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Department of Health and Human Services, Executive (61 - 70 of 1,321 items)
Child Welfare: Steps Have Been Taken to Address Unregulated Custody Transfers of Adopted Children
GAO-15-733: Published: Sep 16, 2015. Publicly Released: Sep 16, 2015.
Some adoptive families may consider giving their children to another family outside of the courts and child welfare system—an “unregulated child custody transfer”—because of a crisis within the adoptive family and difficulties accessing support services, according to officials GAO interviewed from selected states, child welfare and adoption organizations, and adoption agencies. Children ad...
Federal Supply Schedules: More Attention Needed to Competition and Prices
GAO-15-590: Published: Jul 9, 2015. Publicly Released: Aug 10, 2015.
According to the General Services Administration (GSA), total sales through the Federal Supply Schedules (FSS) program in fiscal year 2014 were $33.1 billion. This includes purchases by federal, state, and local agencies, including federal intelligence agencies which do not report their FSS spending publicly. GAO's analysis of publicly reported federal procurement data shows that federal use of th...
Behavioral Health: Options for Low-Income Adults to Receive Treatment in Selected States
GAO-15-449: Published: Jun 19, 2015. Publicly Released: Jul 20, 2015.
Nationwide, estimates using 2008-2013 data indicated that approximately 17 percent of low-income, uninsured adults (3 million) had a behavioral health condition, defined as a serious mental illness, a substance use condition, or both. Underlying these national estimates is considerable variation at the state level.Estimated Percentage of Low-Income, Uninsured Adults with Behavioral Health Conditio...
Medicaid: Overview of Key Issues Facing the Program
GAO-15-746T: Published: Jul 8, 2015. Publicly Released: Jul 8, 2015.
GAO identified four key issues facing the Medicaid program: access to care; transparency and oversight; program integrity; and federal financing.Access to care: Medicaid enrollees report access to care that is generally comparable to privately insured individuals, but may have greater difficulty accessing specialty care (like mental health care) and dental care. GAO has recommended actions such as...
Medicare Part B Drugs: Action Needed to Reduce Financial Incentives to Prescribe 340B Drugs at Participating Hospitals
GAO-15-442: Published: Jun 5, 2015. Publicly Released: Jul 6, 2015.
Certain providers, including hospitals that serve a disproportionate number of low-income patients, have access to discounted prices on outpatient drugs through the 340B Drug Pricing Program, which is administered by the Health Resources and Services Administration (HRSA) within the Department of Health & Human Services (HHS). In 2012, these hospitals—referred to as 340B disproportionate share h...
Youth Athletes: Sports Programs' Guidance, Practices, and Policies to Help Prevent and Respond to Sexual Abuse
GAO-15-418: Published: May 29, 2015. Publicly Released: Jun 29, 2015.
Several federal agencies have roles in preventing and responding to the sexual abuse of a broad population of youth under age 18, which may include youth athletes. For example, the Department of Health and Human Services (HHS) and the National Center for Missing and Exploited Children, a nonprofit organization that receives Department of Justice (Justice) funding, published suggested practices for...
Medicaid Demonstrations: More Transparency and Accountability for Approved Spending Are Needed
GAO-15-715T: Published: Jun 24, 2015. Publicly Released: Jun 24, 2015.
In April 2015, GAO found that under Medicaid section 1115 demonstrations—experimental or pilot projects to test new ways of providing services which account for nearly one-third of Medicaid expenditures—the Department of Health and Human Services (HHS) had authorized expenditures not otherwise allowed under Medicaid for a broad range of purposes beyond expanding coverage. How these expenditure...
Older Americans Act: Updated Information on Unmet Need for Services
GAO-15-601R: Published: Jun 10, 2015. Publicly Released: Jun 15, 2015.
Per 2013 data, many older adults with low incomes who likely need meals services do not receive them. An estimated 90 percent of low-income older adults (those age 60 and older with incomes below 185 percent of the poverty threshold) do not receive meals services like those funded by Older Americans Act (OAA) Title III programs, according to GAO's analysis of 2013 Current Population Survey (CPS) d...
Mental Health: Better Documentation Needed to Oversee Substance Abuse and Mental Health Services Administration Grantees
GAO-15-405: Published: May 12, 2015. Publicly Released: Jun 11, 2015.
The Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Mental Health Services (CMHS) established criteria for the five grant programs covered by GAO's review that varied by program, but GAO found that CMHS did not document its application of criteria for about a third of the 16 grantees GAO reviewed. An example of how criteria varied by program is that one of the five...
Federal Veterinarians: Efforts Needed to Improve Workforce Planning
GAO-15-495: Published: May 26, 2015. Publicly Released: May 26, 2015.
The U.S. Department of Agriculture (USDA) has taken actions to ensure that component agencies include veterinarians in workforce planning efforts for meeting routine needs, but the Department of Health and Human Services (HHS) has not done so. GAO has identified top leadership involvement as a key principle for workforce planning. For example, USDA provided guidance to its component agencies to as...