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Department of Health and Human Services, Executive (51 - 60 of 1,321 items)
Federal Research Opportunities: DOE, DOD, and HHS Need Better Guidance for Participant Activities
GAO-16-128: Published: Jan 20, 2016. Publicly Released: Jan 20, 2016.
For fiscal years 2010 through 2014, the 11 departments and other federal agencies that sponsor research participants collectively expended $776.4 million for activities carried out through the Oak Ridge Institute for Science and Education (ORISE) research participation program (ORISE program). The three agencies with the highest expenditures for the program over the 5-year period were the Departme...
Medicaid Managed Care: Trends in Federal Spending and State Oversight of Costs and Enrollment
GAO-16-77: Published: Dec 17, 2015. Publicly Released: Jan 19, 2016.
Federal spending for Medicaid managed care increased significantly from fiscal year 2004 through fiscal year 2014 (from $27 billion to $107 billion), and represented 38 percent of total federal Medicaid spending in fiscal year 2014. Consistent with this national trend, managed care as a proportion of total federal Medicaid spending was higher in seven of eight selected states in fiscal year 2014 c...
Health Care Workforce: Comprehensive Planning by HHS Needed to Meet National Needs
GAO-16-17: Published: Dec 11, 2015. Publicly Released: Jan 11, 2016.
The Department of Health and Human Services (HHS) engages in some planning for the 72 health care workforce programs administered by its agencies, but lacks comprehensive planning and oversight to ensure that these efforts meet national health care workforce needs. HHS's current strategic plan includes broad strategies—such as improving access to comprehensive primary and preventive medical serv...
Federal Acquisitions: Use of 'Other Transaction' Agreements Limited and Mostly for Research and Development Activities
GAO-16-209: Published: Jan 7, 2016. Publicly Released: Jan 7, 2016.
Congress has authorized 11 federal agencies to use other transaction agreements—which generally do not follow a standard format or include terms and conditions required in traditional mechanisms, such as contracts or grants—to help meet project requirements and mission needs. The National Aeronautics and Space Administration (NASA) first received this authority in 1958. Over the next several d...
Medicare: Increasing Hospital-Physician Consolidation Highlights Need for Payment Reform
GAO-16-189: Published: Dec 18, 2015. Publicly Released: Dec 18, 2015.
Vertical consolidation is a financial arrangement that occurs when a hospital acquires a physician practice and/or hires physicians to work as salaried employees. The number of vertically consolidated hospitals and physicians increased from 2007 through 2013. Specifically, the number of vertically consolidated hospitals increased from about 1,400 to 1,700, while the number of vertically consolidat...
Women in STEM Research: Better Data and Information Sharing Could Improve Oversight of Federal Grant-making and Title IX Compliance
GAO-16-14: Published: Dec 3, 2015. Publicly Released: Dec 14, 2015.
GAO's analysis of Science, Technology, Engineering, and Mathematics (STEM) research grant awards made between fiscal years 2009 and 2013 identified no disparities in success rates between women and men at three agencies selected for review, but data limitations provided limited insight into success rates at three other agencies selected for review. At two of the agencies with data limitations—th...
Foster Care: HHS Could Do More to Support States' Efforts to Keep Children in Family-Based Care
GAO-16-85: Published: Oct 9, 2015. Publicly Released: Nov 9, 2015.
Eight states GAO reviewed had a variety of efforts under way to help ensure they placed foster children in family-based settings rather than in group homes or institutions, also known as congregate care. Federal law requires that foster children have a case plan designed to achieve placement in the least restrictive (most family like) and most appropriate setting available, consistent with their n...
Climate Change: HHS Could Take Further Steps to Enhance Understanding of Public Health Risks
GAO-16-122: Published: Oct 5, 2015. Publicly Released: Nov 3, 2015.
Federal agencies are enhancing understanding of climate-related risks to public health by (1) supporting and conducting research, (2) providing data and informational resources, and (3) communicating about risks. The Department of Health and Human Services’ (HHS) National Institutes of Health (NIH) supports a portfolio of research directly related to these risks. NIH reports awarding about $6 mi...
Electronic Health Records: Nonfederal Efforts to Help Achieve Health Information Interoperability
GAO-15-817: Published: Sep 16, 2015. Publicly Released: Sep 29, 2015.
Representatives from the 18 nonfederal initiatives GAO reviewed described a variety of efforts they are undertaking to achieve or facilitate electronic health record (EHR) interoperability, but most of these initiatives remain works in progress. EHR interoperability is the ability of systems to exchange electronic health information with other systems and process the information without special ef...
Regulatory Guidance Processes: Agencies Could Benefit from Stronger Internal Control Practices
GAO-15-834T: Published: Sep 23, 2015. Publicly Released: Sep 23, 2015.
What is regulatory guidance? One of the main purposes of guidance is to explain and help regulated parties comply with agencies' regulations. Even though not legally binding, guidance documents can have a significant effect on regulated entities and the public, both because of agencies' reliance on large volumes of guidance documents and because the guidance can prompt changes in the behavior of r...