Credit: The Credit Helps Fund a Variety of Projects in Low-Income Communities, but Could Be Simplified

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Treasury Department's Community Development Financial Institutions (CDFI) Fund awarded $26 billion in New Markets Tax Credits (NMTC) through 2009 for investment in low-income communities. The NMTC allows investors to claim a tax credit totaling 39 percent of their investment in Community Development Entities (CDE) over 7 years which CDEs reinvest in qualified communities. This mandated report (1) de… more
Date: January 29, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Nuclear Security: DOE Needs to Address Protective Forces' Personnel System Issues

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The September 11, 2001, terrorist attacks raised concerns about the security of Department of Energy's (DOE) sites with weapons-grade nuclear material, known as Category I Special Nuclear Material (SNM). To better protect these sites against attacks, DOE has sought to transform its protective forces protecting SNM into a Tactical Response Force (TRF) with training and capabilities similar to the U.S. mi… more
Date: January 29, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Patient Safety Act: HHS Is in the Process of Implementing the Act, So Its Effectiveness Cannot Yet Be Evaluated

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Institute of Medicine (IOM) estimated in 1999 that preventable medical errors cause as many as 98,000 deaths a year among hospital patients in the United States. Congress passed the Patient Safety and Quality Improvement Act of 2005 (the Patient Safety Act) to encourage health care providers to voluntarily report information on medical errors and other events--patient safety data--for analysis and t… more
Date: January 29, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Secure Border Initiative: DHS Needs to Address Testing and Performance Limitations That Place Key Technology Program at Risk

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security's (DHS) Secure Border Initiative Network (SBInet) is a multiyear, multibillion dollar program to deliver surveillance and decision-support technologies that create a virtual fence and situational awareness along the nation's borders with Mexico and Canada. Managed by DHS's Customs and Border Protection (CBP), SBInet is to strengthen CBP's ability to identify, deter, a… more
Date: January 29, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Telecommunications: Information Collection and Management at the Federal Communications Commission

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Federal Communications Commission (FCC) regulates industries that affect the lives of virtually all Americans. FCC-regulated industries provide Americans with daily access to communications services, including wireline and wireless telephone, radio, and television. To ensure FCC is carrying out its mission, the commission requires a significant amount of information, such as ownership and operating … more
Date: January 29, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Veterans' Disability Benefits: Further Evaluation of Ongoing Initiatives Could Help Identify Effective Approaches for Improving Claims Processing

Description: A letter report issued by the Government Accountability Office with an abstract that begins "For years, the disability compensation claims process has been the subject of concern and attention by the Department of Veterans Affairs (VA), Congress, and veteran service organizations (VSO), due in part to long waits for decisions and the large number of claims pending a decision. As GAO and other organizations have reported over the last decade, VA has also faced challenges in improving the accurac… more
Date: January 29, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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NASA: Assessments of Selected Large-Scale Projects

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The National Aeronautics and Space Administration (NASA) plans to invest billions in the coming years in science and exploration space fl ight initiatives. The scientifi c and technical complexities inherent in NASA's mission create great challenges in managing its projects and controlling costs. In the past, NASA has had diffi culty meeting cost, schedule, and performance objectives for many of its pro… more
Date: February 1, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Littoral Combat Ship: Actions Needed to Improve Operating Cost Estimates and Mitigate Risks in Implementing New Concepts

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Navy plans to spend about $28 billion to buy 55 Littoral Combat Ships (LCS) and at least 64 interchangeable mission packages to perform one of three missions--mine countermeasures, antisubmarine warfare, and surface warfare--in waters close to shore. The Navy has been developing two different LCS seaframes and plans to select one for production in 2010. Due to the small 78-person crew size--40 core … more
Date: February 2, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Food Safety: FDA Should Strengthen Its Oversight of Food Ingredients Determined to Be Generally Recognized as Safe (GRAS)

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Food and Drug Administration (FDA), which is responsible for ensuring the safety of most of the U.S. food supply, is not required to review substances, such as spices and preservatives, added to food that are generally recognized as safe (GRAS) for their intended use. Currently, companies may determine a substance is GRAS without FDA's approval or knowledge. However, a few substances previously cons… more
Date: February 3, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Military Personnel: Additional Actions Are Needed to Strengthen DOD's and the Coast Guard's Sexual Assault Prevention and Response Programs

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Sexual assault is a crime with negative implications to military readiness and esprit de corps. In response to a congressional request, GAO, in 2008, reviewed Department of Defense (DOD) and U.S. Coast Guard sexual assault prevention and response programs and recommended a number of improvements. GAO was subsequently asked to evaluate the extent to which (1) DOD has addressed GAO's 2008 recommendations … more
Date: February 3, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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NASA: Key Management and Program Challenges

Description: Testimony issued by the Government Accountability Office with an abstract that begins "The National Aeronautics and Space Administration (NASA) is in the midst of many changes and one of the most challenging periods in its history. The space shuttle is slated to retire this year, the International Space Station nears completion but remains underutilized, and a new means of human space flight is under development. Most recently, the administration has proposed a new direction for NASA. Amid all … more
Date: February 3, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Biomonitoring: EPA Could Make Better Use of Biomonitoring Data

Description: Testimony issued by the Government Accountability Office with an abstract that begins "Biomonitoring, which measures chemicals in people's tissues or body fluids, has shown that the U.S. population is widely exposed to chemicals used in everyday products. Some of these have the potential to cause cancer or birth defects. Moreover, children may be more vulnerable to harm from these chemicals than adults. The Environmental Protection Agency (EPA) is authorized under the Toxic Substances Control A… more
Date: February 4, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Use of the Railroad Retirement Board Occupational Disability Program across the Rail Industry

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "We recently reported that Long Island Rail Road (LIRR) workers applied for U.S. Railroad Retirement Board (RRB) occupational disability benefits at a rate 12 times higher than workers from the other commuter railroads covered under the Railroad Retirement Act. RRB provides an occupational disability benefit to eligible workers whose physical or mental impairments prevent them from performing their specif… more
Date: February 4, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Highway Research: The Second Strategic Highway Research Program Addresses the Four Required Areas, but Some Anticipated Research Was Not Funded

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The 2005 Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users authorized the Department of Transportation to establish a highway research program to address future challenges facing the U.S. highway system. In 2006, the Second Strategic Highway Research Program was established to conduct research in four areas--safety, renewal, reliability, and capacity. The Transportatio… more
Date: February 5, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Troubled Asset Relief Program: Treasury Needs to Strengthen Its Decision-Making Process on the Term Asset-Backed Securities Loan Facility

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Term Asset-Backed Securities Loan Facility (TALF) was created by the Board of Governors of the Federal Reserve System (Federal Reserve) to help meet consumer and small business credit needs by supporting issuance of asset-backed securities (ABS) and commercial mortgage-backed securities (CMBS). This report assesses (1) the risks TALF-eligible assets pose to the Troubled Asset Relief Program (TARP), … more
Date: February 5, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Recovery Act: IRS Quickly Implemented Tax Provisions, but Reporting and Enforcement Improvements Are Needed

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The American Recovery and Reinvestment Act of 2009 (Recovery Act), was enacted to bolster the struggling U.S. economy at an estimated cost of $787 billion, of which more than a third was in the form of tax relief to the public. This report (1) describes the status of the Internal Revenue Service's (IRS) implementation of Recovery Act tax provisions; (2) examines whether IRS captured or planned to captur… more
Date: February 10, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Recovery Act: Project Selection and Starts Are Influenced by Certain Federal Requirements and Other Factors

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The American Recovery and Reinvestment Act of 2009 (Recovery Act) aims to stimulate the economy. It provided $787 billion in spending and tax provisions; more than a third of the money was slated for projects and activities, including construction and certain research projects. To implement a project using federal funds, agencies and funding recipients must comply with federal laws and regulations. GAO … more
Date: February 10, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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CNMI Immigration and Border Control Databases

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "Under the terms of its 1976 Covenant with the United States, the Commonwealth of the Northern Mariana Islands (CNMI) administered its own immigration systems from 1978 to 2009. The 2008 Consolidated Natural Resources Act called for the establishment of a transition program, to phase in U.S. immigration law in the CNMI and to phase out the CNMI's current program for non-U.S. citizen (noncitizen) foreign w… more
Date: February 16, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Food Irradiation: FDA Could Improve Its Documentation and Communication of Key Decisions on Food Irradiation Petitions

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "According to the Centers for Disease Control and Prevention (CDC), pathogens such as Salmonella, E. coli, and Listeria cause an estimated 14 million cases of foodborne illnesses each year, resulting in about 60,000 hospitalizations and 1,800 deaths. Foodborne illness symptoms can range from mild gastroenteritis to life-threatening renal syndromes. The populations most susceptible to the more serious symp… more
Date: February 16, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Electronic Personal Health Information Exchange: Health Care Entities' Reported Disclosure Practices and Effects on Quality of Care

Description: A letter report issued by the Government Accountability Office with an abstract that begins "To promote the use of information technology for the electronic exchange of personal health information among providers and other health care entities, Congress passed the Health Information Technology for Economic and Clinical Health (HITECH) Act. It provides incentives intended to promote the widespread adoption of technology that supports the electronic sharing of data among hospitals, physicians, an… more
Date: February 17, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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License Suspensions for Nondriving Offenses: Practices in Four States That May Ease the Financial Impact on Low-Income Individuals

Description: A letter report issued by the Government Accountability Office with an abstract that begins "States suspend driver's licenses for a variety of offenses that are not directly related to driving safety. For example, all states have procedures to suspend licenses for child support arrearages. In addition, a majority of states issue suspensions for such offenses as failure to pay court or motor vehicle fines or maintain proper insurance. While recognizing that license suspension can be an effective… more
Date: February 18, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Food and Drug Administration: Opportunities Exist to Better Address Management Challenges

Description: A letter report issued by the Government Accountability Office with an abstract that begins "GAO was asked to review the Food and Drug Administration's (FDA) strategic planning and management. Leading practices in this area include developing strategies to address management challenges and results-oriented performance measures, aligning activities and resources to strategic goals, and enhancing the use of performance information. In this report, GAO examined the extent to which (1) FDA's Strate… more
Date: February 19, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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